2015-05-15T15:51:54-05:00 2014-06-30 ERNST & YOUNG US LLP 4370 LA JOLLA VILLAGE DRIVE STE 500 SAN DIEGO CA 92122 990 2013-07-01 956130458 Eisenhower Medical Center % AUBREY SERFLING EISE 7607731888 39000 BOB HOPE DRIVE Suite RANCHO MIRAGE CA 92270 Ken Wheat CFO/VICE PRESIDENT 7607731888 2015-05-15 DEBRA HEISKALA P00649485 7607731888 2013 2016-04-25 22:37:26Z AUBREY SERFLING 39000 BOB HOPE DRIVE RANCHO MIRAGE CA 92270 738617333 false X WWW.EMC.ORG X 1966 CA THE ORGANIZATION EXISTS TO SERVE THE CHANGING HEALTHCARE NEEDS OF OUR REGION BY PROVIDING EXCELLENCE IN PATIENT CARE WITH SUPPORTIVE EDUCATION AND RESEARCH. 33 30 3348 783 390390 -18900 39328405 48312524 451907338 502339145 4045460 5991041 6126442 8578579 501407645 565221289 0 0 0 0 214146570 239023101 0 0 2996290 314603930 312285443 528750500 551308544 -27342855 13912745 996271794 1001912430 582838921 570555691 413432873 431356739 X EISENHOWER MEDICAL CENTER, A NOT-FOR-PROFIT ORGANIZATION, EXISTS TO SERVE THE CHANGING HEALTHCARE NEEDS OF OUR REGION BY PROVIDING EXCELLENCE IN PATIENT CARE WITH SUPPORTIVE EDUCATION AND RESEARCH. false false 409796437 0 510518050 PATIENT CARE SERVICES AT ACUTE CARE HOSPITAL - SEE SCHEDULE O 85357585 0 0 CHARITY CARE AND COMMUNITY SERVICES - SEE SCHEDULE O 495154022 true true false true false false false true false true true false false false 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 true true true false false true true true true false false true 547 0 true 3348 true true true false false false false false false false false false X 33 30 true false false false true true true true true false false false true true true true true true true true true CA X AUBREY SERFLING 7607731888 39000 BOB HOPE DRIVE RANCHO MIRAGE CA 92270 HAROLD M MESSMER JR BOARD TRUSTEE/DIRECTOR 1.0 0.0 X 0 0 0 KENNETH M NOVACK BOARD TRUSTEE/DIRECTOR 1.0 0.0 X 0 0 0 WILLIAM N OSTERMAN BOARD TRUSTEE/DIRECTOR 1.0 2.0 X 0 0 0 CAROL SWANSON PRICE BOARD TRUSTEE/DIRECTOR 1.0 0.0 X 0 0 0 GREG P RENKER VICE CHAIRMAN 2.0 0.0 X X 0 0 0 HARRY S RINKER BOARD TRUSTEE/DIRECTOR 1.0 0.0 X 0 0 0 ROBERT J RISHWAIN BOARD TRUSTEE/DIRECTOR 1.0 0.0 X 0 0 0 KATHRYN B SAMPLE BOARD TRUSTEE/DIRECTOR 1.0 0.0 X 0 0 0 STEVEN B SAMPLE BOARD TRUSTEE/DIRECTOR 1.0 0.0 X 0 0 0 SANDRA SCHULZ BOARD DIRECTOR 1.0 0.0 X 0 0 0 JOHN T SCHWARZLOSE BOARD DIRECTOR 1.0 0.0 X 0 0 0 MICHAEL S SHANNON BOARD TRUSTEE/DIRECTOR 1.0 0.0 X 0 0 0 ALVIN V SHOEMAKER CHAIRMAN 2.0 0.0 X X 0 0 0 ALAN L BOECKMAN BOARD TRUSTEE/DIRECTOR 1.0 0.0 X 0 0 0 JAMES HOUSTON BOARD TRUSTEE/DIRECTOR 1.0 0.0 X 0 0 0 HAROLD B MATZNER BOARD TRUSTEE/DIRECTOR 1.0 0.0 X 0 0 0 EDWARD H PETERSON BOARD TRUSTEE/DIRECTOR 1.0 0.0 X 0 0 0 MARIE PINIZZOTTO MD BOARD TRUSTEE/DIRECTOR 1.0 0.0 X 0 0 0 GARY P BRINSON BOARD TRUSTEE/DIRECTOR 1.0 0.0 X 0 0 0 WILLIAM D CALKINS BOARD TRUSTEE/DIRECTOR 1.0 0.0 X 0 0 0 JAMES G CULLEN TRUSTEE/DIR/FIN CMTE CHAIR 2.0 0.0 X X 0 0 0 HELENE V GALEN BOARD TRUSTEE/DIRECTOR 1.0 0.0 X 0 0 0 SAMUEL L GINN BOARD TRUSTEE/DIRECTOR 1.0 0.0 X 0 0 0 HARRY M GOLDSTEIN BOARD TRUSTEE/DIRECTOR 1.0 0.0 X 0 0 0 ADRIAN GRAFF-RADFORD MD BOARD TRUSTEE/DIRECTOR 1.0 0.0 X 0 0 0 EUTHYM KONTAXIS MD BOARD TRUSTEE/DIRECTOR 1.0 0.0 X 120000 0 0 SHAHIN ETEBAR MD BOARD DIRECTOR 1.0 0.0 X 237400 0 0 ALAN I GREENE BOARD TRUSTEE/DIRECTOR 1.0 0.0 X 0 0 0 BARRY T HACKSHAW MD BOARD TRUSTEE/DIRECTOR 1.0 0.0 X 11250 0 0 LARRY G HATFIELD BOARD TRUSTEE/DIRECTOR 1.0 0.0 X 0 0 0 LOIS U HORVITZ BOARD TRUSTEE/DIRECTOR 1.0 0.0 X 0 0 0 JOHN MARION BOARD TRUSTEE/DIRECTOR 1.0 0.0 X 0 0 0 JOANN MCGRATH BOARD TRUSTEE/DIRECTOR 1.0 0.0 X 0 0 0 G AUBREY SERFLING PRESIDENT/CEO 50.0 3.0 X 3081757 0 68881 MARY KROLL CORPORATE SECRETARY 40.0 4.0 X 52476 0 9346 KEN WHEAT CFO/VICE PRESIDENT 50.0 0.0 X 287992 0 28627 MARTIN J MASSIELLO COO/EXECUTIVE VICE PRESIDENT 50.0 1.0 X 419096 0 60534 MICHAEL D LANDES PRESIDENT EMC FOUNDATION 50.0 0.0 X 302621 0 63776 JOSEPH SCHERGER VP, PRIMARY CARE 50.0 0.0 X 385953 0 58413 ALI A TOURKAMAN VP, FAC. 