2014-05-14T15:37:14-05:00 2013-06-30 BKD LLP 6120 S Yale 1400 Tulsa OK 741364223 990 2012-07-01 941603784 ENLOE MEDICAL CENTER % MYRON MACHULA ENLO 5303327300 1531 ESPLANADE Suite CHICO CA 95926 MYRON MACHULA 5303327300 2014-05-14 true 9185842900 2012 2015-11-30 17:44:51Z MIKE WILTERMOOD CEO 1531 ESPLANADE CHICO CA 95926 442648658 false X WWW.ENLOE.ORG X 1965 CA THE MISSION OF ENLOE MEDICAL CENTER IS TO IMPROVE THE QUALITY OF LIFE THROUGH PATIENT-CENTERED CARE. 15 10 2845 462 60000 -23443 110990 2487300 430956902 426034656 1801673 4903335 4459628 8260501 437329193 441685792 244943 252072 0 0 203955163 220415071 0 0 0 209229552 233308111 413429658 453975254 23899535 -12289462 530524811 508994145 308915902 290637558 221608909 218356587 X THE MISSION OF ENLOE MEDICAL CENTER IS TO IMPROVE THE QUALITY OF LIFE THROUGH PATIENT-CENTERED CARE. false false 350609710 252071 426034656 ENLOE MEDICAL CENTER (EMC), A CALIFORNIA NONPROFIT BENEFIT CORPORATION IS LOCATED IN THE CITY OF CHICO (THE"CITY"), 90 MILES NORTH OF SACRAMENTO IN BUTTE COUNTY, CALIFORNIA. EMC IS EXEMPT FROM FEDERAL INCOME TAXES AS AN ORGANIZATION DESCRIBED IN SECTION 501(C) (3) OF THE INTERNAL REVENUE CODE. EMC PROVIDES A COMPREHENSIVE ARRAY OF INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO THE NEARLY 445,000 RESIDENTS OF A SIX-COUNTY REGION OF CALIFORNIA, INCLUDING GLENN AND BUTTE COUNTIES (GENERALLY REFERRED TO AS THE NORTH VALLEY). EMC PROVIDES TRAUMA AND CARDIAC SURGERY SERVICES TO PATIENTS THROUGHOUT NORTHERN CALIFORNIA. EMC OWNS AND OPERATES A NUMBER OF FACILITIES, INCLUDING THREE INPATIENT FACILITIES: AN ACUTE CARE HOSPITAL, ENLOE MEDICAL CENTER - ESPLANADE CAMPUS (THE "HOSPITAL"); A BEHAVIORAL HEALTH FACILITY, ENLOE MEDICAL CENTER - COHASSET CAMPUS (THE "BEHAVIORAL HEALTH FACILITY"); AND A FACILITY FOR REHABILITATION SERVICES, ENLOE REHAB CENTER (THE "REHAB CENTER"). EMC IS THE LARGEST PROVIDER OF ACUTE CARE SERVICES AND SOLE PROVIDER OF COMPREHENSIVE CARDIOLOGY SERVICES IN THE REGION. INPATIENT UNITS INCLUDE MEDICAL/SURGICAL ACUTE CARE, INTENSIVE CARE, CORONARY CARE, NEURO-TRAUMA CARE, INTENSIVE CARE NURSERY, OBSTETRICS/GYNECOLOGY, PEDIATRICS, BEHAVIORAL HEALTH AND REHABILITATION. IN ADDITION TO A FULL RANGE OF INPATIENT AND OUTPATIENT ANCILLARY AND SUPPORT SERVICES, EMC PROVIDES SPECIALTY SERVICES IN CARDIAC SURGERY, STROKE, NEUROSURGERY, ORTHOPEDICS, CANCER, WOMEN'S HEALTH, AND BARIATRIC SERVICES. EMC OPERATES, AT ITS ESPLANADE CAMPUS, ONE OF TWO LEVEL II TRAUMA CENTERS IN CALIFORNIA NORTH OF SACRAMENTO, AND HOUSES THE ONLY LEVEL II NEONATAL INTENSIVE CARE UNIT IN THE REGION. EMC PROVIDES A COMPREHENSIVE SCOPE OF MEDICAL SERVICES AND PROGRAMS INCLUDING A BARIATRIC SURGICAL PROGRAM, INPATIENT BEHAVIOR HEALTH, INPATIENT AND OUTPATIENT CANCER CARE, A COMPREHENSIVE HEART PROGRAM, DIGESTIVE HEALTH, EMERGENCY SERVICES, AN AMBULANCE AND FLIGHTCARE PROGRAM, HOME CARE AND HOSPICE SERVICES, A STROKE PROGRAM AND A COMPREHENSIVE WOUND CARE CLINIC. THE HEART PROGRAM INCLUDES A COMPREHENSIVE SCOPE OF SERVICES INCLUDING CARDIAC DIAGNOSTICS, CARDIAC CATHETERIZATIONLAB PERFORMING A RANGE OF SERVICES INCLUDING CORONARY ANGIOGRAMS, CORONARY STENTING AND ANGIOPLASTY, AND ELECTROPHYSIOLOGY SERVICES; AND CORONARY SURGERY INCLUDING CORONARY BYPASS, ENDOSCOPIC VEIN/ARTERY REMOVAL, TRANMYOCARDIAL LASER REVACULARIZATION AND VALVE REPAIR/REPLACEMENT. EMC IS DESIGNATED AS A STEMI RECEIVING CENTER