2025-11-15T08:51:58+00:00 2024-12-31 350921680 CROWE LLP 575 Market Street Suite 3300 San Francisco CA 941055829 990 2024-01-01 956006469 Emanate Health Medical Center EMAN 6263317331 140 W COLLEGE STREET PO BOX 6108 COVINA CA 917225108 RAJESH K SHARMA PRESIDENT 2025-11-15 true Diane Kirmaci P01578407 4155761100 2025-11-15 2024 2025-03-06 01:10:19Z RAJESH K SHARMA 140 W COLLEGE STREET PO BOX 6108 COVINA CA 917225108 736003214 false X EMANATEHEALTH.ORG X 1959 CA OPERATION OF ACUTE CARE FACILITY. 17 16 3097 78 70935 67937 24684302 15622590 538323221 591626364 9268429 9031402 7352405 39670616 579628357 655950972 0 0 0 247226588 271091060 0 0 319037650 364238080 566264238 635329140 13364119 20621832 754080976 767670446 329077052 322105198 425003924 445565248 OUR MISSION IS TO HELP PEOPLE KEEP WELL IN BODY, MIND, AND SPIRIT BY PROVIDING QUALITY HEALTH CARE SERVICES IN A SAFE, COMPASSIONATE ENVIRONMENT. false false 558066375 628325575 EMANATE 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 HOSPTALS. QVH AND ICH PROVIDE CARE FOR AN AVERAGE OF 314 PATIENTS PER DAY. COMBINED ADJUSTED PATIENT DAYS WAS 191,694. EMERGENCY ROOM & OUTPATIENT VISITS TOTALED 230,374. EHMC PROVIDED TRADITIONAL CHARITY CARE AT COST TOTALING $11,521,221, UNREIMBURSED MEDI-CAL PROGRAM COST TOTALING $93,008,590 AND OTHER COMMUNITY BENEFIT COST TOTALING $1,999,837. DURING 2024, EHMC RECORDED A NET SUPPLEMENTAL PAYMENTS OF $69,805,630 FROM THE CALIFORNIA HOSPITAL FEE PROGRAM FOR THE HOSPITAL SERVICES TO MEDI-CAL FEE-FOR-SERVICE AND MEDI-CAL MANAGED CARE PATIENTS COVERED FOR THE PERIOD FROM JANUARY 1, 2024, TO DECEMBER 31, 2024. 558066375 true true false false false false false false false false true false false true true true false true false false false false false false false false true true false false true true false false false false false false false false false false false false false false false true false false false false true 243 0 true 3097 true true true false false false false false false false false false false false X 17 16 false false false false true true true true true false false false true true true true true true false false false false CA X X Stephen Steckbeck 6269387595 140 W COLLEGE STREET PO BOX 6108 COVINA CA 917225108 BERNARD BOLLINGER JR ESQ TREASURER 3.0 10.0 X X 0 0 0 CLIFFORD CHRIST CHAIR 3.0 10.0 X X 0 0 0 GARY MATHEWSON SECRETARY 3.0 10.0 X X 0 0 0 PATSY GORRELL VICE CHAIR 3.0 10.0 X X 0 0 0 RAJESH SHARMA PRESIDENT & CEO 14.0 26.0 X X 0 2880944 181452 ANNA LEUNG MD DIRECTOR 3.0 10.0 X 0 0 0 ARTHUR J LUDWICK DIRECTOR 3.0 10.0 X 0 0 0 BRENDA HAYAKAWA MD COS EHFPH DIRECTOR 3.0 10.0 X 0 0 0 GEORGE FERENCZI MD DIRECTOR 3.0 10.0 X 0 0 0 LISA FUERST DIRECTOR 3.0 12.0 X 0 0 0 LUCRECIA MONTES PHARMD IHM DIRECTOR 3.0 6.0 X 0 0 0 MARY KIRCHEN IHM DIRECTOR 3.0 10.0 X 0 0 0 PHILIP MALDONADO DDS DIRECTOR 3.0 10.0 X 0 0 0 RAFFAELE CORBISIERO MD COS EHMC DIRECTOR 3.0 10.0 X 0 0 0 ROBERT GONZALES DIRECTOR 3.0 10.0 X 0 0 0 SANJAY KHEDIA MD DIRECTOR 3.0 12.0 X 0 0 0 SHARON YEE MD DIRECTOR 3.0 11.0 X 0 0 0 LEON CHOINERE CHIEF FINANCIAL OFFICER 14.0 26.0 X 0 620404 18448 BRIAN FILADELFIA CHIEF NURSE & CLINICAL EXECUTIVE 40.0 0 X 314236 0 20151 CECILIA AGUDO SUPV. ADMINISTRATIVE NURSING 36.0 0 X 347453 0 33032 MARY KONYALIAN CHIEF NURSE & CLINICAL EXECUTIVE 40.0 0 X 475365 0 28294 MELISSA HOWARD CHIEF NURSE & CLINICAL EXECUTIVE 40.0 0 X 468739 0 65002 PAUL MORRIS CORP. DIRECTOR PHARMACY SVS 40.0 0 X 317374 0 14938 1923167 3501348 361317 959 false true false The Turner Corporation 1900 S STATE COLLEGE BLVD SUITE 150 ANAHEIM CA 92806 Construction services 30061711 MEDLINE INDUSTRIES INC DEPT LA 21558 PASADENA CA 911851558 Clinical and supply chain expertise 26845388 MCKESSON CORP PO BOX 848442 DALLAS TX 752848442 Healthcare technology solutions 14589172 MCKESSON PLASMA AND BIOLOGICS LLC 16578 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 PURCHASED SERVICE MEDICAL 13883755 WESTWAYS STAFFING SERVICES INC PO BOX 970 SAN JOSE CA 95108 Staffing Services 8557976 285 4512611 11004099 105880 15622590 PATIENT REV/MEDICARE/MEDICAID PAY 622110 464843779 464843779 HOSPITAL FEE PROGRAM REVENUE 622110 126782585 126782585 0 0 0 0 591626364 6192650 6192650 1199817 371 1199446 0 1199446 1128511 70935 82890623 80051871 2838752 0 2838752 2838752 PREMIUM REVENUE 900099 32009484 32009484 BENEFICIAL INTEREST 900099 2168609 2168609 REBATE & REFUNDS 900099 1494566 1494566 2798511 1392607 0 1405904 38471170 655950972 628325575 70935 11931872 X 226495995 225010254 1485741 5766560 5728733 37827 22070222 21925448 144774 16758283 16648354 109929 1140401 1078689 61712 3533 3342 191 620140 620140 146106701 79622345 66484356 0 4256 2910 1346 293737 200818 92919 12093421 12093421 3247011 3247011 17021430 17018889 2541 6398820 6398820 UNRELATED BUSINESS INCOME TAXES 9239 9239 MEDICAL & OTHER SUPPLIES 91208170 90364999 843171 HOSPITAL FEE PROGRAM 56976955 56976955 BAD DEBT EXPENSE 25216002 25216002 3898264 2928205 970059 0 635329140 558066375 77262765 0 15786388 7757018 594728 445223 66684913 75948192 0 0 0 0 140915668 10112261 11296817 11573809 3062786 