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THESE DUES INCLUDE STATE AND FEDERAL REPRESENTATION AND ADVOCACY, LOCAL AND REGIONAL ADVOCACY, STATEWIDE PUBLIC ADVOCACY PROGRAM AND DUES-BASED PROGRAM AND SERVICES. 14.76% OF THESE DUES IS FOR DIRECT LOBBYING EXPENSES OR $29,275. EISENHOWER MEDICAL CENTER ALSO PAID CHA FOR DUES ASSESSMENTS FOR THE LABOR MANAGEMENT COOPERATION ACT AND FOR CHCI WHICH ARE 100% LOBBYING EXPENSES, OR $286,320. 0 1210252 X 0 20931283 2825 3296495 720715 23509888 19234570 87493 2296915 687695 20931283 19160580 32934 672698 631642 19234570 16450538 45421 3306231 641610 19160580 15559365 108837 1403024 620688 16450538 0.67900 0.32100 false false 60715511 60715511 716628766 256348346 460280420 28531413 14031507 14499906 281932496 236111709 45820787 5907432 5907432 587224056 0 PENSION PLAN LONG TERM PAYABLE 48873114 LIAB. TO ANNUITANTS/BENEFICIARY 8979644 WORKERS COMP PAYABLE 7359000 HPL & GENERAL LIABILITY INSURANCE 4272000 DUE TO AFFILIATES 3826329 MISCELLANEOUS OTHER 2491508 75801595 X Schedule D, Part V, Line 4 Intended use of endowment funds Funds are designated for various purposes including capital projects, arthritis programs, health care education programs, diabetes programs, and various other purposes. Schedule D, Part X, Line 2 FIN 48(ASC 740) Footnote 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, DISLOSURE, 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 JUNE 30, 2014 OR 2013. true true true X true X true false true true 3551584 3551584 0.00660 34672028 18602886 16069142 0.02970 1930311 1930311 0.00360 40153923 18602886 21551037 0.03990 3012423 31632 2980791 0.00550 5746338 4007203 1739135 0.00320 1402949 481325 921624 0.00170 643845 643845 0.00120 772063 772063 0.00140 11577618 4520160 7057458 0.01300 51731541 23123046 28608495 0.05290 3674 3674 0.00000 16929 16929 0.00000 20603 20603 0.00000 false 19111150 199390523 271474969 -72084446 X true true EISENHOWER IMAGING MEDICAL IMAGING 0.50800 0.49200 CENTER LLC MIRAGE ENDOSCOPY ENDOSCOPY SERVICES 0.38000 0.62000 CENTER LLC 1 1 EISENHOWER MEDICAL CENTER 39000 BOB HOPE DRIVE RANCHO MIRAGE CA 92270 WWW.EMC.ORG LICENSE # 25000014 X X X X EISENHOWER MEDICAL CENTER 1 true X X X X X X X X X 12 true false true X http://emc.org/BODY.CFM?ID=1113 X X X X X X X X false false true true 200. true 350. true X X X X X X X true true X X X true false X X X X X true X false false SCHEDULE H, PART V, LINE 3 INPUT FROM COMMUNITY REPRESENTATIVES EISENHOWER MEDICAL CENTER CONTRACTED WITH HARC TO CONDUCT A SECOND SURVEY. IT WAS SENT VIA THE WEB TO 110 INDIVIDUALS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. PARTICIPANTS REPRESENTED A SPECTRUM OF ORGANIZATIONS THAT SERVE LOCAL MINORITY POPULATIONS AND SPECIFIC HEALTH NEEDS. REPRESENTATIVES FROM SEVERAL LOCAL CITY COUNCILS PARTICIPATED, INCLUDING THE CITIES OF INDIO, PALM DESERT, DESERT HOT SPRINGS, CATHEDRAL CITY AND PALM SPRINGS. REPRESENTATIVES FROM SEVERAL IMPORTANT HEALTH-RELATED NON-PROFITS PARTICIPATED, SUCH AS DESERT AIDS PROJECT, HIDDEN HARVEST AND GILDA'S CLUB DESERT CITIES. REPRESENTATIVES FROM SENIOR CENTERS, SUCH AS MIZELL SENIOR CENTER AND JOSLYN CENTER, WERE PARTICIPANTS. COUNTY EMPLOYEES ALSO PARTICIPATED, INCLUDING THOSE FROM THE RIVERSIDE COUNTY FIRE DEPARTMENT AND THE RIVERSIDE COUNTY DEPARTMENT OF HEALTH. THE DESERT HEALTHCARE DISTRICT WAS ALSO