FOR THE TREATMENT OF SEVERE HEART ATTACK KNOWN AS AN ST ELEVATION MYOCARDIAL INTRACTION. EMC PROVIDES A FULL RANGE OF WOUND CARE SERVICES DIRECTED BY A PHYSICIAN AND MANAGED BY A BOARD-CERTIFIED WOUND NURSE. THE PROGRAM INCLUDES HYPERBARIC OXYGEN THERAPY ONE OF THE MOST EFFECTIVE TREATMENTS AVAILABLE FOR HARD-TO-HEAL WOUNDS AND OTHER CONDITIONS. OUTPATIENT CANCER SERVICES ARE PROVIDED THROUGH THE ENLOE REGIONAL CANCER CENTER THAT PROVIDES BOARD-CERTIFIED ONCOLOGISTS, HEMATOLOGISTS AND RADIATION ONCOLOGISTS AND OTHER SPECIALTY TRAINED STAFF SUPPORTING MEDICAL ONCOLOGY/INFUSION THERAPY AND RATIONATION ONCOLOGY. EMC IS ONE OF THE LARGEST EMPLOYERS IN THE AREA, WITH APPROXIMATELY 2,500 FULL-AND PART-TIME EMPLOYEES. THE MEDICAL STAFF IS COMPRISED OF APPROXIMATELY 300 PHYSICIANS REPRESENTING OVER 40 SPECIALTY AREAS. IN ADDITION, MORE THAN 400 VOLUNTEERS PROVIDE NON-MEDICAL SUPPORT TO EMC'S ACTIVITIES. ENLOE MEDICAL CENTER IS CURRENTLY GOVERNED BY A 15-MEMBER BOARD OF TRUSTEES COMPRISED OF PERSONS WHO RESIDE OR MAINTAIN THEIR PRINCIPAL PLACE OF BUSINESS WITHIN THE COMMUNITIES SERVED BY THE HOSPITAL. ENLOE MEDICAL CENTER IS A NON-MEMBER CORPORATION UNDER THE CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION LAW. NEW MEMBERS OF THE BOARD ARE ELECTED BY ITS EXISTING MEMBERS IN ACCORDANCE WITH PROCEDURES SET FORTH IN THE BYLAWS OF THE ORGANIZATION. THE BYLAWS SPECIFY THAT TWO BOARD MEMBERS MUST BE PHYSICIANS AND THAT THE MEDICAL STAFF CHAIRMAN AND THE MEDICAL STAFF CHAIRMAN-ELECT SHALL SERVE AS BOARD MEMBERS EX OFFICIO WITH A VOTE. THE CHIEF EXECUTIVE OFFICER SERVES ON THE BOARD EX OFFICIO WITH A VOTE AND THE CHAIRMAN OF THE ENLOE HEALTH FOUNDATION SERVES ON THE BOARD EX OFFICIO, WITHOUT A VOTE. THE ELECTED MEMBERS OF THE BOARD SERVE STAGGERED TERMS OF THREE YEARS, FOR A MAXIMUM PERIOD OF THREE TERMS (OR NINE YEARS) PER MEMBER. 350609710 true true false true false false false false false false true true false true true false false true false false false false false false false false true true true false true true false false false false false false false true true true false false false false false true true false false false true 277 0 true 2845 true true true false false false false false false false false false X 15 10 false false false false false false false true true false false true true true true true true true true false CA X MYRON MACHULA 5303327300 1240 MANCHESTER WAY Chico CA 95926 TOM LANDO 4.0 X X 0 0 0 JUDY SITTON 4.0 X X JAMES BOICE MD 4.0 X WARREN BRUSIE 4.0 X CAROL HUSTON 4.0 X X MATTHEWS D JACKSON 4.0 X ERIC LARRABEE 4.0 X MARSHA MARTIN 4.0 X CHARLES MERRIMAN MD 4.0 X KENNETH N DERUCHER PHD 4.0 X MONROE SPRAGUE MD 4.0 X FORREST OLSON MD 4.0 X MIKE WILTERMOOD 40.0 X X 514371 0 18774 CINDY BENNINGTON-FOOR 4.0 X MARK SCHWABE MD 40.0 X JACK STERLING 4.0 X MYRON MACHULA 40.0 X 268857 0 9533 MARCIA N GALL MD 40.0 X 240427 0 17560 CONNIE ROWE 40.0 X 246925 0 16963 AARON WOOD 40.0 X 226112 0 8563 CAROL LINSCHEID 40.0 X 230158 0 14838 LAURA HENNUM 40.0 X 225875 0 13027 CHRIST KOKINOS 40.0 X 280589 0 22574 DANNIE K HATCHER 40.0 X 188815 0 16543 DANNY ABIFADEL 40.0 X 199214 0 11232 RUPESH D KANJI 40.0 X 221632 0 11923 QUIET K NCUBE 40.0 X 195491 0 11125 3038466 0 172655 12 false true false HOSPITAL BUILDING EQUIPMENT CO 11330 OLIVE BLVD ST LOUIS MO 63114 HOSPITAL CONSTR. 