EMC HEALTH INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
EMC HEALTH INC (EIN 94-2281314)
Tax period
2012-02-01 to 2013-01-31
Filed
2014-02-15
IRS object ID
201430499349301943
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-02-15T19:20:49-06:00Timestamp
Tax Period End Date2013-01-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN861065772EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DELOITTE TAX LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1555 MISSION STREET 14TH FLOORAddressLine1
CitySAN FRANCISCOCity
StateCAState
ZIP Code94105ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-02-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN942281314EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1EMANUEL MEDICAL CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlEMANNameControl
Phone2096674200Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1825 DELBON AVENUEAddressLine1
CityTURLOCKCity
StateCAState
ZIP Code95382ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDAVID NEAPOLITANName
TitleCFOTitle
Phone2096674200Phone
Date Signed2014-02-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMICHAEL P WALTONName
PTINP00017550PTIN
Phone4157834000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Amended ReturnXAmendedReturn
Name Of Principal Officer PersonJOHN SIGSBURYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1825 DELBON AVEAddressLine1
CityTURLOCKCity
StateCAState
ZIP Code95382ZIPCode
FieldValueIRS element (for citing)
Gross Receipts235017152GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number2650GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWWW.EMANUELMED.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1974YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionOPERATING ON THE FOUNDATION OF CHRISTIAN VALUES TO CREATE A HEALTHIER COMMUNITYActivityOrMissionDescription
Nbr Voting Members Governing Body3NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees1610TotalNbrEmployees
Total Nbr Volunteers774TotalNbrVolunteers
Total Gross UBI119232TotalGrossUBI
Net Unrelated Business Txbl Income-12662NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1859201ContributionsGrantsPriorYear
Contributions Grants Current Year1114713ContributionsGrantsCurrentYear
Program Service Revenue Prior Year183195452ProgramServiceRevenuePriorYear
Program Service Revenue CY209372564ProgramServiceRevenueCY
Investment Income Prior Year42202InvestmentIncomePriorYear
Investment Income Current Year2820328InvestmentIncomeCurrentYear
Other Revenue Prior Year25714667OtherRevenuePriorYear
Other Revenue Current Year20813061OtherRevenueCurrentYear
Total Revenue Prior Year210811522TotalRevenuePriorYear
Total Revenue Current Year234120666TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year21500GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year98793993SalariesEtcPriorYear
Salaries Etc Current Year99778097SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year772350TotalFundrsngExpCurrentYear
Other Expense Prior Year105800403OtherExpensePriorYear
Other Expenses Current Year138402234OtherExpensesCurrentYear
Total Expenses Prior Year204615896TotalExpensesPriorYear
Total Expenses Current Year238180331TotalExpensesCurrentYear
Revenues Less Expenses Prior Year6195626RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-4059665RevenuesLessExpensesCY
Total Assets BOY242951901TotalAssetsBOY
Total Assets EOY238432748TotalAssetsEOY
Total Liabilities BOY131455969TotalLiabilitiesBOY
Total Liabilities EOY127261192TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY111495932NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY111171556NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionEMANUEL MEDICAL CENTER ("EMC") IS A NON-PROFIT PUBLIC BENEFIT CORPORATION. EMC'S MISSION IS TO CREATE A HEALTHIER COMMUNITY THROUGH OPERATING ON THE FOUNDATION OF CHRISTIAN VALUES; FOCUSING ON HEALTH PROMOTION AND PREVENTION OF DISEASE; (CONTINUED ON SCHEDULE O) PROVIDING SAFE, HIGH QUALITY AND COMPREHENSIVE HEALTH SERVICES FOR PATIENTS AND THEIR FAMILIES; MAINTAINING FISCAL RESPONSIBILITY TO ALLOW FOR MAINTENANCE, GROWTH AND DEVELOPMENT; AND CREATING A COLLABORATIVE PARTNERSHIP AMONG COMMUNITY HEALTH RESOURCES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense214590419Expense
Grants0Grants
Revenue228485450Revenue
DescriptionEMANUEL MEDICAL CENTER ("EMC") IS OWNED AND OPERATED BY THE EVANGELICAL COVENANT CHURCH, WHICH FOUNDED THE HOSPITAL IN 1917. TODAY OUR 403-BED MULTI-LEVEL MEDICAL CAMPUS INCLUDES A 209-BED ACUTE CARE HOSPITAL, A 145-BED SKILLED NURSING FACILITY, AND A 49-BED ASSISTED LIVING FACILITY. OUR BROAD RANGE OF SERVICES INCLUDE EMERGENCY, CRITICAL CARE, IMAGING, MEDICAL AND RADIATION ONCOLOGY, PEDIATRIC, MEDICAL, SURGICAL, BIRTH CENTER, NEONATAL INTESIVE CARE, PRIMARY CARE, WOMEN'S HEALTH, CARDIOLOGY, LABORATORY, HOSPICE, COMMUNITY EDUCATION, AND SPIRITUAL SUPPORT. AS THE ONLY HOSPITAL IN ITS PRIMARY SERVICE AREA, DURING FISCAL YEAR (FY) 2013 ENDING JANUARY 31, EMC: PROVIDED 38,593 DAYS OF ACUTE CARE; SERVED RESIDENTS WITH 49,410 DAYS OF LONG-TERM CARE; TREATED 60,635 PATIENTS IN OUR EMERGENCY ROOM; PERFORMED 5,847; SURGICAL PROCEDURES, AND DELIVERED 1,330 BABIES; SUPPORTED RESIDENTS WITH 9,338 DAYS OF ASSISTED LIVING.Description
Total Program Service Expense214590419TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096183NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1610NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members3NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Other Explain In Sch OXOtherExplainInSchO

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DAVID NEAPOLITANBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2096645000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1825 DELBON AVENUEAddressLine1
CityTURLOCKCity
StateCAState
ZIP Code95382ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
DAVID DWIGHT
DIRECTOR / CMB PRESIDENT0.0040.00X0581280129403
LAWRENCE P ANDERSON
DIRECTOR / CMB CFO0.0040.00X055060266509
ARLON WATERSON
DIRECTOR1.00X000
ART DEROOY
DIRECTOR1.00X000
BILL GIBBS
DIRECTOR1.00X000
HUY DAO DO
DIRECTOR1.00X000
JENNIFER LARSON
DIRECTOR1.00X000
JIM PALLIOS
DIRECTOR1.00X000
KATHLEEN KEARNS MD
DIRECTOR1.00X000
MARLENE STANTE
DIRECTOR1.00X000
RONALD ARAKELIAN
DIRECTOR1.00X000
TOM WILSON MD
DIRECTOR1.00X000
WADE FULLMER
DIRECTOR1.00X000
WALTER DE BRUYN
DIRECTOR1.00X000
DAVID NEAPOLITAN
CHIEF FINANCIAL OFFICER40.00273867052303X
JOHN SIGSBURY
PRESIDENT0.0040.00077019586879X
DAVID CANTON MD
VP MEDICAL AFFAIRS40.00403589030568X
CONSTANCE FAIRCHILDS
VP NURSING SERVICES40.00352679037602X
LINDA STUHMER
VP LEGAL COUNCIL40.00291815051610X
MICHAEL ILTIS
VP PROFESSIONAL SERVICES40.00285513048298X
TERRENCE GRAY
VP HUMAN RESOURCES40.00257991027572X
SHIRLEY POK
VP DEVELOPMENT40.00243524037748X
KATHLEEN DELIKOWSKI
OPERATIONS MANAGER40.0015653105000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2265509TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1902077TotalReportableCompFrmRltdOrgs
Total Other Compensation573492TotalOtherCompensation
Number Individuals GT100 K144NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
TURLOCK ANESTHESIA MEDICAL GROUP
825 DELBON AVENUETURLOCKCA95382MEDICAL SERVICES1978653
SOFTSCRIPT INC
2444 WILSHIRE BOULEVARD SUITE 280SANTA MONICACA90403TRANSCRIPTION SRVS1445589
VALLEY EMERGENCY PHYSICIANS
1990 N CALIFORNIA BOULEVARDWALNUT CREEKCA94596MEDICAL SERVICES1281000
FOCUS ONE SOLUTIONS LLC
13609 CALIFORNIA STREET STE 300OMAHANE68154CONTRACT LABOR1266513
KAUFMAN HALL & ASSOCIATES INC
5202 OLD ORCHARD ROAD SUITE 700SKOKIEIL60077CONSULTING995477
FieldValueIRS element (for citing)