REPRESENTED, AS WAS BUILDING HEALTHY COMMUNITIES AND THE WILLIAM J. CLINTON FOUNDATION, ALL IMPORTANT HEALTH ORGANIZATIONS IN THE COACHELLA VALLEY. SCHOOL DISTRICTS, SUCH AS DESERT SANDS UNIFIED SCHOOL DISTRICT, WERE ALSO REPRESENTED IN THE PARTICIPANT POOL. PARTICIPANTS ALSO INCLUDED INDIVIDUALS FROM ORGANIZATIONS FOCUSED ON SPECIFIC UNDERSERVED POPULATIONS, INCLUDING INCIGHT (DISABLED), THE LGBT COMMUNITY CENTER OF THE DESERT AND DESERT SAMARITAN FOR SENIORS. REPRESENTATIVES FROM THOSE ORGANIZATIONS THAT ADMINISTER CRISIS INTERVENTION SERVICES WERE ALSO PRESENT, INCLUDING SAFE HOUSE OF THE DESERT AND COACHELLA VALLEY RESCUE MISSION. SCHEDULE H, PART V, LINE 7 NEEDS NOT ADDRESSED SUBSTANCE ABUSE: ALTHOUGH EISENHOWER MEDICAL CENTER TREATS THE CONSEQUENCES OF SUBSTANCE ABUSE WHEN PRESENTED AT THE EMERGENCY DEPARTMENT OR ADMITTED BY A PHYSICIAN, THE HOSPITAL IS NOT EQUIPPED TO TREAT THE UNDERLYING BASIS FOR THE ABUSE OR ADDICTION. HOWEVER, A PROMINENT ELEMENT OF EISENHOWER CAMPUS IS THE BETTY FORD CENTER. RECOGNIZED AS THE PREMIER TREATMENT CENTER IN ITS FIELD, THE BETTY FORD CENTER IS COMMITTED TO PROVIDING EFFECTIVE ALCOHOL AND OTHER DRUG DEPENDENCE TREATMENT SERVICES TO WOMEN AND MEN 18 YEARS AND OLDER. SCHEDULE H, PART V, LINE 14G OTHER METHOD FOR PUBLICIZING POLICIES EISENHOWER MEDICAL CENTER ALSO MAINTAINS A FINANCIAL ASSISTANCE BROCHURE THAT IS READILY AVAILABLE THROUGHOUT THE CLINICS/ HOSPITAL AND ALL ADMITTING DEPARTMENTS. THE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS ADVERTISED WITH THE BILLING INVOICES. A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS ALSO POSTED IN THE EMERGENCY ROOM, WAITING ROOMS, AND IN ADMISSION OFFICES. IN ADDITION, THE FULL POLICY IS AVAILABLE TO PATIENTS UPON REQUEST. SCHEDULE H, PART V, LINE 18E OTHER EFFORTS MADE BY THE HOSPITAL FACILITY EISENHOWER MEDICAL CENTER ALSO UTILIZES A 3RD PARTY RESOURCE, HEALTH ADVOCATES, TO ENSURE ALL DUE DILIGENCE HAS BEEN EXPLORED WHEN EVALUATING INDIGENT STATUS OR THE ABILITY TO SECURE SPONSORSHIP PRIOR TO ANY BAD DEBT DECISION OR FINANCIAL ASSISTANCE APPROVAL AND ADJUSTMENT PROCESS. 15 EISENHOWER HEALTH CENTER-LA QUINTA 45280 SEELEY DRIVE LA QUINTA CA 92253 OUTPATIENT CLINIC EISENHOWER HEALTH CENTER-RANCHO MIRAGE 72780 COUNTRY CLUB DRIVE RANCHO MIRAGE CA 92270 OUTPATIENT CLINIC & DIAGNOSTIC EISENHOWER HEALTH CENTER-SUNRISE 151 SOUTH SUNRISE WAY PALM SPRINGS CA 92262 OUTPATIENT CLINIC & DIAGNOSTIC EISENHOWER CATHEDRAL CITY HEALTH CENTER 67780 EAST PALM CANYON DRIVE CATHEDRAL CITY CA 92234 OUTPATIENT CLINIC EISENHOWER HEALTH CENTER-RIMROCK 4791 EAST PALM CANYON DRIVE PALM SPRINGS CA 92261 OUTPATIENT CLINIC & DIAGNOSTIC EISENHOWER HEALTH CENTER-PLAZA DEL SOL 1553 SOUTH PALM CANYON DRIVE PALM SPRINGS CA 92264 OUTPATIENT CLINIC EISENHOWER NEUROSCIENCE INSTITUTE 72780 COUNTRY CLUB DRIVE STE 104 RANCHO MIRAGE CA 92270 OUTPATIENT CLINIC EISENHOWER HEALTH CENTER-N PALM DESERT 78120 WILDCAT DRIVE PALM SPRINGS CA 92261 OUTPATIENT CLINIC & DIAGNOSTIC EISENHOWER ONCOLOGY SPECIALTY CLINIC 40075 BOB HOPE DRIVE STE A RANCHO MIRAGE CA 92270 OUTPATIENT CLINIC EISENHOWER IMAGING CENTER-LA QUINTA 45280 SEELEY DR SUITE 100A LA QUINTA CA 92253 IMAGING SERVICES EISENHOWER IMAGING CENTER-RANCHO MIRAGE 72-780 COUNTRY CLUB SUITE 106 RANCHO MIRAGE CA 92270 IMAGING SERVICES EISENHOWER IMAGING CENTER-SUNRISE 151 SUNRISE WAY PALM SPRINGS CA 92262 IMAGING SERVICES EISENHOWER INDUSTRIAL REHABILITATION 78822 HIGHWAY 111 LA QUINTA CA 92253 REHABILITATION EISENHOWER INDUSTRIAL REHABILITATION 4771 E PALM CANYON PALM SPRINGS CA 92262 REHABILITATION EISENHOWER SLEEP CENTER 41990 COOK STREET STE 102-103 PALM DESERT CA 92260 OUTPATIENT CLINIC SCHEDULE