7142428 NORTHSTATE ANESTHESIOLOGY PARTNERS PO BOX 7149 CHICO CA 95927 ANESTHESIA SERVICES 8734928 CHICO EMERGENCY PHYSICIANS MEDICAL 1531 ESPLANADE CHICO CA 75926 EMERGENCY MEDICINE 7021094 MORRISON MANAGEMENT SPECIALISTS PO BOX 102289 ATLANTA GA 30368 FOOD SERVICE MGMT 4603620 CROTHALL HEALTCARE INC 955 CHESTERBROOK BLVD SUITE 300 WAYNE PA 19087 ENVIRONMENTAL SERVC 5111556 95 2487300 2487300 NET PATIENT SERVICE REVENUE 621300 426034656 426034656 426034656 4750556 4750556 0 0 1177670 890104 287566 0 287566 287566 225541 72762 152779 152779 152779 0 0 0 JOINT VENTURE INCOME 900099 1749826 1749826 MANAGEMENT SERVICES TO CPPSSC 561000 60000 60000 INFORMATION SERVICES MEANINGFUL USE 900099 4745560 4745560 1417549 1417549 7972935 441685792 433947591 60000 5190901 252072 252072 0 0 0 1998722 1998722 0 151140536 127939476 23201060 9865480 8278049 1587431 44621459 37447583 7173876 12788874 10747004 2041870 2566908 2174295 392613 228514 2353 226161 317617 317617 0 0 0 779811 138315 641496 290104 200 289904 4454362 2885323 1569039 0 0 5317056 350826 4966230 276707 242019 34688 0 0 9234483 9234483 0 20456793 6449592 14007201 3385806 443496 2942310 MEDICAL FEES 40540067 40506317 33750 MEDICAL SUPPLIES 57124385 56966647 157738 BAD DEBTS 31120635 31120635 PURCHASED SERVICES 51975547 14191320 37784227 5239316 1239705 3999611 453975254 350609710 103365544 0 15914218 5742894 0 0 0 0 52772926 58283284 0 0 0 0 184759 665540 4166700 4784049 26447104 10416446 435114146 180385692 247182187 254728454 0 0 111710766 127326406 2040947 1879773 0 0 70105204 45167299 530524811 508994145 50188935 52893604 0 0 18437674 2794358 228964424 225014116 0 0 0 0 0 0 0 0 11324869 9935480 308915902 290637558 X 221020982 218063909 587927 292678 0 0 221608909 218356587 530524811 508994145 X -12289462 5707850 3329290 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 67559 false false false 67559 false 1 SCHEDULE C, PART II-B, LINE 1F THE ORGANIZATION IS A MEMBER OF THE CALIFORNIA HOSPITAL ASSOCIATION (CHA) - CHA DIRECTS A PORTION OF THE DUES FOR DIRECT LOBBYING EXPENSES; AND THE ORGANIZATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION (AHA) - AHA EXPENDS A PORTION OF THE DUES SPECIFIC FOR LOBBYING PURPOSES. 8943248 8943248 71793057 39721466 32071591 182021636 31070294 150951342 151374911 108415925 42958986 20981294 1178007 19803287 254728454 Long Term Investments 126269042 F Annuity Investment 1057364 F 127326406 Benefit Plan Net Assets 3246081 Bond Issuance Costs 10942848 Other Receivables 29675434 DUE FROM THIRD PARTIES 1302936 45167299 0 Annuity Payment Liability 31537 Capital Lease 359161 Due to Affiliate 3313782 Other Liabilities 6231000 9935480 1 SCHEDULE D, PART X, LINE 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. true true X true X true X 450. true false true true 6196 4942342 4942342 0.01080 61165 82271960 51893289 30378671 0.06560 78820 205894927 143587419 62307508 0.13400 146181 293109229 195480708 97628521 0.21040 863201 29101 834100 0.00180 1768068 7136 1760932 0.00390 172646 172646 0.00040 2803915 36237 2767678 0.00610 146181 295913144 195516945 100396199 0.21650 false 31120635 26575366 119262490 157838725 -38576235 X true true 1 1 Enloe Medical Center

1531 Esplanade Chico CA 95926