Number Of Contractors GT100 K54NumberOfContractorsGT100K
Fundraising Events22890FundraisingEvents
All Other Contributions1091823AllOtherContributions
Noncash Contributions95597NoncashContributions
Total Contributions1114713TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT REVENUE621300101750705101750705
MEDICARE6213006594364165943641
MEDICAID6213004167821841678218
FieldValueIRS element (for citing)
Total Program Service Revenue209372564TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column636192TotalRevenueColumn
Exclusion$636,192ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1080674Real
Personal165313Personal

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real585862Real
Personal0Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real494812Real
Personal165313Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column660125TotalRevenueColumn
Exclusion$660,125ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2302409Securities
Other67703Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities
Other185976Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities2302409Securities
Other-118273Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2184136TotalRevenueColumn
Exclusion$2,184,136ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events321420GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events22890CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses124648FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column196772TotalRevenueColumn
Exclusion$196,772ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmountUnrelated Business RevenueUnrelatedBusinessRevenue
MINIMUM VOLUME AGREEMENT9000991657518616575186
CAFETERIA SALES722212724046$724,046
MEDICAL BILLING SVCS900099119232119232

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column2537700TotalRevenueColumn
Related Or Exempt Function Income2537700RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue19956164TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column234120666TotalRevenueColumn
Related Or Exempt Function Income228485450RelatedOrExemptFunctionIncome
Unrelated Business Revenue119232UnrelatedBusinessRevenue
Exclusion$4,401,271ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2352579Total
Program Services1262608ProgramServices
Management And General846837ManagementAndGeneral
Fundraising243134Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total70248933Total
Program Services64433651ProgramServices
Management And General5528416ManagementAndGeneral
Fundraising286866Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2196972Total
Program Services2009755ProgramServices
Management And General187217ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total19313087Total
Program Services17944539ProgramServices
Management And General1368548ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total5666526Total
Program Services5318451ProgramServices
Management And General313204ManagementAndGeneral
Fundraising34871Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total2106535Total
Management And General2106535ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1121726Total
Program Services40762ProgramServices
Management And General1080964ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total264533Total
Management And General264533ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total335178Total
Management And General335178ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1161653Total
Program Services878944ProgramServices
Management And General259139ManagementAndGeneral
Fundraising23570Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2033411Total
Management And General2033411ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1789816Total
Program Services1556062ProgramServices
Management And General233754ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total117787Total
Program Services56634ProgramServices
Management And General60695ManagementAndGeneral
Fundraising458Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total156214Total
Program Services118934ProgramServices
Management And General33413ManagementAndGeneral
Fundraising3867Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total5062078Total
Program Services4792335ProgramServices
Management And General269743ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total9961599Total
Program Services6967372ProgramServices
Management And General2992520ManagementAndGeneral
Fundraising1707Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total728922Total
Management And General728922ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
BAD DEBT EXPENSE3884123138841231
MEDICAL/OTHER SUPPLIES292841802915103011944313707
PURCHASED SERVICES12125051105052281503272116551
PROFESSIONAL FEES1763750167731086440

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total31548570Total
Program Services29035573ProgramServices
Management And General2465378ManagementAndGeneral
Fundraising47619Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total238180331Total
Program Services214590419ProgramServices
Management And General22817562ManagementAndGeneral
Fundraising772350Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY6214651BOY
EOY6206998EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1520043BOY
EOY1474486EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY788563BOY
EOY274661EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY34948316BOY
EOY31073388EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY2937381BOY
EOY1936256EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3135932BOY
EOY3120572EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1631461BOY
EOY1173950EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis192586562LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec96204913LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY96705865BOY
EOY96381649EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY56126751BOY
EOY62679436EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY38942938BOY
EOY34111352EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY242951901BOY
EOY238432748EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY21537272BOY
EOY20030767EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY92231169BOY
EOY90251561EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY7470984BOY
EOY4222281EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY10216544BOY
EOY12756583EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY131455969BOY
EOY127261192EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY105302699BOY
EOY105256033EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2006027BOY
EOY1673154EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY4187206BOY
EOY4242369EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY111495932BOY
EOY111171556EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY242951901BOY
EOY238432748EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-4059665ReconcilationRevenueExpenses
Reconciliation Unrealized Invest3735289ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations1GrantsOtherOrganizations
Grants Other Organizations$13,863GrantsOtherOrganizationsAmount
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB13863TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationEMANUEL MEDICAL CENTER CONTRIBUTED $13,863 TO CALIFORNIA HOSPITALS COMMITTEE ON ISSUES (CHCI) SPONSORED BY CALIFORNIA ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS (CAHHS) IN 2012 TO SUPPORT LOBBYING ACTIVITIES.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance4680286BeginningOfYearBalance
Contributions55163Contributions
Investment Earnings Or Losses320958InvestmentEarningsOrLosses