H, PART I, LINE 7 FINANCIAL ASSISTANCE THE COSTING METHODOLOGY USED TO CALCULATE FINANCIAL ASSISTANCE AND MEDICAID IS THE ALLOWABLE COST-TO-CHARGE RATIO PER THE COST REPORT. SCHEDULE H, PART I, LINE 7G DISCLOSURE IDENTIFYING COSTS THERE WAS AN IMMATERIAL AMOUNT OF COST ATTRIBUTABLE TO PHYSICIAN CLINICS INCLUDED. SCHEDULE H, PART II, LINE 10 COMMUNITY BUILDING ACTIVITIES THE COMMUNITY BUILDING ACTIVITIES, AS REPORTED INCLUDE ACTIVITIES SUCH AS CAREER DAYS AT LOCAL HIGH SCHOOLS AND SHADOWING PROGRAMS, WHEREBY STUDENTS CAN SHADOW A HEALTH CARE PROFESSIONAL TO GET FIRST HAND KNOWLEDGE OF WHAT A HEALTH CARE PROFESSIONAL DOES ON A DAILY BASIS. THIS PROMOTES THE ABILITY TO RECRUIT THOSE TO HELP THE COMMUNITY FROM WITHIN THE COMMUNITY. SCHEDULE H, PART III, LINE 2 BAD DEBT EXPENSE CALCULATION THE BAD DEBT EXPENSE IS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED COLLECTIONS FOR EACH MAJOR PAYOR SOURCE, CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. BECAUSE EISENHOWER MEDICAL CENTER RECOGNIZES SIGNIFICANT AMOUNTS OF PATIENT SERVICE REVENUE AT THE TIME THE SERVICES ARE RENDERED, EVEN THOUGH IT DOES NOT ASSESS THE PATIENT'S ABILITY TO PAY, THE MEDICAL CENTER PRESENTS THE PROVISION FOR DOUBTFUL ACCOUNTS AS A REDUCTION TO NET PATIENT SERVICE REVENUE. SCHEDULE H, PART III, LINE 4 BAD DEBT EXPENSE FOOTNOTE THE FOOTNOTE FOR BAD DEBT EXPENSE CAN BE FOUND ON PAGE 9 OF THE AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, LINE 8 TREATMENT OF MEDICARE SHORTFALL AS COMMUNITY BENEFIT 100% OF THE COST OF THE MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. MEDICARE IS A SUBSTANTIAL PORTION OF EMC'S PATIENT POPULATION. WHILE THE LEVEL OF CARE IS REGARDLESS OF SOURCE OF PAYER, THE LEVEL OF PAYMENT FOR MEDICARE IS DETERMINED BY GOVERNMENT REIMBURSEMENT POLICY. THE MEDICARE SHORTFALL IS AN UNREIMBURSED AMOUNT THAT MUST BE ACCOUNTED FOR IN EMC'S FINANCIAL STATEMENTS. SINCE GENERALLY ACCEPTED ACCOUNTING STANDARDS IDENTIFY THIS SHORTFALL, IT SHOULD BE ACCEPTED AS A SHORTFALL IN IRS REPORTING STANDARDS. MEDICARE COSTING METHODOLOGY THE COSTING METHODOLOGY FOR THE AMOUNT REPORTED ON LINE 6 IS THE ALLOWABLE COST-TO-CHARGE RATIO PER THE COST REPORT. SCHEDULE H, PART III, LINE 9B APPLICATION OF COLLECTION PRACTICES TO THOSE QUALIFYING FOR FINANCIAL ASSISTANCE FOR PATIENTS WHO QUALIFY FOR PARTIAL CHARITY CARE AND WHO ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR DISCOUNTED BILLS, EMC MAY OFFER EXTENDED PAYMENT PLANS, WILL NOT SEND UNPAID BILLS TO OUTSIDE COLLECTION AGENCIES, AND WILL CEASE ALL COLLECTION EFFORTS. EMC WILL NOT IMPOSE EXTRAORDINARY COLLECTIONS ACTIONS SUCH AS WAGE GARNISHMENTS, LIENS ON PRIMARY RESIDENCES OR OTHER LEGAL ACTIONS FOR ANY PATIENT WITHOUT FIRST MAKING REASONABLE EFFORTS TO DETERMINE WHETHER THAT PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT EISENHOWER MEDICAL CENTER CONTRACTED WITH THE HEALTH ASSESSMENT RESOURCE CENTER TO HELP IDENTIFY KEY HEALTH ISSUES AND SUBSEQUENTLY SURVEY THE COMMUNITY TO DETERMINE THE HEALTH STATUS OF THE COACHELLA VALLEY. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE EISENHOWER MEDICAL CENTER EDUCATES PATIENTS ABOUT ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS OR UNDER ITS CHARITY CARE POLICY THROUGH VERBAL COMMUNICATION DURING COLLECTION FOLLOW UP AND THROUGH INFORMATIONAL FLYERS INCLUDED WITH BILLING STATEMENTS. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION COMMUNITY IS DEFINED TO INCLUDE THE FOLLOWING CITIES/AREAS IN THE COACHELLA VALLEY; RANCHO MIRAGE, INDIAN WELLS, PALM DESERT, THOUSAND PALMS, LA QUINTA, CATHEDRAL CITY, PALM SPRINGS, INDIO AND DESERT HOT SPRINGS. THE MEDIAN INCOME FOR EACH CITY PER THE 2013 AMERICAN FACT FINDER PROVIDED BY THE US CENSUS BUREAU IS AS FOLLOWS: INDIAN WELLS- $83,884; RANCHO MIRAGE- $77,526; LA QUINTA- $67,723; PALM DESERT- $51,188; CATHEDRAL CITY- $44,406; PALM SPRINGS- $45,918; INDIO- $50,068; AND DESERT HOT SPRINGS- $32,473. PER THE HEALTH ASSESSMENT RESOURCE CENTER'S 2013 COACHELLA VALLEY COMMUNITY HEALTH MONITOR EXECUTIVE REPORT, THE POPULATION IS MADE UP OF 67.4% WHITE, 24.4% HISPANIC, 5.2% OTHER AND 3.0% BLACK. THE REPORT ESTIMATES THAT APPROXIMATELY 52.2% OF THE POPULATION IS AGED BETWEEN 18 AND 54, 11.6% IS AGED 55-64 AND 36.2% IS AGED 65+. OF THOSE AGED 18-64, 66.4% ARE COVERED WITH SOME FORM OF HEALTH INSURANCE AND 33.6% ARE NOT. 98.5% OF THOSE AGED 65 AND OVER ARE COVERED WITH HEALTH INSURANCE. 79% OF THE 65+ ARE COVERED THROUGH MEDICARE. 66% OF ALL PATIENTS FOR EISENHOWER MEDICAL CENTER ARE ENROLLED IN MEDICARE. Over 1/3 of the Valleys population is over the age of 65. Approximately 2/3 of EMCs patients come from this portion of the valley population. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH THE MAJORITY OF THE EISENHOWER MEDICAL CENTER BOARD OF TRUSTEES IS MADE UP OF PROMINENT MEMBERS OF THE COMMUNITY WHO ARE NEITHER EMPLOYEES OR CONTRACTORS OF THE ORGANIZATION. EMC EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS. WHEN EISENHOWER MEDICAL CENTER ENDS THE YEAR WITH AN EXCESS OF OPERATING RECEIPTS OVER OPERATING DISBURSEMENTS, THESE EXCESS FUNDS ARE USED TO EXPAND AND REPLACE EXISTING FACILITIES AND MEDICAL EQUIPMENT TO IMPROVE PATIENT CARE AND FOR MEDICAL TRAINING AND EDUCATION. SCHEDULE H, PART VI, LINE 6 N/A SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT CALIFORNIA X X X X X true true false false false false false false false G AUBREY SERFLING PRESIDENT/CEO 617594 0 0 0 2464163 0 37190 0 31691 0 3150638 0 2310598 0 KEN WHEAT CFO/VICE PRESIDENT 250772 0 25000 0 12220 0 13801 0 14826 0 316619 0 0 0 MICHAEL D LANDES PRESIDENT EMC FOUNDATION 276720 0 0 0 25901 0 38214 0 25562 0 366397 0 0 0 MARTIN J MASSIELLO COO/EXECUTIVE VICE PRESIDENT 412705 0 0 0 6391 0 46024 0 14510 0 479630 0 0 0 SHAHIN ETEBAR MD BOARD DIRECTOR 237400 0 0 0 0 0 0 0 0 0 237400 0 0 0 JOSEPH SCHERGER VP, PRIMARY CARE 360750 0 0 0 25203 0 34538 0 23875 0 444366 0 0 0 ALI A TOURKAMAN VP, FAC. PLANNING/CONST. 247411 0 0 0 0 0 39362 0 31373 0 318146 0 0 0 KIMBERLY OSBORNE FORMER CFO 1298 0 0 0 326250 0 12642 0 9996 0 350186 0 0 0 MICHAEL P APPELHANS GEN COUNSEL/CORP INTRTY OFCR 316649 0 0 0 53933 0 24844 0 24654 0 420080 0 0 0 ANN M MOSTOFI VP, PATIENT CARE/CNO 278564 0 0 0 47736 0 33396 0 26056 0 385752 0 30616 0 DAVID PEREZ VP CHIEF INFO OFFICER 247814 0 0 0 7125 0 33862 0 24674 0 313475 0 0 0 ELIZABETH M GUIGNIER VP HUMAN RESOURCES 217487 0 0 0 4095 0 36715 0 27611 0 285908 0 0 0 LYNN A MASTERSON VP QUALITY & RESOURCES MGMT 199080 0 0 0 3413 0 17615 0 13471 0 233579 0 0 0 ALAN WILLIAMSON MD VP MEDICAL AFFAIRS 205853 0 0 0 6483 0 7868 0 21171 0 241375 0 0 0 MARY ANN MCLAUGHLIN AVP NURSING 188870 0 0 0 7056 0 16662 0 13237 0 225825 0 0 0 ROSALINDA M FIELD CHIEF MEDICAL INFORMATION OFCR 226741 0 0 0 0 0 9083 0 16102 0 251926 0 0 0 ROY T YOUNG MD DIRECTOR, RESIDENCY PROGRAM 251241 0 24000 0 10431 0 23755 0 8639 0 318066 0 0 0 MAUREEN STROHM DIR. FAMILY MEDICINE RESIDENCY 251110 0 26000 0 3589 0 21248 0 18925 0 320872 0 0 0 FREDERICK L WESTERGARD RNFA 276193 0 0 0 0 0 23410 0 21494 0 321097 0 0 0 MIGUEL A PADILLA RNFA 243518 0 0 0 0 0 21834 0 20400 0 285752 0 0 0 CHRISTOPHER NAEYAERT PHYSICIAN ASSISTANT 230689 0 0 0 7546 0 20377 0 3771 0 262383 0 0 0 SCHEDULE J, PART I, LINE 4A SEVERANCE PAYMENT KIMBERLY OSBORNE LEFT THE ORGANIZATION AS CFO AS OF 12/7/12 