X X X ENLOE MEDICAL CENTER true X X X X X X X X X 13 true true true X X X X X X X X true false true true 249. true 450. true X X X true true X X X X X true false X X X X true X false false 1 SCHEDULE H, PART III, LINE 4 ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE MEDICAL CENTER ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE MEDICAL CENTER ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAD NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL, THE MEDICAL CENTER RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. EMC USES A COST TO CHARGE METHODOLOGY TO REPORT THE ORGANIZATIONS BAD DEBT EXPENSE AT THE COST OF CARE. AMOUNTS CHARGED OFF AS BAD DEBT IS RECORDED AT GROSS CHARGES. A COST TO CHARGE RATIO IS APPLIED TO THE GROSS CHARGE AMOUNT WRITTEN OFF TO REPORT BAD DEBT EXPENSE AT THE COST OF PROVIDING CARE. THE ORGANIZATION DOES NOT HAVE A MEANS TO DETERMINE THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS THAT WOULD OTHERWISE BE ELIGIBLE UNDER THE ORGANIZATIONS' COMMUNITY SERVICE AND DISOUNT POLICY (THE "POLICY"/"COMMUNITY BENEFIT"). THE POLICY REQUIRES THE PATIENT GUARANTOR TO APPLY FOR COMMUNITY BENEFIT CARE. THE DETERMINANTS FOR COMMUNITY BENEFIT CARE ARE A FUNCTION OF HOUSEHOLD INCOME AND DEPENDENTS - THE APPLICANT PROCESS REQUIRES AN INCOME DECLARATION. ABSENT THE APPLICANT PROCESS FOR COMMUNITY BENEFIT CARE IT IS DIFFICULT TO DETERMINE THE AMOUNT OF BAD DEBT THAT REASONABLY COULD BE ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S CHARITY CARE POLICY. BY DEFINITION, UNCOLLECTIBLE ACCOUNTS, ARE TYPICALLY REFLECTIVE OF AN INDIVIDUALS INABILITY TO MEET THEIR FINANCIAL OBLIGATIONS - THE ORGANIZATION ASSUMES THAT APPROXIMATELY 80% OF THE AMOUNT REPORTED AS BAD DEBT COULD REASONABLY BE ATTIBUTABLE TO PATIENTS WHO WOULD LIKELY QUALIFY FOR CHARITY CARE UNDER THE ORGANIZATION'S CHARITY CARE POLICY. 2 SCHEDULE H, PART III, LINE 8 COSTING METHODOLGY UTILIZES A MODIFIED COST TO CHARGE RATIO AS APPLIED TO MEDICARE PATIENT POPULATION. CARING FOR MEDICARE PATIENTS FULFILLS A COMMUNITY NEED AND RELIEVES A GOVERNMENT BURDEN AS THESE PATIENTS TYPICALLY HAVE LOW AND /OR FIXED INCOMES. MEDICARE DOES NOT PROVIDE SUFFICIENT REIMBURSEMENT TO COVER THE COST OF PROVIDING CARE FOR THESE PATIENTS FORCING THE HOSPITAL TO USE OTHER SOURCES TO COVER THE DEFICIT. 3 SCHEDULE H, PART III, LINE 9B COLLECTION PRACTICES ARE CONSISTENT FOR ALL PATIENTS AND COMPLY WITH APPLICABLE PROVISIONS OF CALIFORNIA LAW. ENLOE MEDICAL CENTER'S COLLECTION POLICIES OUTLINE THE TYPES OF COLLECTION EFFORTS CONTRACD COLLECTIONS AGENCIES MAY/MAY NOT TAKE TO COLLECT ON PAST-DUE ACCOUNTS. (A) IT IS RECOGNIZED THAT AS PART OF THE CHARITY CARE AND DISCOUNT PROCESS, PATIENTS MAY BREAK THEIR PROMISE TO PAY FROM TIME TO TIME. (B) IN THESE INSTANCES, PATIENTS WITH PAST DUE CHARITY CARE OBLIGATIONS MAY BE REFERRED TO COLLECTION IN THE SAME MANNER AS ANY OTHER PATIENT WITH AN UNPAID PAST - DUE ACCOUNT. (C) HOWEVER, IN NO INSTANCE WILL ANY PATIENT RECEIVING COMMUNITY SERVICE UNDER THIS POLICY BE SUBJECT TO ABUSIVE TELEPHONE COLECTIONS PRACTICES, LIENS BEING PLACED ON THEIR PRIMARY RESIDENCE, WAGE GARNISHMENTS, OR INVOLUNATARY COURT HOLD ORDERS. (D) NON-PAYMENT WILL NOT BE REPORTED TO A CREDIT REPORTING AGENCY AT ANY TIME PRIOR TO 150 DAYS FROM INITIAL BILLING. 4 SCHEDULE H, PART VI, LINE 2 EMC PERFORMS A COMMUNITY NEEDS ASSESSMENT EVERY THREE YEARS IN 2007 EMC ENGAGED AN OUTSIDE PROFESSIONAL SERVICES FIRM TO COMPLETE THE SURVEY. IN 2010, EMC COMPLETED THE COMMUNITY NEEDS ASSESSMENT BY HOSTING A HEALTH SUMMIT THAT INCLUDED RELEVANT STAKEHOLDERS, INCLUDING MEMBERS AND STAFF FROM BUTTE COUNTY PUBLIC HEALTH, FACULTY FROM CALIFORNIA STATE UNIVERSITY, CHICO, LEADERS FROM ASSOCIATIONS AND SERVICE ORGANIZATIONS SERVING THE ELDERLY AND AGING POPULATION, PHYSICIANS AND OTHER COMMUNITY MEMBERS. THE PURPOSE OF THE ASSESSMENT IS TO DEVELOP INPUT FROM THE COMMUNITY SERVICED BY EMC AND TO IMPLEMENT A STRATEGY TO ADDRESS THE IDENTIFIED NEEDS. 