2833082 653985953 352883654 275890581 301102299 0 134860405 177626736 12156239 0 62222359 210881918 754080976 767670446 134618572 52634757 175040395 170325659 0 0 19418085 99144782 329077052 322105198 X 417716671 441552938 7287253 4012310 425003924 445565248 754080976 767670446 X 20621832 3901575 -3962083 X false true true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 28395474 28395474 266694272 150190270 116504002 243586600 197576631 46009969 115309607 5116753 110192854 301102299 BENEFICIAL INTEREST IN FOUNDATION 11095989 DUE FROM CA UNDER SB 855 & 1255 1831142 ADVANCES TO AFFILIATES 36935489 HOSPITAL FEE PROGRAM 161019298 210881918 Federal Income Taxes CAPITAL LEASE 1239375 HOSPITAL FEE PAYABLE 55561221 IBNR / RISK POOL 7782749 INTEREST PAYABLE 1596576 LOAN PAYABLE 20517075 OTHER CURRENT LIABILITIES 6121581 WORKERS COMP RESERVES 6326205 99144782 X 630653169 3901575 0 3901575 626751594 25836142 25836142 652587736 610642373 0 0 610642373 25836142 25836142 636478515 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote EH, EHMC, FPH, EHHC, FOUNDATION, AND EHMCF, ARE NOT-FOR-PROFIT CORPORATIONS AND ARE TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND THE APPLICABLE FRANCHISE TAX CODE OF THE STATE OF CALIFORNIA. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN RECORDED ON THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS. 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, 2024 OR 2023. true true X true X 400 true X 550 13172239 1651018 11521221 0.01888 272527715 249324756 23202959 0.03803 0 0 0 0.0 0 0 285699954 250975774 34724180 0.05691 597978 0 597978 0.00098 5135924 4412425 723499 0.00119 0 0 0 0.0 0 0 0 0.0 678359 0 678359 0.00111 0 0 6412261 4412425 1999836 0.00328 0 0 292112215 255388199 36724016 0.06019 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 25216002 0 87567744 80577371 6990373 X true true 1 1 EHMC - QVH AND ICH 140 W COLLEGE ST PO BOX 6108 COVINA CA 917225108 WWW.EMANATEHEALTH.ORG 930000131 X X X X IP REHAB UNIT, IP MENTAL HEALTH UNIT, SNF UNIT EHMC - QVH AND ICH 1 false false true X X X X X X X X X 22 true true true true X https://res.cloudinary.com/dpmykpsih/image/upload/emanate-health-site-496/media/74cd68b59c2e4b949fbf X X true 22 true https://res.cloudinary.com/dpmykpsih/image/upload/emanate-health-site-496/media/275340f1bf334f1b856c false true X 400.0 550.0 X X X X X true true X X X true X SEE FOOTNOTE IN PART VI X SEE FOOTNOTE IN PART VI X SEE FOOTNOTE IN PART VI X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - EHMC - QVH AND ICH. 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 as well as social and health service providers. Focus groups were conducted in English and Spanish as needed. 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 service area as well as geographic disparities, sub-population disparities and community assets and resources available to address the identified health needs and drivers. In all, 42 interviews and focus groups were conducted. Additionally, as part of the San Gabriel Valley Hospital Collaborative, hospitals within Service Planning Area 3 collectively shared other interviews and focus groups input, as well as a community survey, conducted in the region as part of their CHNA. This information was also incorporated into Emanate Health analytical framework. Primary data were inputted into a 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: Emanate Health completed this CHNA in partnership with Center for Nonprofit Management (CNM), which 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 was 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 2 and 3 were 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 and cultural barriers.) Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - EHMC - QVH AND ICH. The six nonprofit hospitals that comprise the Hospital Collaborative are: 1) City of Hope 2) Emanate Health 3) Huntington Hospital 4) Kaiser Permanente Baldwin Park 5) USC Arcadia Hospital, and 6) Pomona Valley Hospital Medical Center. Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - EHMC - QVH AND ICH. THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED WITH THE FOLLOWING NON-HOSPITAL FACILITIES: L.A. County Department of Public Health Pasadena Public Health Department Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - EHMC - QVH AND ICH. Electronic and printed copies of the CHNA are made available upon request by calling Emanate Health's Community Benefit Department at (626) 814-2450. On April 4, 2023, the San Gabriel Valley Non-Profit Hospital Collaborative united to make the second joint region-wide presentation of the CHNA findings and health trends in the San Gabriel Valley of Los Angeles County. One of the hospital members hosted the event at the City of Hope Conference Center. In 2020 the collaborative had an attendance of 165 cross-sector community representative agencies such as State and Local government representative, non-profits, community-based organizations, faith communities, school districts, community colleges, public and private agencies, residents, institutions