Other Expenditures12301OtherExpenditures
End Of Year Balance5044106EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance4659235BeginningOfYearBalance
Contributions-9971Contributions
Investment Earnings Or Losses52522InvestmentEarningsOrLosses
Grants Or Scholarships21500GrantsOrScholarships
End Of Year Balance4680286EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance4306565BeginningOfYearBalance
Contributions-18254Contributions
Investment Earnings Or Losses290699InvestmentEarningsOrLosses
Grants Or Scholarships10750GrantsOrScholarships
Other Expenditures-90975OtherExpenditures
End Of Year Balance4659235EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2385000BeginningOfYearBalance
Contributions1921884Contributions
Investment Earnings Or Losses29195InvestmentEarningsOrLosses
Other Expenditures29514OtherExpenditures
End Of Year Balance4306565EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1104000BeginningOfYearBalance
Contributions1281000Contributions
Investment Earnings Or Losses33763InvestmentEarningsOrLosses
Other Expenditures33763OtherExpenditures
End Of Year Balance2385000EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis141650InvestmentCostOrOtherBasis
Other Cost Or Other Basis1367081OtherCostOrOtherBasis
Book Value1508731BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis67882435OtherCostOrOtherBasis
Depreciation24848225Depreciation
Book Value43034210BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2130939OtherCostOrOtherBasis
Depreciation1414005Depreciation
Book Value716934BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis75301637OtherCostOrOtherBasis
Depreciation51704094Depreciation
Book Value23597543BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis775502InvestmentCostOrOtherBasis
Other Cost Or Other Basis44987318OtherCostOrOtherBasis
Depreciation18238589Depreciation
Book Value27524231BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings96381649TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
OTHER RECEIVABLES18963118
TRUSTEE HELD FUNDS7504709
OTHER ASSETS7643525
FieldValueIRS element (for citing)
Total Book Value Other Assets34111352TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
KAISER PREPAID REVENUE$4,087,422
EMC WORKERS COMPENSATION$4,900,232
OTHER CURRENT LIABILITIES$3,768,929
FieldValueIRS element (for citing)
Total Of Amounts12756583TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt198201000TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments3735289NetUnrealizedGainsInvestments
Revenue Not Rptd F9903735289RevenueNotRptdF990
Revenue Subtotal194465711RevenueSubtotal
Other Revenues Not Included39654955OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt39654955RevenueNotRptdOnFinStmt
Total Revenue Per Form990234120666TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt198595000TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal198595000ExpensesSubtotal
Other Expenses Not Included39585331OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt39585331ExpensesNotRptdOnFinStmt
Total Expenses Per Form990238180331TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:INCOME FROM PERMANENTLY RESTRICTED FUNDS IS RESTRICTED PRIMARILY FOR CANCER RESEARCH AND NURSING SCHOLARSHIPS.
PART XI, LINE 4B - OTHER ADJUSTMENTS:RECLASS BAD DEBT EXPENSE 38,841,231. RECLASS OTHER EXPENSES 744,100. NET ASSETS RELEASED FROM RESTRICTION 69,624.
PART XII, LINE 4B - OTHER ADJUSTMENTS:RECLASS BAD DEBT EXPENSE 38,841,231. RECLASS OTHER EXPENSES 744,100.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1FESTIVAL OF TREESNameOfEvent1
Gross Receipts Event1344310GrossReceiptsEvent1
Charitable Contributions Event122890CharitableContributionsEvent1
Gross Revenue Event1321420GrossRevenueEvent1
Rent Facility Costs Event111360RentFacilityCostsEvent1
Entertainment Event12500EntertainmentEvent1
Other Direct Expenses Event1110788OtherDirectExpensesEvent1
Gross Receipts Total344310GrossReceiptsTotal
Charitable Contributions Total22890CharitableContributionsTotal
Gross Revenue Total Events321420GrossRevenueTotalEvents
Rent Facility Costs Total Events11360RentFacilityCostsTotalEvents
Entertainment Total Events2500EntertainmentTotalEvents
Other Direct Expenses Total Events110788OtherDirectExpensesTotalEvents
Direct Expense Summary Events124648DirectExpenseSummaryEvents
Net Income Summary196772NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage201.000000000000DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served2321PersonsServed
Total Community Benefit Expense7562340TotalCommunityBenefitExpense
Net Community Benefit Expense7562340NetCommunityBenefitExpense
Percent Of Total Expense0.03180PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served41351PersonsServed
Total Community Benefit Expense50073382TotalCommunityBenefitExpense
Direct Offsetting Revenue22650694DirectOffsettingRevenue
Net Community Benefit Expense27422688NetCommunityBenefitExpense
Percent Of Total Expense0.11510PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served43672PersonsServed
Total Community Benefit Expense57635722TotalCommunityBenefitExpense
Direct Offsetting Revenue22650694DirectOffsettingRevenue
Net Community Benefit Expense34985028NetCommunityBenefitExpense
Percent Of Total Expense0.14690PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Persons Served8183PersonsServed
Total Community Benefit Expense10033060TotalCommunityBenefitExpense
Direct Offsetting Revenue3569885DirectOffsettingRevenue
Net Community Benefit Expense6463175NetCommunityBenefitExpense
Percent Of Total Expense0.02710PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Persons Served8183PersonsServed
Total Community Benefit Expense10033060TotalCommunityBenefitExpense
Direct Offsetting Revenue3569885DirectOffsettingRevenue
Net Community Benefit Expense6463175NetCommunityBenefitExpense
Percent Of Total Expense0.02710PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Persons Served51855PersonsServed
Total Community Benefit Expense67668782TotalCommunityBenefitExpense
Direct Offsetting Revenue26220579DirectOffsettingRevenue
Net Community Benefit Expense41448203NetCommunityBenefitExpense
Percent Of Total Expense0.17400PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense4464000TotalCommunityBuildingExpense
Net Community Building Expense4464000NetCommunityBuildingExpense
Percent Of Total Expense0.01870PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense1394000TotalCommunityBuildingExpense
Net Community Building Expense1394000NetCommunityBuildingExpense
Percent Of Total Expense0.00590PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense5858000TotalCommunityBuildingExpense
Net Community Building Expense5858000NetCommunityBuildingExpense
Percent Of Total Expense0.02460PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$38,841,231BadDebtExpenseAmount
Amount Reimbursed By Medicare53522740AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare67794629CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-14271889MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1EMANUEL MEDICAL CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1825 DELBON AVENUEAddressLine1
CityTURLOCKCity
StateCAState
ZIP Code95382ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours
OtherOUTPATIENT SERVICESOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1EMANUEL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent350.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Actions On Nonpayment0ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Medicare RateXMedicareRate
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
PART I, LINE 3C: EMC USES FPG AND HAS A CHARITY CARE POLICY TO DETERMINE ELIGIBILITY FOR CHARITY OR DISCOUNTED CARE.