5 SCHEDULE H, PART VI, LINE 3 EMC PROVIDES UNINSURED PATIENTS AND FAMILIES WITH ASSISTANCE IN ACCESSING FINANCIAL ASSISTANCE THROUGH EMCS PATIENT FINANCIAL SERVICES DEPARTMENT. THE DEPARTMENT EMPLOYS SPECIALTY TRAINED FINANCIAL COUNSELORS THAT ASSIST PATIENTS WITH THE APPLICANT PROCESS FOR FEDERAL AND STATE PROGRAMS, INCLUDING THE STATES MEDICAID PROGRAM MEDI-CAL; THE COUNTY MEDICAL SERVICES PROGRAM A PROGRAM THAT PROVIDES HEALTH COVERAGE FOR LOW-INCOME, INDIGENT ADULTS; AND THE STATES HEALTHY FAMILIES PROGRAM A LOW COST INSURANCE PROGRAM FOR CHILDREN AND TEENS, PROVIDING HEALTH, DENTAL AND VISION COVERAGE TO CHILDREN WHO DO NOT HAVE INSURANCE AND DO NOT QUALIFY FOR MEDI-CAL. THE FINANCIAL COUNSELORS ALSO ASSIST PATIENT FAMILIES WITH THE BENEFITS OR FINANCIAL ASSISTANCE AVAILABLE THROUGH EMCS COMMUNITY SERVICE AND DISCOUNT POLICY. THE INFORMATION ON THE ELIGIBILITY FOR ASSISTANCE IS PROVIDED AT THE TIME OF REGISTRATION AND NO LATER THAN AT THE TIME OF DISCHARGE. BILLING NOTICES TO UNINSURED PATIENTS INCLUDE CONTACT INFORMATION FOR MEDI-CAL AND THE FINANCIAL COUNSELORS SUPPORTING THE COMMUNITY SERVICE AND DISCOUNT POLICY AND APPLICANT PROCESS. EMC ALSO POSTS NOTICES REGARDING THE AVAILABILITY OF THE COMMUNITY SERVICE AND DISCOUNT POLICY IN ALL PATIENT REGISTRATION AREAS, IN PATIENT HANDBOOKS AND PUBLICATIONS, AT THE FINANCIAL COUNSELOR OFFICE AND ON EMCS WEBSITE. THE NOTICES ARE AVAILABLE IN THE LANGUAGES REPRESENTED BY ITS PATIENT POPULATION. A TOLL-FREE TELEPHONE NUMBER IS AVAILABLE TO ASSIST PERSONS WITH THE PROCESS. 6 SCHEDULE H, PART VI, LINE 4 EMC IS A COMMUNITY-OWNED, NOT-FOR-PROFIT, 298-BED SYSTEM, LOCATED IN CHICO, CALIFORNIA NORTHERN CALIFORNIA; AND LOCATED APPROXIMATELY 90 MILES NORTH OF SACRAMENTO. EMC PROVIDES A COMPREHENSIVE ARRAY OF INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO NEARLY 400,000 RESIDENTS OF A SIX-COUNTY REGION OF NORTHERN CALIFORNIA. CHICO IS HOME TO APPROXIMATELY 107,000 PEOPLE; INCLUDING ROUGHLY 17,000 STUDENTS AT CALIFORNIA STATE UNIVERSITY CHICO. EMC IS THE LARGEST MEDICAL CENTER IN THE REGION AND IS ONLY ONE OF TWO LEVEL II TRAUMA CENTERS BETWEEN SACRAMENTO AND THE OREGON BORDER. THE SIZE AS WELL AS THE EXTREME DIVERSITY OF THE SOCIO-ECONOMICS, DEMOGRAPHICS AND GEOGRAPHY WITHIN OUR SERVICE AREA REQUIRES THAT WE OFFER FULL CONTINUUM OF HEALTH SERVICES RANGING FROM PREVENTATIVE EDUCATION AND OUTPATIENT SERVICES TO ACUTE CARE, BEHAVIORAL HEALTH, INPATIENT REHABILITATION AND HOME HEALTH AND HOSPICE SERVICES. SERVING A SIX-COUNTY REGION IN NORTHERN CALIFORNIA, WE PROVIDE QUALITY, COMPASSIONATE, COST-EFFECTIVE CARE TO THE PATIENT POPULATION IT SERVES. 