of higher education, public health department, department of health services, mental health department and agencies, etc. The hospital collaborative partner, Center of Non-Profit Management, presented an overview of the 2022 CHNAs findings which included health trends, demographic diversity, emerging needs, health and income inequalities, etc. Hospital representatives provided an update of the partnership work that the hospital collaborative achieved in the last three years. The event featured a hospital leadership panel with a hospital representative that made comments about the 2022 CHNA findings and their role in responding to the emerging community needs. Area community agencies had the opportunity to set-up booths to promote their services and resource information to attendees. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - EHMC - QVH AND ICH. For the 2022-2025 CHNA cycle, a collaborative of nonprofit hospitals located in the San Gabriel Valley of Los Angeles County, California (The SPA3 Hospital Collaborative) committed to participate in a joint CHNA data collection process. The intent is to facilitate the development of a coordinated effort to collaboratively address priority health needs through their joint implementation strategies moving forward. The SPA3 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 SPA3 Hospitals 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 leverage 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. 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. The primary data was collected through key informant interviews, focus groups and surveys. This consisted of reaching out to local public health records, 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 would address. These strategies are built on Emanate Health's assets and resources, as well as evidence-based strategies. Emanate Health's CHNA 2022-2025 implementation plan's area of focus are chronic diseases/healthy behaviors, mental health, homelessness and access to care. In 2022, post COVID-19 pandemic, the implementation strategies and activities were fully reinstated by Emanate Health and its community partners after the stay-at-home mandate was lifted. Chronic Disease / Health Behaviors Stroke Disease The American Heart Association/American Stroke association reports that Emanate Health Foothill Presbyterian Hospital and Emanate Health Queen of the Valley Hospital received the Gold plus Quality Achievement award. The Gold Plus Target Stroke Honor Roll Elite and Type 2 Diabetes Honor Roll was awarded to Emanate Health Queen of the Valley Hospital. Within minutes of a stroke patient's arrival in the Emergency Department, Emanate Health's team is able to quickly assess stroke symptoms and provide treatment. Emanate Health offers free support for stroke survivors in English and Spanish. Emanate Health Queen of the Valley Hospital received the designation as the Los Angeles County Medical Service Comprehensive Stroke Center. Emanate Health Queen of the Valley Hospital ranked high performing hospital 2024-2025 by U.S. News & World Report for stroke and diabetes. Emanate Health Diabetes program provided telehealth education at no charges for a total of 510 hours in 2024. Mental Health & Homelessness In 2024 a new initiative was introduced in partnership with the L.A. County Department of Public Health to support the regional homeless population via the County coordinated entry system to conduct regular outreach at temporary housing locations to engage with people experiencing homelessness to provide information, resources and support; with emphasis on those individuals eligible for Medi-Cal and social service programs (i.e. California Children Services, Community Partners, Public Health, Early Detection Programs, Legal Services for Health Issues, Substance Abuse Disorder Services, Mental health Services, Medi-Cal, other shelters, Cal Fresh Program, Food Banks, etc. The Persons Experiencing Homelessness (PEH) navigator assists with completing online applications, renewals and navigation with the Medi-Cal system. Also, assists with locating providers, making appointments related to the following services: medical, mental health and dental appointments. In partnership with First 5 LA's Welcome Baby Program, 1,303 pregnant and post-partum women received depression and risk-screening assessments. It was identified that 298 disclosed signs and symptoms of depression and 243 received referrals to mental health service support systems and identify ways to cope, manage or overcome these challenges. Conducted 1,303 bridges for newborn assessments which include information on social determinants of health for the family. The new GAD-7 Generalized Anxiety Disorder Assessment was administered to 100% of Welcome Baby Program. The top risk factors identified were mental health challenges, history of domestic violence, history of abuse or neglect and substance abuse. Women received hand off referrals for the following needs: parent education, nutrition/feeding; mental/behavioral health , legal