PART I, LINE 6A: COVENANT MINISTRIES OF BENEVOLENCE5145 N CALIFORNIA AVENUECHICAGO, IL 60625
PART I, LINE 7G: EMC OPERATES 1206(D) CLINICS THAT PROVIDE PRIMARY CARE AND HEALTH SERVICES TO LOW INCOME FAMILIES AND COMMUNITIES.
PART II: COMMUNITY BUILDING ACTIVITIES:LEADERSHIP DEVELOPMENT AND TRAINING: EMANUEL MEDICAL CENTER PROVIDED THE OPPORTUNITY FOR STUDENTS IN THE HEALTH CARE FIELDS TO LEARN IN OUR FACILITY FREE OF CHARGE. THE EDUCATION DEPARTMENT COORDINATED CLINICAL ROTATIONS AND PROVIDED ORIENTATIONS FOR NURSING STUDENTS AND HIGH SCHOOL REGIONAL OCCUPATIONAL PROGRAM (ROP) STUDENTS. STAFF THAT WORK WITH THESE STUDENTS PROVIDE ONE-ON-ONE ATTENTION AND TEACHING THROUGHOUT THE STUDENTS' EXPERIENCE HERE. IN THE 2012 SCHOOL YEAR, A TOTAL OF APPROXIMATELY 20 ROP HIGH SCHOOL STUDENTS FROM TURLOCK AND HILMAR WERE EACH PROVIDED 150 - 200 HOURS OF EXPERIENCE IN PATIENT CARE OR ADMINISTRATIVE AREAS. IN THE SPRING AND FALL SEMESTERS OF 2012, APPROXIMATELY 125 TOTAL NURSING STUDENTS EACH COMPLETED AN AVERAGE OF 100 HOURS OF CLINICAL ROTATIONS AT OUR FACILITY. ASIDE FROM THE LARGE AMOUNT OF TIME THAT STAFF MEMBERS SPEND WITH STUDENTS, THE EDUCATION DEPARTMENT ITSELF PROVIDED APPROXIMATELY 200 HOURS OF TIME DEVOTED TO COORDINATION AND ORIENTATION FOR THESE STUDENTS.
PART III, LINE 4: BAD DEBT EXPENSE OF $38,841,231 WAS SUBTRACTED FROM TOTAL EXPENSES FOR PURPOSES OF CALCULATING THE PERCENTAGES IN PART I, LINE 7.EMC SEPARATES CHARITY CARE EXPENSES FROM BAD DEBT EXPENSES ON THE FINANCIAL STATEMENTS AND DOES NOT INCLUDE BAD DEBT EXPENSE IN CHARITY CARE. BAD DEBT EXPENSES ARE RECORDED FOR SELF-PAY PATIENT ACCOUNTS THAT ARE NOT QUALIFIED FOR CHARITY CARE AND ARE NOT COLLECTIBLE FOR SERVICES PROVIDED BY EMC. THE COST METHODOLOGY FOR BAD DEBT EXPENSE IS BASED ON COST-TO-CHARGE RATIO.
PART III, LINE 8: THE MEDICARE SHORTFALL OF $14,271,889 REPORTED ON LINE 7 REPRESENTS THE UNREIMBURSED COST OF CARE PROVIDED TO MEDICARE PATIENTS. THE ENTIRE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT BECAUSE THESE LOSSES ARE THE RESULT OF PROVIDING A PUBLIC SERVICE AND REDUCE THE BURDEN OF THE FEDERAL GOVERNMENT.
PART III, LINE 9B: EMC HAS A CHARITY CARE POLICY TO PROVIDE PATIENT CARE FOR ALL PATIENTS REGARDLESS OF ABILITY TO PAY. FINANCIAL ASSISTANCE IS EXTENDED IN ACCORDANCE WITH AB774 AND THE MISSION AND VALUES OF THE HOSPITAL.
PART VI, LINE 2: TO ASSESS HEALTH CARE NEEDS IN EMC'S SERVICE AREA,WE RELY ON THE "STANISLAUS COUNTY COMMUNITY HEALTH ASSESSMENT" PREPAREDAND PUBLISHED REGULARLY BY THE STANISLAUS COUNTY HEALTH SERVICES AGENCY.IN PREPARING THE MOST RECENT ASSESSMENT, THE STANISLAUS COUNTY COMMUNITY HEALTH ASSESSMENT STEERING COMMITTEE DEVELOPED MORE THAN 75 QUALITY-OF-LIFE INDICATORS; INDICATORS THAT ARE UNDERSTANDABLE TO THE GENERAL USER AND THE PUBLIC, THAT RESPOND QUICKLY AND NOTICEABLY TO REAL CHANGES, THAT ARE RELEVANT FOR POLICY DECISIONS, AND THAT ARE AVAILABLE ANNUALLY.IN PREPARING ITS ASSESSMENT, THE ASSESSMENT STEERING COMMITTEE GATHERED PRIMARY DATA FROM A FACE-TO-FACE SURVEY OF MORE THAN 2,800 STANISLAUS COUNTY RESIDENTS AND USED A NUMBER OF SECONDARY DATA SOURCES INCLUDING THE U.S. CENSUS BUREAU'S AMERICAN COMMUNITY SURVEY; THE CENTERS FOR DISEASE CONTROL AND PREVENTION'S BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM; THE CALIFORNIA HEALTH INTERVIEW SURVEYS FOR 2001, 2003 AND 2005; THE CALIFORNIA HEALTHY KIDS SURVEY; AND THE HEALTHY PEOPLE 2010 OBJECTIVES.
PART VI, LINE 3: EMC'S CHARITY CARE POLICY IS COMMUNICATED TO EVERY PATIENT THROUGH PROCEDURES SPELLED OUT IN THE POLICY ITSELF. THOSE REQUIREMENTS INCLUDE THE FOLLOWING:1. EVERY PATIENT IS BEING PRESENTED, AT TIME OF SERVICE, WITH NOTICE (IN APPROPRIATE LANGUAGE) REGARDING THE AB774 DISCOUNT/CHARITY CARE PROGRAM. PATIENTS WILL BE ASKED TO SIGN AN ACKNOWLEDGEMENT ATTESTING THAT NOTICE OF PROGRAM AND OFFER OF APPLICATIONS HAS TRANSPIRED.2. A FOLLOW-UP NOTICE REGARDING THE AB774 DISCOUNT/CHARITY CARE PROGRAM IS INCLUDED WITH FIRST BILLING FOR SERVICES. A PLAIN LANGUAGE SUMMARY OF PATIENT RIGHTS PURSUANT TO SB350 IS INCLUDED IN THIS NOTICE.EMC HAS FINANCIAL COUNSELORS AND ELIGIBILITY ASSISTANCE REPRESENTATIVES WHO ASSIST PATIENTS WITH IDENTIFYING AND FACILITATING THE APPLICATION PROCESS FOR VARIOUS FINANCIAL ASSISTANCE OPTIONS INCLUDING THOSE AVAILABLE TO QUALIFYING PATIENTS VIA THE FEDERAL AND STATE GOVERNMENT.