7 SCHEDULE H, PART VI, LINE 5 EMC'S GOVERNING BOARD OF TRUSTEES IS COMPRISED OF PERSONS WHO RESIDE IN THE SERVICE AREA OF EMC. EMC EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS. THE STRATEGIC PRIORITIES OF EMC INCLUDE EMPLOYEE ENGAGEMENT, QUALITY AND PATIENT EXPERIENCE, PHYSICIAN-HOSPITAL ALIGNMENT AND FINANCIAL STEWARDSHIP. EMCS STRATEGIC PLAN INCLUDES THE EXPANSION OF HOSPITAL SERVICES TO MEET THE FUTURE HEALTH CARE NEEDS OF THE COMMUNITY AND MEETING THE STATES SEISMIC REQUIREMENTS. INCLUDED IN THIS PLAN IS THE CONSTRUCTION OF A FIVE-STORY PATIENT TOWER (COMPLETION EXPECTED IN 2012); INCLUDING A SINGLE-STORY SURGERY CENTER; A SINGLE-STORY TRAUMA CENTER; AND A PARKING STRUCTURE (STRUCTURE COMPLETED IN 2008). EMC CONTINUES TO INVEST IN NEEDED MEDICAL TECHNOLOGY, MEDICAL EQUIPMENT AND INFORMATION SYSTEMS, ITS PEOPLE AND PHYSICIANS. PROGRAM PRIORITIES OF EMC ARE BALANCED WITH AVAILABLE RESOURCES PROVIDING FOR CURRENT OPERATIONS WHILE INSURING THE LONG-TERM FINANCIAL HEALTH OF EMC. 8 SCHEDULE H, PART VI, LINE 7 ENLOE MEDICAL CENTER FILES A COMMUNITY BENEFIT REPORT WITH CALIFORNIA. 9 SCHEDULE H, PART 1, LINE 7, COLUMN (F) THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $31,120,635. 10 Sch. H, Part V, Line 3 Focus groups included community and nonprofit leaders. Public health departments, behavioral health facility and several other organizations included input from persons who represent the community served by the hospital. Several individuals in the focus groups had specialized knowledge of or expertise in public health. 11 Sch. H, Part V, Line 5 www.enloe.org/about_us/documents/emc_FY13_chna_web.pdf 12 Schedule H, Part V, Line 6 Website address for implementation strategy: www.enloe.org/about_us/documents/EMC_FY13_CHNA_WEB.PDF 13 Schedule H, Part V, Line 4 Hospital facilities that participated (partnered with the Butte County Public Health Department) in the Community Health Needs Assessment: Biggs-Gridley Memorial Hospital Feather River Hospital Butte County Public Health Department true BUTTE COMMUNITY COLLEGE DISTRICT 3536 BUTTE CAMPUS DRIVE OROVILLE CA 95965 911637174 501(C)(3) 65588 GENERAL FUNDING CALIFORNIA UNIVERSITY FOUNDATION 401 W 1ST ST CHICO CA 95929 951230865 501(C)(3) 20000 GENERAL FUNDING 2 1 SCHEDULE I, PART I, LINE 2 FUNDING IS GIVEN IN TWO WAYS: DIRECTLY TO OTHER NONPROFIT ORGANIZATIONS AS UNRYSTRICTED DONATIONS OR TO COVER EXPENSES THAT MEET THE FUND'S RESTRICTED PURPOSE. X X X X X false true false false false false false false false MIKE WILTERMOOD 428001 0 0 86370 0 14700 0 4074 0 533145 0 0 0 MYRON MACHULA 267288 0 0 1569 0 7270 0 2263 0 278390 0 0 0 MARCIA N GALL MD 222402 0 0 18025 0 14566 0 2994 0 257987 0 0 0 CONNIE ROWE 230055 0 0 16870 0 14700 0 2263 0 263888 0 0 0 AARON WOOD 205723 0 0 20389 0 5689 0 2874 0 234675 0 0 0 CAROL LINSCHEID 209896 0 0 20262 0 13824 0 1014 0 244996 0 0 0 LAURA HENNUM 214121 0 0 11754 0 11553 0 1474 0 238902 0 0 0 CHRIST KOKINOS 279945 0 0 644 0 14700 0 7874 0 303163 0 0 0 DANNIE K HATCHER 188194 0 0 621 0 11589 0 4954 0 205358 0 0 0 DANNY ABIFADEL 186148 0 0 13066 0 11172 0 60 0 210446 0 0 0 RUPESH D KANJI 215023 0 0 6609 0 11863 0 60 0 233555 0 0 0 QUIET K NCUBE 194642 0 0 849 0 8251 0 2874 0 206616 0 0 0 1 SCHEDULE J, PART I, LINE 4B ENLOE MEDICAL CENTER PROVIDES FOR AN EXECUTIVE BENEFIT PLAN. PARTICIPANTS ARE PROVIDED A FIXED PERCENTAGE OF THEIR BASE SALARY USED TO PURCHASE BASIC (HEALTH, DENTAL, VISION AND OTHER BENEFITS) AND SUPPLEMENTAL BENEFITS (DISABILITY INSURANCE, LIFE INSURANCE) AND OTHER FLEXIBLE BENEFIT OPTIONS WITH THE BALANCE AVAILABLE FOR A TAX DEFERRED CONTRIBUTION IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AS DESCRIBED IN SECTION 457 (F) OF THE INTERNAL REVENUE CODE. THE FOLLOWING INDIVIDUALS RECEIVED FROM THE PLAN: MIKE WILTERMOOD $66,931 CONNIE ROW $15,851 AARON WOOD $19,801 