services, healthcare, developmental concerns and employment. In partnership with the Health Consortium of the San Gabriel Valley's Integration Committee, a summit and webinars were provided to the community by expert presenters. The summit and webinars prioritized the use of diversity, equity and inclusion to understand and address the leading health and behavioral health priorities in the San Gabriel Valley. This summit encompassed the pivotal role that social inequities, structural racism and social determinants of health have on access to information, services and resources by vulnerable and oppressed communities. Access To Care Emanate Health's Get Enrollment Moving program assisted uninsured and underinsured populations with accessing health services via insurance enrollment in government sponsored programs. The community received assistance from empathetic and well trained Medi-Cal Health navigators. Some results include the completion of 1,146 online applications, 1,940 received assistance with trouble shooting and advocacy, and 1,642 received redetermination assistance. 0 Schedule H, 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 REMAINED AT 30 POSITIONS IN 2024. Schedule H, 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 400% 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 400% AND 550% 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: 401% - 450% = 75% WRITE-OFF 451% - 500% = 50% WRITE-OFF 501% - 550% = 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 WITH MONETARY ASSETS OR NET INCOME LEVELS BETWEEN 401% AND 550% OF THE FPL, THE AMOUNT OF THE HOSPITAL BILL THAT EXCEEDS THE PATIENT'S NET WORTH WILL BE WRITTEN-OFF; - PATIENTS WITH MONETARY ASSETS OR INCOME IS OVER THE 550% OF THE FPL, PORTION OF THE HOSPITAL BILL THAT EXCEEDS THE PATIENT'S NET WORTH MAY BE: - WRITTEN-OFF UPON APPROVAL OF THE VP OF REVENUE CYCLE OR HIS/HER DESIGNEE; OR - ARRANGED FOR PAYMENT WITH THE PATIENT THROUGH MONTHLY PAYMENT PLAN. 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. Schedule H, Part V, Section B, Line 16a FAP AVAILABLE WEBSITE HTTPS://RES.CLOUDINARY.COM/DPMYKPSIH/IMAGE/UPLOAD/EMANATE-HEALTH-SITE- 496/MEDIA/5887408FC0F3458E9C6A8B6F917BE306/CHARITY-CARE-A009-123024.PDF PLEASE NOTE THAT THE LINK IS CASE SENSITIVE. PLEASE USE LOWER CASE LETTERS. Schedule H, Part V, Section B, Line 16b FAP APPLICATION AVAILABLE WEBSITE https://res.cloudinary.com/DPMYKPSIH/IMAGE/UPLOAD/EMANATE-HEALTH-SITE-496/MEDIA/B3BFAE8B108649959E8229E28F7C83C7/EMANATE-HEALTH-ENGLISH_FAA_12025.PDF PLEASE NOTE THAT THE LINK IS CASE SENSITIVE. PLEASE USE LOWER CASE LETTERS. Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITE HTTPS://RES.CLOUDINARY.COM/DPMYKPSIH/IMAGE/UPLOAD/EMANATE-HEALTH-SITE- 496/MEDIA/1365/EMANATE-HEALTH-FINANCIAL-ASSISTANCE-PLAIN-LANGUAGE-SUMMARY-2019-ENGLISH.PDF PLEASE NOTE THAT THE LINK IS CASE SENSITIVE. PLEASE USE LOWER CASE LETTERS. Schedule H, Part I, Line 6a Community benefit report prepared by related organization 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. Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 25216002 Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance MANY GOVERNMENT PROGRAMS (MEDI-CAL, COVERED CALIFORNIA, AND MEDICARE) AND OTHER THIRD PARTY COVERAGE PROGRAMS HAVE BEEN ESTABLISHED TO PROVIDE FOR OR DEFRAY THE HEALTHCARE COSTS FOR THE INDIVIDUALS WHO 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 CHARGES RELATED TO DENIED STAYS, DENIED DAYS OF CARE, AND NONCOVERED SERVICES AS CHARITY. 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 COINSURANCE/ 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 1, LINE 7B ARE NET SUPPLEMENTAL MEDI-CAL PAYMENTS OF $69,805,630 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 BEING 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) ESTABLISHED 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. ONE PROGRAM HAD ACTIVITY IN 2024: A 24-MONTH HOSPITAL FEE PROGRAM COVERING THE PERIOD FROM JANUARY 1, 2023 THROUGH DECEMBER 31, 2024. EHMC PROVIDED APPROXIMATELY 43,400 DAYS OF QUALITY HEALTH CARE SERVICES TO MEDI-CAL BENEFICIARIES ANNUALLY. DUE TO DEEP FUNDING CUTS TO 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. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount 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 CHILDREN AND THE ELDERLY. 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 HEALTHCARE 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 AND 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, HEALTH CLINICS, AND SCREENINGS. ALL CHARITY AMOUNT IS INCLUDED IN PART I, LINE 7. 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. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote 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. BAD DEBT EXPENSE IS INCLUDED WITHIN OTHER EXPENSE IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS. BAD DEBT EXPENSE FOR THE YEARS ENDED DECEMBER 31, 2024 AND 2023 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. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs 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. NO SHORTFALL WAS REPORTED DURING THE YEAR. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance 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) OTHER. B) 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. According to the FAP, some patients eligible for financial assistance may not have been identified prior to initiating external collection action. Emanate Health collection agencies shall be made aware of this possibility and are requested to refer back patient accounts that may be eligible for financial assistance. When it is discovered that an account is eligible for financial assistance, Emanate Health will reverse the account out of bad debt and document the respective discount in charges as charity care. Schedule H, Part V, Section B, Line 16a FAP website - EHMC - QVH AND ICH: Line 16a URL: SEE FOOTNOTE IN PART VI; Schedule H, Part V, Section B, Line 16b FAP Application website - EHMC - QVH AND ICH: Line 16b URL: SEE FOOTNOTE IN PART VI; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - EHMC - QVH AND ICH: Line 16c URL: SEE FOOTNOTE IN PART VI; Schedule H, Part VI, Line 2 Needs assessment The EH Community Benefit department is an active participant in community collaborative meetings, analysis of emerging data to promptly respond to increasing needs. Particularly, EH participates in annual community planning with the San Gabriel Health Consortium and SGV Hospital Collaborative (https://healthconsortiumsgv.org/participants/ and http://publichealth.lacounty.gov/chs/SPA3/SGVhospitalcollaborative.htm, respectively.) In addition, EH participates in regional and county networks as well as ongoing communication with the Department of Public Health and Department of Health Care. EH learns about the effectiveness of the strategies through written surveys (whenever possible) and through verbal input from community partners and the public itself. Another strategy employed is to monitor emerging data to analyze if the need begins to show improvement in any given area. Schedule H, Part VI, Line 3 Patient education of eligibility for 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, COVERED CALIFORNIA, 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 SCHOOLS, CHILD-CARE AGENCIES, CHURCHES, FAMILY RESOURCE CENTERS, CLINICS, COMMUNITY BASED ORGANIZATIONS, ETC. TO IDENTIFY UNINSURED CHILDREN AND ADULTS AND PROVIDES 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. EMANATE HEALTH ALSO SUPPORTS ECHO (EVERY CHILD'S HEALTH OPTION) PROGRAM WHICH PROVIDES URGENT AND SPECIALTY CARE TO UNINSURED CHILDREN. Schedule H, Part VI, Line 4 Community information THE HOSPITAL GENERALLY SERVES RESIDENTS SURROUNDING THE HOSPITAL IN THE EAST SAN GABRIEL VALLEY REGION AND DOES NOT EXCLUDE LOW-INCOME OR UNDERSERVED POPULATIONS. THE POPULATION IN THE STATE OF CALIFORNIA GREW NEARLY 10% TO 37,253,956 BETWEEN THE 2000 AND 2010 CENSUSES, BUT THE RATE OF POPULATION GROWTH BETWEEN THE 2010 AND 2020 CENSUSES DECLINED BY APPROXIMATELY 5.6%. WITHIN THE HOSPITAL'S SERVICE AREA, THE TOTAL POPULATION IS 770,218 REPRESENTING 7.7% OF LOS ANGELES COUNTY'S TOTAL POPULATION (10,098,052) AND APPROXIMATELY 2% OF CALIFORNIA'S TOTAL POPULATION (39,148,760). WHILE The total primary service area population IS expected to decrease by 1.4% by 2025, senior population is expected to grow by 11.4% by 2030. The total population of Los Angeles County is projected to decrease by approximately 0.59% to 0.66%. CITY POPULATIONS WITHIN THE SERVICE AREA RANGE BETWEEN THE CITY OF INDUSTRY (AT 264 RESIDENTS) TO THE CITY OF POMONA (AT 151,713 RESIDENTS). CITIES LIKE POMONA, PASADENA, EL MONTE, AND WEST COVINA REPRESENTED THE MOST POPULOUS CITIES OF SPA 3, AT 9.5%, 8.7%, 6.8% AND 6.8% RESPECTIVELY WITHIN THE AREA. THE AGE DISTRIBUTION IN THE SERVICE AREA TRENDS SLIGHTLY OLDER THAN THAT OF LOS ANGELES COUNTY, WITH THE SENIOR POPULATION AT 15.6% COMPARED TO 13.6% AND 14.5% IN LA COUNTY AND CALIFORNIA RESPECTIVELY. THE AGE DISTRIBUTION IN CALIFORNIA TRENDS TOWARDS 0-19 YEARS IN COMPARISON, WHILE LA COUNTY HAS A PROPORTIONATELY HIGHER YOUNG ADULT POPULATION BETWEEN 20-24 YEARS OF AGE. RELATIVE TO THE POPULATION OF EACH COMMUNITY WITHIN THE SERVICE AREA, THE CITY OF INDUSTRY (WITH A SMALL POPULATION OF 264 RESIDENTS) HAS THE GREATEST PROPORTION OF RESIDENTS AGED 0-4 (11.7%) AND AGED 5-19 (25.4%). THE LARGEST PORTION OF RESIDENTS AGED 20-24 RESIDE IN AZUSA (14.3%). 29.9% OF BALDWIN PARK AND 29.6% OF COVINA'S RESIDENTS ARE AGED 25-44. 