PART VI, LINE 4: EMC SERVES THE CITY OF TURLOCK AND A NUMBER OF SMALLER COMMUNITIES SURROUNDING IT IN SOUTHERN STANISLAUS AND NORTHERN MERCED COUNTIES. THIS AREA IS LOCATED IN THE HEART OF CALIFORNIA'S CENTRAL VALLEY AND IS GENERALLY MORE RURAL, AGRICULTURAL, ETHNICALLY DIVERSE AND ECONOMICALLY DISADVANTAGED THAN CALIFORNIA AS A WHOLE. OUR PRIMARY SERVICE COMMUNITIES ARE: TURLOCK, CERES, DELHI, DENAIR, HILMAR, KEYES, LIVINGSTON, ATWATER, WINTON AND STEVINSON. BELOW ARE KEY DEMOGRAPHICS FROM THE U.S. CENSUS BUREAU QUICKFACTS FOR STANISLAUS COUNTY, MERCED COUNTY AND THE CITY OF TURLOCK: PEOPLE QUICKFACTS (STANILAUS) STANISLAUS COUNTY CALIFORNIAPOPULATION, 2012 ESTIMATE 521,726 38,041,430POPULATION 2010 (APRIL 1) ESTIMATE BASE 514,451 37,253,956POPULATION, PERCENT CHANGEAPRIL 1, 2010 TO JULY 1, 2012 1.4% 2.1%PERSONS UNDER 5 YEARS OLD, PERCENT, 2012 7.6% 6.7%PERSONS UNDER 18 YEARS OLD, PERCENT, 2012 27.9% 24.3%PERSONS 65 YEARS OLD AND OVER, PERCENT, 2012 11.3% 12.1%FEMALE PERSONS, PERCENT, 2012 50.5% 50.3%WHITE PERSONS, PERCENT, 2012 84.4% 73.7%BLACK PERSONS, PERCENT, 2012 3.2% 6.6%AMERICAN INDIAN & ALASKA NATIVE, PERCENT, 2012 1.9% 1.7%ASIAN PERSONS, PERCENT, 2012 5.7% 13.9%NATIVE HAWAIIAN & PACIFIC ISLANDER, PERCENT, 2012 0.9% 0.5%TWO OR MORE RACES, PERCENT, 2012 3.8% 3.6%HISPANIC OR LATINO, PERCENT, 2012 43.0% 38.2%WHITE PERSONS NOT HISPANIC, PERCENT, 2012 45.6% 39.4%LIVING IN SAME HOUSE 1 YEAR AND OVER, PERCENT 81.1% 84.2% FOREIGN BORN PERSONS, PERCENT, 2007-2011 20.5% 27.2%LANGUAGE OTHER THAN ENGLISH SPOKENAT HOME, PCT AGE 5+, 2007-2011 40.5% 43.2%HIGH SCHOOL GRADUATES, PERCENT OFPERSONS AGE 25+, 2007-2011 75.6% 80.8%BACHELOR'S DEGREE OR HIGHER, PCT OFPERSONS AGE 25+, 2007-2011 16.4% 30.2%VETERANS 2007- 2011 27,383 1,997,566MEAN TRAVEL TIME TO WORK (MINUTES) 26.6 27.0HOUSING UNITS 2011 180,085 13,720,462HOME OWNERSHIP RATE 2007-2011 60.8% 56.7%HOUSING UNITS IN MULTI-UNIT STRUCTURES, 2007-11 6.6% 30.8%MEDIAN VALUE OF OWNER-OCCUPIED HOUSINGUNITS, 2007-2011 $232,000 $421,600HOUSEHOLDS, 2007-2011 164,933 12,433,172PERSONS PER HOUSEHOLD, 2007-2011 3.07 2.91PER CAPITA INCOME LAST 2011 21,820 29,634MEDIAN HOUSEHOLD INCOME, 2007-2011 $50,671 $61,632PERSONS BELOW POVERTY LEVEL, PERCENT, 2011 18.0% 14.4%PEOPLE QUICKFACTS (MERCED) MERCED COUNTY CALIFORNIAPOPULATION, 2012 ESTIMATE 262,305 38,041,430POPULATION 2010 (APRIL 1) ESTIMATE BASE 255,793 37,253,956POPULATION, PERCENT CHANGE,APRIL 1, 2010 TO JULY 1, 2012 2.5% 2.1%PERSONS UNDER 5 YEARS OLD, PERCENT, 2012 8.3% 6.7%PERSONS UNDER 18 YEARS OLD, PERCENT, 2012 30.7% 24.3%PERSONS 65 YEARS OLD AND OVER, PERCENT, 2012 9.9% 12.1%FEMALE PERSONS, PERCENT, 2012 49.5% 50.3%WHITE PERSONS, PERCENT, 2012 81.9% 73.7%BLACK PERSONS, PERCENT, 2012 4.3% 6.6%AMERICAN INDIAN AND ALASKA NATIVE PERCENT, 2012 2.5% 1.7%ASIAN PERSONS, PERCENT, 2012 8.1% 13.9%NATIVE HAWAIIAN AND OTHER PACIFICISLANDER, PERCENT, 2012 0.4% 0.5%PERSONS REPORTING TWO OR MORERACES, PERCENT, 2010 2.9% 3.6%HISPANIC OR LATINO, PERCENT, 2012 56.1% 38.2%WHITE PERSONS NOT HISPANIC, PERCENT, 2012 30.7% 39.4%LIVING IN SAME HOUSE 1 YEAR AND OVER, PERCENT 82.1% 84.2%FOREIGN BORN PERSONS, PERCENT, 2007-2011 25.0% 27.2%LANGUAGE OTHER THAN ENGLISH SPOKENAT HOME, PCT AGE 5+, 2007-2011 51.8% 43.2%HIGH SCHOOL GRADUATES, PERCENT OFPERSONS AGE 25+, 2007-2011 66.7% 80.8%BACHELOR'S DEGREE OR HIGHER, PCT OFPERSONS AGE 25+, 2007-2011 12.3% 30.2%VETERANS 2007 - 2011 11,730 1,997,566MEAN TRAVEL TIME TO WORK (MINUTES) 25.7 27.0HOUSING UNITS 83,573 13,720,462HOMEOWNERSHIP RATE, 2007-2011 55.2% 56.7%HOUSING UNITS IN MULTI-UNITSTRUCTURES, PERCENT, 2007-2011 18.1% 30.8%MEDIAN VALUE OF OWNER-OCCUPIEDHOUSING UNITS, 2007-2011 197,700 421,600HOUSEHOLDS, 2007-2011 74,079 12,433,172PERSONS PER HOUSEHOLD, 2007-2011 3.36 2.91MEDIAN HOUSEHOLD INCOME, 2007-2011 $43,945 $61,632PER CAPITA MONEY INCOME, 2007-2011 $18,304 $29,634PERSONS BELOW POVERTY LEVEL, PERCENT, 2009 23.0% 14.4%PEOPLE QUICKFACTS (TURLOCK) TURLOCK CITY CALIFORNIAPOPULATION, 2010 ESTIMATE 69,733 38,041,430POPULATION 2010 (APRIL 1) ESTIMATE BASE 68,549 37,253,956 POPULATION, PERCENT CHANGE,APRIL 1, 2010 TO JULY 1, 2012 1.7% 2.1%PERSONS UNDER 5 YEARS OLD, PERCENT, 2010 7.5% 6.8%PERSONS UNDER 18 YEARS OLD, PERCENT, 2010 27.5% 25.0%PERSONS 65 YEARS OLD AND OVER, PERCENT, 2010 11.7% 11.4%FEMALE PERSONS, PERCENT, 2010 51.3% 50.3%WHITE PERSONS, PERCENT, 2010 (A) 69.8% 57.6%BLACK PERSONS, PERCENT, 2010 (A) 1.8% 6.2%AMERICAN INDIAN AND ALASKA