CAROL LINSCHEID $18,029 LAURA HENNUM $11,039 A CA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY 680164610 130795WHS 2008-08-20 68915000 REDEMPTION OF 1998 BOND false false false B CA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY 680164610 130795XG7 2008-08-20 170244759 CONSTRUCTION AND EQUIPING FACILITY false false false A 13635 0 69528444 5048513 0 0 0 1009273 2211063 0 0 0 true false true true B 95000 0 181950183 12289227 29975516 0 0 10705387 8376353 120603700 0 0 false false false true A 0 B false false false true true 0 false false false true A false true false false false false 0 false 0 false true B false true false false false false 0 true NATIX FUNDING CORP 3.6 true false true A true B true SEE PART V 1 SCHEDULE L, PART IV NAME OF INTERESTED PERSON: PATHOLOGY SCIENCES MEDICAL GROUP, PC RELATIONSHIP: TRUSTEE OWNERSHIP AMOUNT: 914,913 DESCRIPTION OF TRANSACTION: PATHOLOGY SERVICES SHARING OF REVENUES: NO ENLOE MEDICAL CENTER (EMC) MAINTAINS A PROFESSIONAL COVERAGE AND ADMINISTRATIVE SERVICES AGREEMENT WITH PATHOLOGY SCIENCES MEDICAL GROUP, A PROFESSIONAL MEDICAL CORPORATION (CORPORATION), TO ENSURE THE AVAILABILITY OF SERVICES FOR PATIENTS OF PATHOLOGY SERVICES. TRUSTEE, JAMES BOICE, MD, IS A SHAREHOLDER OF THE CORPORATION. EMC PAID THE CORPORATION $914,913. 2 SCHEDULE L, PART IV NAME OF INTERESTED PERSON: DBA CHICO HOSPITALIST GROUP RELATIONSHIP: TRUSTEE OWNERSHIP AMOUNT: 2,156,994 DESCRIPTION OF TRANSACTION: HOSPITALIST GROUP SHARING OF REVENUES: NO 3 SCHEDULE L, PART IV NAME OF INTERESTED PERSON: MONROE SPRAGUE, MD RELATIONSHIP: TRUSTEE AMOUNT: 431,652 DESCRIPTION OF TRANSACTION: PROFESSIONAL SERVICES - CLINIC SHARING OF REVENUES: NO 4 SCHEDULE L, PART IV NAME OF INTERESTED PERSON: CHICO EMERGENCY PHYS MEDICAL GROUP, INC. RELATIONSHIP: TRUSTEE OWNERSHIP AMOUNT: 7,021,095 DESCRIPTION OF TRANSACTION: EMERGENCY MEDICINE SHARING OF REVENUES: NO ENLOE MEDICAL CENTER (EMC) MAINTAINS A PROFESSIONAL SERVICES AGREEMENT WITH A PROFESSIONAL MEDICAL CORPORATION, CHICO EMERGENCY PHYSICIAN MEDICAL GROUP, INC., (MEDICAL GROUP), TO PROVIDE THE SPECIALTY OF EMERGENCY MEDICINE FOR THE HOSPITAL'S EMERGENCY DEPARTMENT. TRUSTEE CHARLES MERRIMAN, MD, IS A PHYSICIAN OWNER AND PROVIDER OF/FOR THE MEDICAL GROUP. EMC PAID THE MEDICAL GROUP $7,021,095. 1 FORM 990, PART VI, LINE 11B THE FORM 990 IS PROVIDED TO EMC'S GOVERNING BODY WHERE IT IS REVIEWED AND MADE AVAILABLE FOR COMMENT PRIOR TO THE FILING DATE. THE REVIEW PROCESS INCLUDES MULTIPLE LEVELS OF REVIEW, INCLUDING KEY CORPORATE FINANCE DEPARTMENT PERSONNEL AND SENIOR EXECUTIVES, INCLUDING THE DIRECTOR OF FINANCE AND VICE PRESIDENT/CHIEF FINANCIAL OFFICER AND CHIEF EXECUTIVE OFFICER. ADDITIONALLY, EMC CONTRACTS WITH BKD, LLP, A CPA AND ADVISORY FIRM, FOR PREPARATION AND REVIEW OF THE FORM 990. 2 FORM 990, PART VI, LINE 12C EMC IS COMMITTED TO PREVENTING ANY PARTICIPANT OF EMC FROM GAINING ANY PERSONAL BENEFIT FROM INFORMATION RECEIVED OR FROM ANY TRANSACTION OF EMC. EMC MAINTAINS A WRITTEN CONFLICT OF INTEREST POLICY THAT REQUIRES ANY INTERESTED PERSON TO SUBMIT A CONFLICT OF INTEREST STATEMENT ANNUALLY TO THE COMPLIANCE OFFICER. EMC DEFINES AN INTERESTED PERSON AS ANY DIRECTOR, TRUSTEE, PRINCIPAL OFFICER, CONTRACTED PHYSICIAN OR MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS THAT HAS A DIRECT OR INDIRECT FINANCIAL INTEREST, OR OUTSIDE INTEREST OR ACTIVE INTEREST. A FINANCIAL INTEREST