30.6% OF DIAMOND BAR AND 30.3% OF WALNUT'S RESIDENTS ARE AGED 45-64. THE HIGHEST PROPORTION OF SENIORS AGED 65 AND OVER RESIDE IN WALNUT AT 21.1% OF THE CITY'S POPULATION. THE GENDER RATIO WITHIN THE SERVICE AREA IS NEARLY EVENLY SPLIT : FEMALES (50.4%) AND MALES (48.6%) AS OF 2020 AND REMAINS STEADY SINCE THE 2019 REPORT (51.0% FEMALES AND 49.0% MALES). THE SERVICE AREA'S GENDER RATIO IS ALSO CONSISTENT WITH LOS ANGELES COUNTY (50.7% FEMALES AND 49.3% MALES) AND CALIFORNIA (50.3% FEMALES AND 49.7% MALES). A PERSON WITH A DISABILITY HAS A PHYSICAL OR MENTAL IMPAIRMENT THAT SUBSTANTIALLY LIMITS ONE OR MORE MAJOR LIFE ACTIVITIES. COMPLICATIONS, SPECIAL ASSISTANCE, AND CONNECTED HEALTH NEEDS (SUCH AS MENTAL HEALTH CARE) ARE OFTEN ASSOCIATED WITH HAVING A DISABILITY. APPROXIMATELY ONE IN EVERY FIVE RESIDENTS OF THE SERVICE AREA HAS A DISABILITY (22.8%), SLIGHTLY LOWER THAN THE PERCENTAGE FOR LOS ANGELES COUNTY, 24.6%. THE SERVICE AREA IS LARGELY COMPRISED OF HISPANIC/LATINO (50.8%) AND ASIAN RESIDENTS (29.1%) FOLLOWED BY CAUCASIAN/WHITE (15.1%) AND AFRICAN AMERICAN/BLACK (2.3%) RESIDENTS. THE SERVICE AREA HAS MORE HISPANIC/LATINO (50.8%) AND ASIAN (29.1%) RESIDENTS THAN LOS ANGELES COUNTY (48.4%, 14.9%) AND THE STATE OF CALIFORNIA (39.4%, 14.8%), RESPECTIVELY. THE SERVICE AREA HAS LESS CAUCASIAN/WHITE RESIDENTS (15.1%) COMPARED TO LOS ANGELES COUNTY (25.6%) AND CALIFORNIA (34.6%) AS WELL AS LESS AFRICAN AMERICAN/BLACK RESIDENTS (2.3%) COMPARED TO THE COUNTY (7.5%) AND THE STATE (5.7%). AMONG THE CITIES WITHIN THE SERVICE AREA, THE HIGHEST CONCENTRATION OF LATINOS RESIDES IN IRWINDALE (90.8% OF THE CITY'S POPULATION) AND LA PUENTE (81.7% OF THE CITY'S POPULATION). THE HIGHEST CONCENTRATION OF ASIANS RESIDES IN WALNUT (67.1%) AND ROWLAND HEIGHTS (61.3%). LA VERNE AND GLENDORA'S POPULATIONS HAVE THE HIGHEST PROPORTION OF WHITE RESIDENTS (45.9% AND 44.5%, RESPECTIVELY). THE HIGHEST PROPORTION OF BLACK OR AFRICAN AMERICAN RESIDENTS RESIDE IN SAN DIMAS AND WEST COVINA AT 3.4% OF THE CITIES' POPULATIONS. THE PROPORTIONAL DIFFERENCES AMONG CITIES FOR NATIVE HAWAIIAN/PACIFIC ISLANDER AND FOR AMERICAN INDIAN/ALASKA NATIVE COVINA ARE NEGLIGIBLE. CITIES RANGE BETWEEN 0% AND 0.3% WITH CITY OF COVINA APPEARING TO BE ON THE HIGHEST END OF THE RANGE FOR BOTH SUBGROUPS. THE CITY OF GLENDORA, LA VERNE AND SAN DIMAS ALSO APPEAR TO HAVE A LARGER PROPORTION OF RESIDENTS IDENTIFIED AS OTHER OR MULTIPLE RACES. IN THE SERVICE AREA, SPANISH AND ENGLISH ARE THE MAIN LANGUAGES SPOKEN IN HOMES WITH RESIDENTS OVER FIVE YEARS; NEARLY TWO-THIRDS (62.3%) OF HOMES PRIMARILY SPEAK A LANGUAGE OTHER THAN ENGLISH. APPROXIMATELY ONE IN EVERY THREE HOUSEHOLDS (35.7%) REPORTED SPEAKING SPANISH PRINCIPALLY, AND NEARLY ONE IN EVERY FOUR (24.3%) SPOKE AN ASIAN LANGUAGE. ASIAN LANGUAGES WERE MORE COMMONLY SPOKEN IN THE SERVICE AREA THAN IN CALIFORNIA AND LOS ANGELES COUNTY (10.0% AND 10.8%, RESPECTIVELY). SINCE THE 2019 CHNA, 4.4% FEWER HOMES IN THE SERVICE AREA PRIMARILY SPEAK SPANISH, AND 3.4% FEWER HOMES SPEAK MAINLY ASIAN LANGUAGES. THERE WAS A VERY SLIGHT INCREASE (0.8%) FOR ENGLISH-SPEAKING HOUSEHOLDS IN THE SERVICE AREA. WHEN LANGUAGE IS EXAMINED SPECIFICALLY BY CITY, CERTAIN CITIES DISPROPORTIONATELY FAVOR ONE NON-ENGLISH LANGUAGE OVER ANOTHER. NEARLY TWO-THIRDS OF LA PUENTE (65.5%) AND SOUTH EL MONTE (66.3%) HOUSEHOLDS SPEAK SPANISH AT HOME. IN COMPARISON, LESS THAN 15% OF HOUSEHOLDS IN DIAMOND BAR (10.0%), LA VERNE (12.1%), AND WALNUT (10.0%) SPEAK SPANISH AT HOME. OVER HALF OF THE HOUSEHOLDS WITHIN THE CITIES OF ROWLAND HEIGHTS (57.4%) AND WALNUT (52.4%) PREFER TO SPEAK AN ASIAN OR PACIFIC ISLANDER LANGUAGE AT HOME. LA VERNE (77.2%), GLENDORA (70.7%), SAN DIMAS (69.9%), INDUSTRY (58.4%), AND AZUSA (46.6%) HAVE THE HIGHEST PERCENTAGE OF HOUSEHOLDS THAT SPEAK ENGLISH PRIMARILY. Schedule H, Part VI, Line 5 Promotion of community health PROMOTION OF COMMUNITY HEALTH: EMANATE HEALTH 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 SERVICE AND A 40-BED NICU) - MORE DELIVERIES ARE MADE AT THIS HOSPITAL THAT ANY HEALTH CARE FACILITY IN THE EAST SAN GABRIEL VALLEY WITH APPROXIMATELY 3,400 DELIVERIES ANNUALLY AND APPROXIMATELY 500 BABIES HAVE BEEN CARED FOR IN THE LEVEL IIIB NEWBORN INTESIVE 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 INTESIVE CARE UNIT. - 37-BED DEFINITIVE OBSERVATION UNIT. - 12-BED REHABILITATION UNIT. - 40-BED NEONATAL UNIT. - 200-BED MEDICAL/SURGICAL SERVICES. - 18-BED PEDIATRIC 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 SOUTHER CALIFORNIA, WITH 69,268 VISITS IN 2024. - ROBOTIC SURGERY PROGRAM FEATURING THE DA VINCI SI SURGICAL SYSTEM. EMANATE HEALTH INTER-COMMUNITY HOSPITAL HAS BEEN PROVIDING HEALTH CARE SERVICES TO THE COMMUNITY SINCE 1922. THE NONPROFIT 191-BED FACILITY IN COVINA, CA 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 PATEINTS WITH INJURIES OR OPEN WOUNDS, INCLUDING A STATE-OF-THE-ART HYPERBARIC CHAMBER. - EMERGENCY DEPARTMENT WITH 41,441 VISITS IN 2024. - 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, HOPSITAL 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. EMANATE HEALTH MEDICAL CENTER'S MEDICAL STAFF CONSISTED OF 586 PHYSICIANS, OF WHICH 293 ARE MEMEBERS OF ITS ACTIVE STAFF (DEFINES AS ADMITTING MORE THAN TWELVE PATIENTS PER YEAR). 81.9% OF THE TOTAL MEDICAL STAFF MEMEBERS AND 82.6% 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 COMMITED 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 FACILTIES. Schedule H, Part VI, Line 6 Affiliated health care system EMANATE HEALTH, THE SOLE CORPORATE MEMBER OF EMANATE HEALTH MEDICAL CENTER (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 FPH AND ITS AFFILIATE ORGANIZATIONS. EHMC OPERATES ACUTE CARE HOSPITALS WITH A TOTAL OF 516 LICENSED BEDS AND PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES FOR THE COMMUNITIES SURROUNDING ITS TWO MEDICAL CENTER CAMPUSES: QUEEN OF THE VALLEY HOSPITAL (QVH) LOCATED IN WEST COVINA WITH 325 LICENSED BEDS, AND INTER-COMMUNITY HOSPITAL (ICH) LOCATED IN COVINA WITH 191 LICENSED BEDS. 