NATIVEPERSONS, PERCENT, 2010 0.9% 1.0%ASIAN PERSONS, PERCENT, 2010 (A) 5.6% 13.0%NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER, PERCENT, 2010 0.5% 0.4%PERSONS REPORTING TWO OR MORERACES, PERCENT, 2010 5.0% 4.9%HISPANIC OR LATINO, PERCENT, 2010 36.4% 37.6%LIVING IN SAME HOUSE 1 YEAR AND OVER, PERCENT 80.7% 83.9%FOREIGN BORN PERSONS, PERCENT, 2005-2009 25.3% 26.8%LANGUAGE OTHER THAN ENGLISH SPOKEN ATHOME, PCT AGE 5+, 2007-2011 42.9% 43.2%HIGH SCHOOL GRADUATES, PERCENT OFPERSONS AGE 25+, 2007-2011 78.6% 80.5%BACHELOR'S DEGREE OR HIGHER, PCT OFPERSONS AGE 25+, 2007-2011 22.9% 30.2%VETERANS 3,198 1,997,566MEAN TRAVEL TO WORK (MINUTES) 22.7 27.0HOUSING UNITS 24,627 13,680,081 HOMEOWNERSHIP RATE, 2007-2011 55.7% 56.7%HOUSING UNITS IN MULTI-UNIT STRUCTURES, PERCENT 2007-2011 22.9 30.8MEDIAN VALUE OF OWNER-OCCUPIEDHOUSING UNITS, 2007-2012 242,600 421,600HOUSEHOLDS, 2007-2011 22,780 12,433,172PERSONS PER HOUSEHOLD, 2007-2011 2.92 2.91MEDIAN HOUSEHOLD INCOME, 2005-2009 $50,862 $61,632PER CAPITA MONEY INCOME, 2005-2009 $22,289 $29,643PERSONS BELOW POVERTY, PERCENT, 2011 15.2% 14.4%
PART VI, LINE 5: AS THE ONLY HOSPITAL IN ITS PRIMARY SERVICE AREA, DURING FISCAL YEAR (FY) ENDING JANUARY 31,2013 EMC:- PROVIDED 38,593 DAYS OF ACUTE CARE - SERVED RESIDENTS WITH 49,410 DAYS OF LONG-TERM CARE - TREATED 60,635 PATIENTS IN OUR EMERGENCY ROOM - PERFORMED 5,847 SURGICAL PROCEDURES - DELIVERED 1,330 BABIES - SUPPORTED RESIDENTS WITH 9,838 DAYS OF ASSISTED LIVING. EMC IS RELIGIOUSLY AFFILIATED AND ONE OF TWO COVENANT MINISTRIES OF BENEVOLENCE (CMB) WHOLLY OWNED ACUTE CARE HOSPITALS. WE HAVE A 14-MEMBER COMMUNITY BOARD. EMC'S MISSION IS TO CREATE A HEALTHIER COMMUNITY THROUGH:- OPERATING ON THE FOUNDATION OF CHRISTIAN VALUES- FOCUSING ON HEALTH PROMOTION AND PREVENTION OF DISEASE- PROVIDING SAFE, HIGH QUALITY AND COMPREHENSIVE HEALTH SERVICES FOR OUR PATIENTS AND THEIR FAMILIES- MAINTAINING FISCAL RESPONSIBILITY TO ALLOW FOR MAINTENANCE, GROWTH AND DEVELOPMENT - CREATING A COLLABORATIVE PARTNERSHIP AMONG COMMUNITY HEALTH RESOURCESTO ACHIEVE THIS MISSION, EMC EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITIES WE SERVE.THE FOLLOWING SUMMARIZES OTHER COMMUNITY BENEFIT ACCOMPLISHMENTS IN THE FISCAL YEAR ENDED JANUARY 31, 2013:COMMUNITY HEALTH EDUCATION:COMMUNITY HEALTH EDUCATION IS PROVIDED BY BOTH EMANUEL REGIONAL CANCER SERVICES AND EMC'S EDUCATION DEPARTMENT.EMANUEL CANCER CENTER:DURING FY 2012, EMANUEL CANCER CENTER PROVIDED REGULAR EDUCATIONAL OPPORTUNITIES AND SUPPORT GROUPS WHICH WERE FREE TO THE COMMUNITY.CANCER EDUCATION:NUTRITION CLASSES: THIS EDUCATIONAL PROGRAM FOCUSED ON PROPER NUTRITION FOR THOSE WHO HAVE BEEN DIAGNOSED WITH CANCER. EACH CLASS FEATURED A COOKING DEMONSTRATION AND TASTING FOR ALL IN ATTENDANCE.SURVIVORSHIP SERIES: THIS IS AN EDUCATIONAL PODCAST FACILITATED BY EMANUEL CANCER CENTER STAFF FOR CANCER PATIENTS AND SURVIVORS, COVERING MEDICAL AND EMOTIONAL ISSUES.THROUGHOUT THE YEAR, WE ALSO PERFORMED BREAST CANCER SCREENING FOR THE INDIGENT POPULATION OF WOMEN IN THE AREA.A NEW "LIVE A SMOKE FREE LIFE" WEBPAGE WAS CREATED FOR THE EMANUEL WEBSITE ON WHICH VISITORS COULD PLEDGE TO QUIT SMOKING AND/OR PLEDGE TO NEVER START SMOKING. NAMES OF THOSE WHO PLEDGE APPEAR ON THE SMOKE-FREE LIFESTYLE ONLINE WALL.SUPPORT GROUPS:IN MARCH 2009, WE LAUNCHED A NEW SUPPORT GROUP CALLED "MONKEY BUSINESS." THIS SUPPORT GROUP WAS SPECIFICALLY DESIGNED TO HELP CHILDREN WHO HAVE A LOVED ONE WITH CANCER COPE WITH THE EMOTIONAL ASPECTS OF WHAT THEY ARE EXPERIENCING. WE INVITED BOTH THE CHILDREN AND THEIR LOVED ONES TO THE GROUP WHICH MEETS WEEKLY FOR EIGHT WEEKS.EMC ALSO HOSTS A MONTHLY PROSTATE CANCER SUPPORT GROUP WHICH BEGAN IN MAY 2009. THIS SUPPORT GROUP IS OPEN TO BOTH THE PROSTATE CANCER PATIENT AS WELL AS THEIR SPOUSE OR SUPPORT PERSON. THE GROUP IS HOSTED AND ORGANIZED BY OUR SOCIAL WORKER WHO ARRANGES FOR A GUEST SPEAKER AT EACH GROUP.EDUCATION DEPARTMENT:THE EMANUEL MEDICAL CENTER EDUCATION DEPARTMENT PROVIDED OR COORDINATED FREE EDUCATIONAL SERVICES TO THE COMMUNITY THROUGHOUT FY 2012.LIFE SUPPORT CLASSES WERE OFFERED FREE OF CHARGE TO AREA PHYSICIANS, PHYSICIAN ASSISTANTS, PARAMEDICS, AND EMC VOLUNTEERS. THESE CLASSES INCLUDE BASIC, ADVANCED, NEONATAL, AND PEDIATRIC LIFE SUPPORT.EMC ALSO PROVIDED CHILD BIRTH EDUCATION CLASSES TO ENGLISH- AND SPANISH-SPEAKING ATTENDEES IN OUR COMMUNITY. CLASSES WERE FREE FOR PATIENTS REFERRED BY TURLOCK AND LIVINGSTON MEDICAL OFFICE.