IS BASED ON IF THE PERSON, DIRECTLY OR INDIRECTLY, THROUGH BUSINESS, INVESTMENT OR IMMEDIATE FAMILY HAS AN OWNERSHIP OR INVESTMENT INTEREST IN ANY ENTITY WITH WHICH EMC HAS A TRANSACTION OR ARRANGEMENT, OR A COMPENSATION ARRANGEMENT WITH ANY ENTITY OR INDIVIDUAL WITH WHICH THE ORGANIZATION HAS A TRANSACTION OR ARRANGEMENT, OR A POTENTIAL OWNERSHIP OR INVESTMENT INTEREST IN, OR COMPENSATION ARRANGEMENT WITH ANY ENTITY OR INDIVIDUAL WITH WHICH EMC IS NEGOTIATING A TRANSACTION OR ARRANGEMENT. EACH BOARD MEMBER, OFFICER, MEMBER OF A BOARD COMMITTEE (COMMITTEE) AND CONTRACT PHYSICIAN IS REQUIRED TO ANNUALLY SIGN A CONFLICTS OF INTEREST ANNUAL STATEMENT WHICH AFFIRMS THAT SUCH PERSON HAS (I) RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, (II) HAS READ AND UNDERSTANDS THE POLICY, (III) AGREES TO COMPLY WITH THE POLICY AND (IV) HAS DISCLOSED ALL REAL AND POTENTIAL CONFLICTS. THESE STATEMENTS ARE SUBMITTED BY THE CHIEF COMPLIANCE OFFICER TO THE BOARD ON AN ANNUAL BASIS. THE MINUTES OF THE BOARD CONTAIN ALL APPROPRIATE DOCUMENTATION OF PERSONS WITH ACTUAL OR PERCEIVED CONFLICT OF INTEREST. ANY PERSON DEEMED TO BE AN INTERESTED PERSON IS RECUSED FROM DISCUSSION OR PARTICIPATION IN THE DECISION PROCESS FOR ANY CONTEMPLATED TRANSACTION OR ARRANGEMENT. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, AN INTERESTED PERSON IS REQUIRED TO DISCLOSE THE EXISTENCE AND NATURE OF ANY FINANCIAL OR OTHER INTEREST TO THE CHAIRMAN OF THE BOARD OR COMMITTEE. AFTER DISCLOSURE OF THE INTEREST AND ALL MATERIAL FACTS, INVESTIGATION AND ANY DISCUSSION WITH THE INTERESTED PERSON, THE CHAIRMAN OR RESPECTIVE COMMITTEE WILL UNDERTAKE SUCH STEPS AS NECESSARY TO DECIDE IF A CONFLICT OF INTEREST EXISTS. VIOLATIONS OF THE CONFLICTS OF INTEREST POLICY ARE SUBJECT TO THE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION, INCLUDING DISMISSAL, AT THE BOARDS DISCRETION. 3 FORM 990, PART VI, LINE 15A & B EMC IS COMMITTED TO ENSURING THAT ALL EXECUTIVE COMPENSATION DECISIONS ARE COMPETITIVE, FAIR AND EQUITABLE, SUPPORTING THE MISSION AND VALUES OF EMC, AS WELL AS IN COMPLIANCE WITH APPROPRIATE REGULATORY GUIDELINES. RESPONSIBILITY FOR DUE DILIGENCE AND THE DEVELOPMENT OF RECOMMENDATIONS REGARDING EXECUTIVE COMPENSATION RESIDES WITH THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD. THE COMMITTEE IS COMPRISED OF INDIVIDUALS INDEPENDENT OF THE MANAGEMENT OF EMC. THE KEY PRINCIPLES TO OUR COMPENSATION PHILOSOPHY ARE TO PROVIDE A REASONABLE MARKET WAGE, MAINTAIN COMPETITIVE AND INTERNALLY EQUITABLE PAY AND PROVIDE MARKET COMPETITIVE BENEFITS. EXECUTIVE COMPENSATION IS BASED ON NATIONAL AND REGIONAL DATA DEVELOPED BY NATIONALLY AND REGIONALLY RECOGNIZED ORGANIZATIONS. THE EXECUTIVE COMPENSATION COMMITTEE COMPLETES A MARKET-BASED ANALYSIS ANNUALLY. 4 FORM 990, PART VI, LINE 19 EMC MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. 5 FORM 990, PART XI, LINE 5 CHANGE IN MINIMUM PENSION LIABILITY 3,272,028 INTERCOMPANY ADJUSTMENTS (25,191) CHANGE IN ANNUITY 82,453 3,329,290 ENLOE HEALTH FOUNDATION 1531 ESPLANADE CHICO CA 95926 942985552 SUPPORT EMC CA 501(C)(3) 11B NA true CHICO PHYSICIAN PRACTICE SUPPORT SERVICE 251 COHASSET ROAD SUITE 120 CHICO CA 95926 680352993 PHYSICIAN MGM CA NA C CORP 2434031 329695 1.00000 false false false true false false false false false false false true false true true true false true CHICO PHYSICIAN PRACTICE SUPPORT SERVICES L 60000 COST