AND SHE RECEIVED SEVERANCE BENEFITS OF $326,250. SCHEDULE J, PART I, LINE 4b TERMS AND CONDITIONS OF SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN EMC HAS A 457(F) AND 457(B) PLAN OFFERED TO PROVIDE AN OPPORTUNITY TO DEFER CURRENT SALARY AND/OR BONUS AS PART OF THE EXECUTIVE FLEXIBLE BENEFIT PLAN. EXECUTIVES MUST MAKE ELECTION PRIOR TO JULY 1 EACH YEAR. ELECTION MAY NOT REDUCE THE PARTICIPANTS ANNUAL INCOME BELOW THE SOCIAL SECURITY WAGE BASE. DEFERRALS WILL BE CREDITED MID-PLAN YEAR. PARTICIPANT ELECTS THE VESTING DATE FOR EACH YEAR'S DEFERRALS. THE FOLLOWING INDIVIDUALS RECEIVED A DISTRIBUTION FROM THE NONQUALIFIED DEFERRED COMPENSATION PLAN DURING THE YEAR: - G. AUBREY SERFLING $2,310,598 - ANN MOSTOFI $30,616 - LOUISE WHITE $67,446 - MARY ELLEN FONTANA $76,658 A CITY OF RANCHO MIRAGE JOINT POWERS FINANCING AUTH 956130458 75212YAF8 2007-08-14 261211954 SEE PART VI false false false B CALIFORNIA MUNICIPIAL FINANCE AUTHORITY 201563466 13048TGP2 2010-08-11 110101868 SEE PART VI false false false A 1445000 0 263865443 0 0 74791411 3254935 0 0 148640854 37178243 0 2010 true true true true B 1660000 0 110109763 8026438 0 0 2075430 0 0 76913110 23094785 0 2011 true false true true A false true true true false 0.01600 0.00000 0.01600 false false 0.00000 false true B false true true true false 0.00000 0.00000 0.00000 false false false true A false false false true false false 0 false 0 false true B false true false false false false 0 false 0 false true A true B true DESCRIPTION OF PURPOSE FORM 990, SCHEDULE K, PART I, COLUMN F A - CONSTRUCTION OF HOSPITAL AND REFUNDING BOND ISSUES DATED 2/19/1997 AND 5/27/2004 B - CONSTRUCTION OF HOSPITAL AND REFUND A PORTION OF TAXABLE INCOME FORM 990, SCHEDULE K, PART II, COLUMN A & B, LINE 3 TOTAL PROCEEDS OF ISSUE THE DIFFERENCE BETWEEN TOTAL PROCEEDS AND ISSUE PRICE IS INVESTMENT OF INCOME OF $7,895 FOR THE 2010 BONDS AND $2,653,488 FOR THE 2007 BONDS. FORM 990, SCHEDULE K, PART II, COLUMN A & B, LINE 11B OTHER SPENT PROCEEDS THE OTHER SPENT PROCEEDS ARE THE REFUNDING PROCEEDS OF THE ISSUE. FORM 990, SCHEDULE K, PART IV, LINE 2C, COLUMN B PROVIDE THE DATE THE REBATE COMPUTATION WAS PERFORMED. REBATE CALCULATION PERFORMED ON 8/9/2013. EISENHOWER MEDICAL ASSOCIATION OWNER/KEY EMPL WILLIAMSON 34847927 VENDOR FOR PHYSICIAN SERVICES false X 4 1498265 COST/SELLING PRICE X MEDICAL EQUIPMENT 1 5324 MARKET VALUE 3 false true false FORM 990, PART III, LINE 4A PROGRAM SERVICE ACCOMPLISHMENTS IN JULY 2013, EISENHOWER MEDICAL CENTER WAS NAMED FOR THE SECOND CONSECUTIVE YEAR AS ONE OF THE NATION'S MOST WIRED HOSPITALS IN THE 2013 MOST WIRED SURVEY BENCHMARKING STUDY RELEASED IN THE JULY ISSUE OF HOSPITALS & HEALTH NETWORKS, THE JOURNAL OF THE AMERICAN HOSPITAL ASSOCIATION. IN JULY 2013, EISENHOWER WAS RECOGNIZED AS A LEADER IN LGBT HEALTHCARE EQUALITY IN THE HEALTHCARE EQUALITY INDEX 2013, AN ANNUAL SURVEY CONDUCTED BY THE HUMAN RIGHTS CAMPAIGN (HRC) FOUNDATION. EISENHOWER EARNS TOP MARKS FOR ITS COMMITMENT TO EQUITABLE, INCLUSIVE CARE FOR LGBT PATIENTS AND THEIR FAMILIES. IN SEPTEMBER 2013, EISENHOWER LUCY CURCI CANCER CENTER HOSTED THE SIXTH ANNUAL ARNOLD PALMER PROSTATE CENTER SYMPOSIUM, A SERIES OF WEEKLY LECTURES REGARDING THE PREVENTION, DIAGNOSIS AND TREATMENT OF PROSTATE CANCER IN RECOGNITION OF NATIONAL PROSTATE CANCER AWARENESS MONTH. IN SEPTEMBER 2013, EISENHOWER WAS ONE OF 20 ORGANIZATIONS ACROSS THE NATION TO RECEIVE THE ADVISORY BOARD'S 2013 EXCELLENCE IN EMPLOYEE ENGAGEMENT AWARD. THE AWARD RECOGNIZES HOSPITALS AND HEALTH SYSTEMS THROUGHOUT THE UNITED STATES THAT EXHIBIT EXTRAORDINARY LEVELS OF WORKFORCE ENGAGEMENT BASED ON RESULTS FROM EMPLOYEE