PART VI, LINE 6: EMC IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM
CAREPORTS FILED WITH STATESPART VI, LINE 7

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DAVID DWIGHT
DIRECTOR / CMB PRESIDENT0503155000781250102125027278071068300
LAWRENCE P ANDERSON
DIRECTOR / CMB CFO03709140796000100088037194029315061711100
DAVID NEAPOLITAN
CHIEF FINANCIAL OFFICER2171740450000116930180010343020326170000
JOHN SIGSBURY
PRESIDENT03766080329680063907073333013546085707400
DAVID CANTON MD
VP MEDICAL AFFAIRS28338101008200193880172800132880434157000
CONSTANCE FAIRCHILDS
VP NURSING SERVICES20832901274130169370168480207540390281000
LINDA STUHMER
VP LEGAL COUNCIL1788250981780148120147080369020343425000
MICHAEL ILTIS
VP PROFESSIONAL SERVICES1837580866410151140150680332300333811000
TERRENCE GRAY
VP HUMAN RESOURCES1580050864000135860128000147720285563000
SHIRLEY POK
VP DEVELOPMENT1510000782320142920123200254280281272000
KATHLEEN DELIKOWSKI
OPERATIONS MANAGER1447850001174600050000161531000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 1AJOHN SIGSBURY, PRESIDENT/CEO OF EMC, UTILIZES THE COUNTRY CLUB MEMBERSHIP. HOUSING ALLOWANCES ARE OCCASIONALLY PROVIDED ON A TEMPORARY BASIS TO NEW HIRES RECRUITED FROM OUT OF TOWN.
PART I, LINES 4A-BKATHLEEN DELIKOWSKI RECEIVED $11,536 IN SEVERANCE PAY
PART I, LINES 4A-BEMC AND RELATED ORGANIZATIONS PROVIDE CERTAIN SUPPLEMENTAL RETIREMENT BENEFITS TO THEIR OFFICERS AND KEY EMPLOYEES. THESE BENEFITS ARE PROVIDED THROUGH A NON QUALIFIED DEFERRED COMPENSATION PLAN, UNDER WHICH A PORTION OF THE BENEFITS BEING EARNED ARE SUBJECT TO A "SUBSTANTIAL RISK OF FORFEITURE." THE SUPPLEMENTAL RETIREMENT BENEFITS ARE STRUCTURED TO PROVIDE A RETENTION INCENTIVE THAT HAS BEEN DETERMINED BY THE COMPENSATION COMMITTEE OF CMB'S BOARD (CMB IS EMC'S PARENT) TO BE OF A SUBSTANTIAL VALUE TO THE ORGANIZATION. THE COMMITTEE APPROVES ALL RETIREMENT BENEFITS, TOGETHER WITH ALL OTHER FORMS OF COMPENSATION AND BENEFITS FOR THSES AND OTHER EXEECUTIVES, IN A MANNER INTENDED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS RULES OF FEDERAL INCOME TAX LAW.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
CITY OF TURLOCK CALIFORNIA
A946000445900173BA22004-12-1743281164CAPITAL ADDITIONS000
CITY OF TURLOCK CALIFORNIA
B946000445900173BM62007-09-1858750652REFUND BONDS ISSUED 12/17/2004 AND CAPITAL ADDITIONS000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindOther Spent ProceedsOtherSpentProceeds
A652716845416870368063038399828569513779906320070011
B51150005996025452985663501278982568306530462011101120504721

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUseBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A001000.000000.000000.00000000
B001000.000000.000000.00000000

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
A000000010
B000000010

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A1
B1

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierSCHEDULE K SUPPLENTAL INFORMATIONIdentifier
ExplanationDIFFERENCES BETWEEN THE ISSUE PRICE (PART I, COLUMN(E)) AND TOTAL PROCEEDS (PART II, LINE 3) ARE DUE TO INVESTMENT EARNINGS. PART II, LINE 4, COLUMN A - THE AMOUNT SHOWN CONSISTS OF $XXX IN BONA FIDE DEBT SERVICE FUNDS PLUS $XXXXX IN DEBT SERVICE RESERVE FUND. PART II, LINE 4, COLUMN B - THE AMOUNT SHOWN CONSISTS OF $XXX IN BONA FIDE DEBT SERVICE FUNDS PLUS $XXXXXX IN DEBT SERVICE RESERVE FUND. PART IV, LINE 6 - BOTH ISSUES HAD MONEY REMAINING UNSPENT AS OF THE CLOSE OF THE ALLOWABLE TEMPORARY PERIOD. ALL SUCH AMOUNTS WERE APPROPRIATELY YIELD-RESTRICTED.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
EMANUEL MEDICAL GROUP
EMC KEY EMPLOYEE DAVID CANTON MD IS THE SOLE OWNER OF EMANUEL MEDICAL GROUP6106400EMANUEL MEDICAL GROUP PROVIDES PHYSICIAN SERVICES0
KIRK LARSON
FAMILY MEMBER OF JENNIFER LARSON (DIRECTOR)724525INDEPENDENT CONTRACTOR PROVIDING CONSTRUCTION SERVICES0
WH GIBBS MAINTENANCE CO
EMC BOARD MEMBER BILL GIBBS IS THE SOLE OWNER OF W.H. GIBBS MAINTENANCE CO208000INDEPENDENT CONTRACTOR PROVIDING JANITORIAL SERVICES0

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionAUCTION ITEMSDescription
Number Of Contributions16NumberOfContributions
Noncash Contribs Rptd F99095567NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2JENNIFER LARSON, A MEMBER OF THE EMC BOARD OF DIRECTORS, IS MARRIED TO KIRK LARSON. KIRK LARSON IS A GENERAL CONTRACTOR WHO PERFORMS CONSTRUCTION WORK FOR EMC.