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 EMANTE HEALTH HOME CARE. FOUNDATION PERFORMS THE FUND-RAISING AND TRUST ADMINISTRATION ACTIVITIES RELATED TO EMANATE HEALTH AND ITS AFFILIATES. COMMUNITY OUTREACH: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 MANY PARTICIPATING AGENCIES IN DIVERSE COLLABORATIVE RELATIONSHIP DEVOTED TO PROMOTING COMMUNITY HEALTH AND WELL-BEING. SOME HIGHLIGHTS INCLUDE EMANATE HEALTH'S GET ENROLLMENT MOVING PROGRAM (GEM). VOLUNTEERS AND EMANATE HEALTH STAFF MEMBERS WORK TOGETHER TO RECRUIT ELIGIBLE FAMILIES AND ENROLL THEM IN MEDI-CAL, COVERED CALIFORNIA, AND OTHER HEALTH ACCESS PROGRAMS. GEM ALSO CALLS ENROLLED INDIVIDUALS THREE SEPARATE TIMES TO CONFIRM ENROLLMENT, ENSURE UTILIZATION OF SERVICES AND TROUBLESHOOT, AND TO PROVIDE ASSISTANCE AT RENEWAL TIME. GEM IS A PROJECT OF EMANATE HEALTH MANAGED BY COMMUNITY BENEFITS DEPARTMENT AND IT IS SUPPORTED BY FUNDING FROM THE L.A. COUNTY OF PUBLIC HEALTH DEPARTMENT. EMANATE HEALTH'S DIABETES PROGRAM PROVIDES FREE DIABETIC FOOT SCREENINGS FOR PATIENTS AND RESIDENTS EVERY MONTH. FREE SUPPORT GROUPS ARE OFFERED AT FOOTHILL EDUCATION CENTER IN GLENDORA AND EMANATE HEALTH DIABETES 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 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, HAS 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 CONSORTIUM ON HOMELESSNESS AND FOOD FOR ALL COLLABORATIVE PROGRAM, AMONG OTHERS. 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. Schedule H, Part VI, Line 7 State filing of community benefit report CA false true false false false false false true false RAJESH SHARMA PRESIDENT & CEO 0 1083302 0 1784500 0 13142 0 162062 0 19390 0 3062396 0 0 LEON CHOINERE CHIEF FINANCIAL OFFICER 0 385776 0 160265 0 74363 0 7930 0 10518 0 638852 0 0 MELISSA HOWARD CHIEF NURSE & CLINICAL EXECUTIVE 352862 0 108076 0 7801 0 38592 0 26410 0 533741 0 0 0 MARY KONYALIAN CHIEF NURSE & CLINICAL EXECUTIVE 354168 0 103140 0 18057 0 14500 0 13794 0 503659 0 0 0 CECILIA AGUDO SUPV. ADMINISTRATIVE NURSING 346982 0 0 0 471 0 14697 0 18335 0 380485 0 0 0 BRIAN FILADELFIA CHIEF NURSE & CLINICAL EXECUTIVE 261925 0 45000 0 7311 0 10959 0 9192 0 334387 0 0 0 PAUL MORRIS CORP. DIRECTOR PHARMACY SVS 301515 0 10000 0 5859 0 14101 0 837 0 332312 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation 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 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. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Emanate Health provides a nonqualified deferred compensation plan to its officers. Rajesh Sharma - Participated in a supplemental nonqualified deferred compensation plan. He had $144,748 of nonvested benefits accrue in 2024. This amount is included in Part II (C), Retirement and other deferred compensation. Leon Choinere - Participated in a supplemental nonqualified deferred compensation plan. He had $51,144 in benefits vest in 2024. This amount is included in Part II (B)(iii), Other compensation. Schedule J, Part I, Line 7 Non-fixed payments Bonuses paid by Emanate Health are non-fixed. The Compensation Committee of the Board approves annual short term incentive (STI) and long term incentive (LTI) plan targets for the coming year. At the annual Compensation Committee meeting after the approval of the annual audit, the Compensation Committee reviews actual incentive plan results and the bonus compensation is based on the actual results received on the STI and LTI targets. The annual assessment by the compensation consultant (AON) includes base salary and the bonus compensation, to ensure that the total compensation is reasonable as per the industry standards and the market trends. A CA STATEWIDE COMM DEV AUTHORITY 680164610 13080SYY4 2020-07-13 186379158 SEE PART VI false false false A 6040000 188929703 1735483 773033 136975050 49446102 35 2025 true true false true A false false true true false false 0.0 0.0 0.0 false false 0 false false A false true true false false false 0 false false false 0 false false false A false Schedule K, Part I, Column (f) The Bonds were issued to (i) finance costs of acquisition, construction, equipping, improvement, renovation, rehabilitation and remodeling of certain health facilities; (ii) refund the Series 1998 Fixed Rate Bonds; (iii) refund the Series 1998 Variable Rate Bonds; (iv) refund the equipment loans from Banc of America Leasing 7 Capital LLC. Schedule K, Part II, Line 3 THE TOTAL PROCEEDS SHOWN IN PART II, LINE 3 DIFFERS FROM THE ISSUE PRICE SHOWN IN PART I, (E) DUE TO INTEREST EARNINGS ON INVESTED PROCEEDS. Schedule K, Part III, Line 7 As provided in Treasury Regulation Section 1.141-4(c)(2)(i)(B), the amount of private payments taken into account under the private security or payment test may not exceed the amount of private business use and/or unrelated trade or business use. Accordingly, the amount of private payments for the reporting period does not exceed the amount stated in Part III, Line 6. The organization has not undertaken an analysis of the private security or payment test with respect to the bonds, as the level of private business use and/or unrelated trade or business use reported in Part III, Line 6 is not in excess of amounts permitted under Section 145 of the Code. Form 990, Part VI, Line 15 PROCESS TO ESTABLISH COMPENSATION OF OFFICERS OR KEY EMPLOYEES THE FILING ORGANIZATION DOES NOT DIRECTLY COMPENSATE ITS OFFICERS; RATHER COMPENSATION IS PAID BY A RELATED ORGANIZATION, EMANATE HEALTH. 