ENGAGEMENT SURVEYS. MORE THAN 300 U.S. HEALTH SYSTEMS WERE SURVEYED. IN OCTOBER 2013, EISENHOWER SCHNITZER/NOVACK BREAST CENTER HOSTED A SERIES OF LECTURES TO EDUCATE THE COMMUNITY ABOUT BREAST CANCER PREVENTION, SCREENING, DIAGNOSIS AND TREATMENT IN RECOGNITION OF NATIONAL BREAST CANCER AWARENESS MONTH. EISENHOWER WAS RECOGNIZED AS ONE OF THE TOP 97 HOSPITALS IN THE UNITED STATES FOR OUTCOMES FOLLOWING JOINT REPLACEMENT SURGERY ACCORDING TO A SURVEY BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. EISENHOWER IS ONE OF ONLY EIGHT CALIFORNIA HOSPITALS ON THE LIST. IN FEBRUARY 2014, EISENHOWER DESERT CARDIOLOGY CENTER WAS THE FIRST IN RIVERSIDE COUNTY (AND SIXTH NATIONWIDE) TO UTILIZE THE DIAMONDBACK 360(R) CORONARY ORBITAL ATHERECTOMY SYSTEM AFTER ITS RECENT FOOD AND DRUG ADMINISTRATION (FDA) APPROVAL. THE TOOL IS USED FOR TREATMENT OF SEVERELY CALCIFIED CORONARY ARTERIES. ON FEBRUARY 1, 2014, EISENHOWER MEDICAL CENTER HOSTED THE 11TH ANNUAL COMMUNITY HEART CONFERENCE AT THE ANNENBERG CENTER FOR HEALTH SCIENCES. IN FEBRUARY 2014, EISENHOWER MEDICAL CENTER VOLUNTEERS REACHED A MILESTONE OF FIVE MILLION HOURS OF COMMUNITY SERVICE, GIVEN OVER THE PAST FOUR DECADES. IN FEBRUARY, EISENHOWER MEDICAL CENTER'S STROKE PROGRAM EARNED RECERTIFICATION AS AN ADVANCED PRIMARY STROKE CENTER BY THE JOINT COMMISSION. EISENHOWER WAS THE FIRST FACILITY IN THE RIVERSIDE AND SAN BERNARDINO COUNTIES TO BECOME AN ADVANCED PRIMARY STROKE CENTER IN 2009. ON MARCH 8, 2014, EISENHOWER LUCY CURCI CANCER CENTER HOSTED THE 11TH ANNUAL COMMUNITY CANCER AWARENESS DAY WITH A FOCUS ON COLON CANCER. ON MARCH 22, 2014, EISENHOWER HOSTED THE 19TH ANNUAL JIM COOK DAY OF HOPE FOR DIABETES, FEATURING AWARD-WINNING ACTOR/SINGER TONY ORLANDO, AT THE ANNENBERG CENTER FOR HEALTH SCIENCES AT EISENHOWER. IN MARCH 2014, EISENHOWER MEDICAL CENTER'S RESIDENCY PROGRAM FILLED ALL OF ITS AVAILABLE SLOTS IN THE PROGRAM'S SECOND YEAR. EISENHOWER IS THE FIRST HOSPITAL IN THE VALLEY TO OFFER AN ACCREDITED RESIDENCY PROGRAM. IN APRIL 2014, EISENHOWER WAS HONORED WITH AN "A" RATING - THE TOP GRADE IN PATIENT SAFETY - IN THE HOSPITAL SAFETY SCORE ADMINISTERED BY THE LEAPFROG GROUP. THE FIRST AND ONLY HOSPITAL SAFETY RATING TO BE PEER-REVIEWED IN THE JOURNAL OF PATIENT SAFETY, THE SCORE IS FREE TO THE PUBLIC AND DESIGNED TO GIVE CONSUMERS INFORMATION THEY CAN USE TO PROTECT THEMSELVES AND THEIR FAMILIES WHEN FACING A HOSPITAL STAY. IN SPRING 2014, BIGHORN BEHIND A MIRACLE (BAM) DONATED ONE MILLION DOLLARS TO EISENHOWER LUCY CURCI CANCER CENTER, THEIR LARGEST DONATION PROVIDING CRITICAL FUNDING TO HELP IN THE DIAGNOSIS, TREATMENT, RESEARCH, SERVICES AND EDUCATION FOR THOSE AFFECTED BY BREAST CANCER. FORM 990, PART VI, LINE 2 FAMILY OR BUSINESS RELATIONSHIPS KATHRYN B. SAMPLE AND STEVEN B. SAMPLE, BOTH ON THE BOARD OF TRUSTEES, ARE MARRIED. FORM 990, PART VI, LINE 6 MEMBERS OR STOCKHOLDERS THE BOARD OF TRUSTEES ARE MEMBERS OF EISENHOWER MEDICAL CENTER. FORM 990, PART VI, LINE 7A POWER TO ELECT OR APPOINT MEMBERS TRUSTEES HAVE THE RIGHT TO ELECT THE GOVERNING BOARD MEMBERS OF THE EISENHOWER MEDICAL CENTER BOARD OF DIRECTORS. FORM 990, PART VI, LINE 7B DECISIONS RESERVED TO MEMBERS OR STOCKHOLDERS MEMBERS HAVE THE RIGHT TO VOTE ON THE FOLLOWING MAJOR DECISIONS: ANY MATERIAL CHANGE IN THE MISSION OF EMC; THE MERGER OF EMC WITH ANY OTHER BUSINESS ENTITY; THE DISSOLUTION OF EMC; THE SALE OF ALL OR SUBSTANTIALLY ALL OF EMC'S ASSETS; AND ANY MATTER ON WHICH A MEMBER OF A CALIFORNIA NON-PROFIT CORPORATION IS REQUIRED TO BE PERMITTED TO VOTE ON UNDER APPLICABLE LAW. FORM 990, PART VI, LINE 11B PROCESS USED TO REVIEW THE FORM 990 THE FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND SUBSEQUENTLY REVIEWED BY MANAGEMENT. AFTER MANAGEMENT REVIEW, THE FORM 990 IS PRESENTED TO THE BOARD AFTER FILING. FORM 990, PART VI, LINE 12C MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST ANNUALLY, RELATED PARTIES INCLUDING OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES ARE SURVEYED FOR TRANSACTIONS THAT COULD GIVE RISE TO CONFLICTS. WRITTEN QUESTIONNAIRES ARE REVIEWED BY LEGAL AND FINANCE TO DETERMINE IF ADDITIONAL QUESTIONS OR INFORMATION SHOULD BE DOCUMENTED REGARDING SPECIFIC TRANSACTIONS. ALL NEW CONTRACTS ARE REVIEWED BY EXECUTIVE MANAGEMENT FOR CONFLICT CONSIDERATIONS. GENERAL COUNSEL REVIEWS ALL STATEMENTS SUBMITTED BY BOARD MEMBERS WHO INDICATE A POTENTIAL CONFLICT. GENERAL COUNSEL ADVISES THE CEO AND CHAIRMAN OF THE BOARD OF ANY MATERIAL CONFLICTS SO THAT THE INDIVIDUAL CAN BE RECUSED FROM ANY DISCUSSION OR DELIBERATION PERTAINING TO THE CONFLICT. FORM 990, PART VI, LINE 15A & 15B PROCESS FOR DETERMINING COMPENSATION EISENHOWER MEDICAL CENTER ENGAGES AN INDEPENDENT CONSULTING FIRM TO PROVIDE THE BOARD'S COMPENSATION COMMITTEE BENCHMARKED SURVEY DATA FOR THE EXECUTIVE LEADERSHIP TEAM IN THE ORGANIZATION. THE CONSULTANT PROVIDES ANALYSIS OF SALARIES, INCENTIVE PLANS AND BENEFITS AS COMPARED TO PEER GROUP OF OTHER NOT-FOR-PROFIT HEALTH CARE ORGANIZATIONS. THIS REVIEW WAS COMPLETED AND PRESENTED TO THE COMPENSATION COMMITTEE IN JANUARY 2014. THIS PROCESS WAS CONTEMPORANEOUSLY SUBSTANTIATED IN THE MEETING MINUTES OF THE COMPENSATION COMMITTEE. FORM 990, PART VI, LINE 19 PROCESS FOR MAKING DOCUMENTS AVAILABLE TO THE PUBLIC EISENHOWER MEDICAL CENTER RELEASES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS TO THE GENERAL PUBLIC UPON REQUEST. THAT REQUEST MAY BE EITHER VERBAL OR WRITTEN. FORM 990, PART IX, LINE 11G OTHER FEES FOR SERVICES REPRESENTS PURCHASED SERVICES: PHYSICIAN SERVICES $41,117,605 PURCHASED SERVICES - OTHER $17,440,342 OTHER MEDICAL SERVICES - $ 4,455,687 COLLECTION SERVICES - $ 3,627,895 MISC. PURCHASED SERVICES $19,371,192 ----------- TOTAL $86,012,721 FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS PENSION RELATED CHANGES: $ 2,536,147 CHANGE IN VALUE OF CHARITABLE REMAINDER TRUSTS: $(2,012,774) CHANGE IN NPV OF PLEDGES: $ 1,526,433 ------------ TOTAL $ 2,049,806 EISENHOWER PROPERTIES LLC 39000 BOB HOPE DRIVE RANCHO MIRAGE CA 92270 201971850 PROPERTY RENT CA 2108099 22737966 EMC EISENHOWER HEALTH SERVICES 39000 BOB HOPE DRIVE RANCHO MIRAGE CA 92270 330617193 SUPPORT SVCS CA 501(c)(3) 11a EMC true ANNENBERG CENTER FOR HEALTH SCIENCES 39000 BOB HOPE DRIVE RANCHO MIRAGE CA 92270 953382683 MEDICAL EDU CA 501(c)(3) 11a EMC true BARBARA SINATRA CHILDREN'S CENTER 39000 BOB HOPE DRIVE RANCHO MIRAGE CA 92270 330136550 CHILD SVCS CA 501(c)(3) 7 EMC true EISENHOWER IMAGING CENTER 39000 BOB HOPE DRIVE RANCHO MIRAGE CA 92270 680554124 MEDICAL IMAGING CA EMC Related 1944581 7142405 false 0 true 0.50800 CHARITABLE REMAINDER TRUST (26) 39000 BOB HOPE DRIVE RANCHO MIRAGE CA 92270 HOSPITAL SUPPORT CA NA Trust true false false false false false false false false false true false false false false false true true true ANNENBERG CENTER FOR HEALTH SCIENCES q 12396497 ACCRUAL METHOD ANNENBERG CENTER FOR HEALTH SCIENCES k 272203 ACCRUAL METHOD ANNENBERG CENTER FOR HEALTH SCIENCES r 1317175 ACCRUAL METHOD BARBARA SINATRA CHILDREN'S CENTER q 604455 ACCRUAL METHOD BARBARA SINATRA CHILDREN'S CENTER s 2043702 ACCRUAL METHOD EISENHOWER IMAGING CENTER q 712059 ACCRUAL METHOD EISENHOWER IMAGING CENTER a 883461 ACCRUAL METHOD SCHEDULE R, PART III EISENHOWER IMAGING CENTER EIN: 68-0554124 ADDRESS: 39000 BOB HOPE DRIVE, RANCHO MIRAGE, CA 92270