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 APRIL 23, 2024. 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 APRIL 23, 2024, 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: EMANATE EXECUTIVE COMPENSATION ASSESSMENT. THIS REPORT WAS PRESENTED TO THE COMPENSATION COMMITTEE ON APRIL 23, 2024 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 EMANATE HEALTH'S EXECUTIVE COMPENSATION REVIEW INCLUDE THE PRESIDENT/CEO, CHIEF MEDICAL OFFICER, CHIEF FINANCIAL OFFICER, CHIEF NURSE & CLINICAL EXECUTIVE (FPH/ICH), CHIEF NURSE & CLINICAL EXECUTIVE (QVH), AND CHIEF PEOPLE OFFICER. EMANATE HEALTH EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST EMANATE HEALTH IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVES 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, Line 1a Delegate broad authority to a committee The Executive Committee shall have power to transact all business of this corporation, subject to any prior limitations imposed by law or by the Board All decisions and actions taken by the Executive Committee are subject to ratification by the full Board at the next regularly scheduled Board meeting, provided, however, that the Executive Committee has the authority to make final decisions with respect to the following items or circumstances without ratification by the full Board: (i) an ethical or legal breach by a Board member or senior executive; (ii) an acquisition of a physician practice that does not involve a merger or consolidation of the corporation and that the Executive Committee determines not to be of sufficient importance to the overall strategy of the corporation to require ratification by the full Board; (iii) related to a cyber security event; or (iv) such matters as are delegated by the Board of Directors to the Executive Committee for final action or decision. Form 990, Part VI, Line 6 Classes of members or stockholders THE SOLE MEMBER OF THIS ORGANIZATION IS EMANATE HEALTH, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body 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, Line 7b Decisions requiring approval by members or stockholders DECISIONS OF THE GOVERNING BODY ARE SUBJECT TO THE APPROVAL OF THE ORGANIZATION'S SOLE MEMBER, EMANATE HEALTH. Form 990, Part VI, Line 11b Review of form 990 by governing body 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 CHIEF FINANCIAL OFFICER FOR THE FINAL REVIEW. THE TAX PREPARER PRESENTS FORM 990 TO THE AUDIT AND COMPLIANCE COMMITTEE FOR APPROVAL. THE BOARD DELEGATED REVIEW AND APPROVAL TO THE AUDIT AND COMPLIANCE COMMITTEE. Form 990, Part VI, Line 12c Conflict of interest policy 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, Line 19 Required documents available to the public UPON REQUEST, AN AUDIT REPORT IS AVAILABLE AS REQUIRED. NO OTHER DOCUMENTS ARE AVAILABLE TO THE PUBLIC. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue CAFETERIA SALES - Total Revenue: 1405904, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 1405904; OTHER REVENUE - Total Revenue: 1392607, Related or Exempt Function Revenue: 1392607, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees CONTRACTED LABOR - Total Expense: XXX-XX-XXXX, Program Service Expense: 79622345, Management and General Expenses: 66484356, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances CHANGE IN BENEFICIAL INTEREST - -3962083; Total - -3962083; EMANATE HEALTH 140 W COLLEGE STREET PO BOX 6108 Covina CA 917225108 953885523 EXEMPT ORGANIZATION SUPPORT & MANAGEMENT CA 501(c)(3) Type II NA false EMANATE HEALTH FOUNDATION 140 W COLLEGE STREET PO BOX 6108 Covina CA 917225108 952534063 EXEMPT ORGANIZATION SUPPORT & MANAGEMENT CA 501(c)(3) 7 Emanate Health false EMANATE HEALTH HOSPICE 140 W COLLEGE STREET PO BOX 6108 Covina CA 917225108 953493611 HOME HEALTH & HOSPICE CARE CA 501(c)(3) 10 Emanate Health false EMANATE HEALTH MEDICAL CARE FOUNDATION 1041 W BADILLO STREET SUITE 104 COVINA CA 917224113 881880613 ACUTE CARE HOSPITAL CA 501(c)(3) 3 Emanate Health false EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL 140 W COLLEGE STREET PO BOX 6108 Covina CA 917225108 952413054 ACUTE CARE HOSPITAL CA 501(c)(3) 3 Emanate Health false EMANATE HEALTH MSO 210 W SAN BERNARDINO ROAD Covina CA 91723 812647150 MANAGEMENT SERVICES CA NA C Corporation false false false true false false false false false false false true false true true true true true false false