FORM 990, PART VI, SECTION A, LINE 6MEMBERS ARE ELECTED AND EX-OFFICIO ARE MEMBERS OF THE BOARD OF BENEVOLENCE OF THE EVANGELICAL COVENANT CHURCH (ECC). A MEMBER IS ANY PERSON WHO, PURSUANT TO A PROVISION OF THE ORGANIZATION'S GOVERNING DOCUMENTS OF APPLICABLE STATE LAW, HAS THE RIGHT TO PARTICIPATE IN THE ORGANIZATION'S GOVERNANCE OR TO RECEIVE DISTRIBUTIONS OF INCOME OR ASSETS FROM THE ORGANIZATION (REGARDLESS OF WHAT A PERSON IS CALLED IN THE GOVERNING DOCUMENTS).
FORM 990, PART VI, SECTION A, LINE 7ATHE MEMBERS ELECT THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11INFORMATION TO COMPLETE EMC'S FORM 990 IS COMPILED BY EMC ACCOUNTING PERSONNEL. DELOITTE TAX REVEIWS THE INFORMATION PROVIDED AND PREPARES THE FORM 990. THE RETURN IS REVIEWED BY THE CFO AND ALSO PRESENTED TO THE BOARD OF DIRECTORS FINANCE COMMITTEE CHAIRMAN FOR REVIEW BEFORE THE RETURN IS FILED WITH THE IRS AND ALSO A COPY OF THE RETURN IS BEING DISTRIBUTED TO ALL BOARD MEMBERS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CEMANUEL MEDICAL CENTER, INC HAS AN ADMINISTRATIVE POLICY ON CONFLICT OF INTEREST, IDENTIFYING THE PARAMETERS OF A CONFLICT OF INTEREST AND THE REQUIREMENT TO DISCLOSE ANY SUCH CONFLICT OF INTEREST. EACH JANUARY, THE EMC POLICY IS DISTRIBUTED TO EMC BOARD MEMBERS AND SENIOR VICE PRESIDENTS. THEY ARE ASKED TO SIGN ACKNOWLEDGING RECEIPT OF THE POLICY AND TO DISCLOSE IF THEY HAVE ANY CONFLICT OF INTERESTS. IF SOMEONE IS ABSENT FROM THE MEETING OR FAILS TO RETURN THE ACKNOLWEDGEMENT, THERE IS A FOLLOW-UP WITH THE INDIVIDUAL UNTIL THE SIGNED ACKNOWLEDGEMENT IS PROVIDED.
FORM 990, PART VI, SECTION B, LINE 15EMC USES A THIRD PARTY CONSULTANT AND INDUSTRY COMPENSATION SURVEY INFORMATION TO DETERMINE APPROPRIATE COMPENSATION FOR ITS LEADERSHIP. ANNUALLY, THE CONSULTANT REVIEWS SALARIES, INCENTIVE BONUSES, AND BENEFITS TO ASSURE COMPENSATION IS REASONABLE AND WITHIN MARKET PRACTICE FOR OUR INDUSTRY. GUIDELINES FOR ACCEPTABLE COMPENSATION RANGES ARE DETERMINED BY THE EMC BOARD OF DIRECTORS' COMPENSATION COMMITTEE.
FORM 990, PART VI, SECTION C, LINE 19EMANUEL MEDICAL CENTER'S FORM 990 CAN BE FOUND ON GUIDESTAR. IN ADDITION, FINANCIAL STATEMENTS ARE FILED WITH THE OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE FOR PUBLIC REVIEW IF REQUESTED.
FORM 990, PART VII-DAVID DWIGHT, PRESIDENT OF COVENANT MINISTRIES OF BENEVOLENCE, DEVOTES 40 HOURS/WEEK ON AVERAGE TO CMB. LARRY ANDERSON, CFO OF COVENANT MINISTRIES OF BENEVOLENCE, DEVOTES 40 HRS/WK ON AVERAGE TO CMB.(COMPENSATION) HOURS FROM RELATED ORG:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (31 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
BETHANY COVENANT HOME
2309 HAYES STREET NEMINNEAPOLISMN55418410706103ASSISTED LIVING & SKILLED NURSING FACILITYMN501(C)(3)9COVENANT RETIREMENT COMMUNITIES INC0
COVENANT ENABLING RESIDENCES OF MICHIGAN
3815 HENRY STREETMUSKEGONMI49441383485889GROUP HOMES FOR ADULTS WITH DISABILITYMI501(C)(3)9COVENANT MINISTRIES OF BENEVOLENCE0
COVENANT ENABLING RESIDENCES OF MINNESOTA
322 60TH AVENUE WDULUTHMN55126411879965GROUP HOMES FOR ADULTS WITH DISABILITYMN501(C)(3)9COVENANT MINISTRIES OF BENEVOLENCE0
COVENANT HEALTHCARE CENTERS INC
2155 PFINGSTEN ROADNORTHBROOKIL60062521115873CONTINUING CARE RETIREMENT COMMUNITYIL501(C)(3)9COVENANT RETIREMENT COMMUNITIES INC0
COVENANT HOME ILLINOIS
2625 TECHNY ROADNORTHBROOKIL60062362643638CONTINUING CARE RETIREMENT COMMUNITYIL501(C)(3)9COVENANT RETIREMENT COMMUNITIES INC0
COVENANT HOME OF CHICAGO
2720 W FOSTER AVENUECHICAGOIL60625363095932ASSISTED LIVING FACILITYIL501(C)(3)9COVENANT RETIREMENT COMMUNITIES INC0
COVENANT HOME SERVICES INC
5700 OLD ORCHARD ROADSKOKIEIL60077260744025HOME HEALTH SERVICESIL501(C)(3)9COVENANT RETIREMENT COMMUNITIES INC0
COVENANT HOME INC CONNECTICUT
52 MISSIONARY ROADCROMWELLCT06416131740015CONTINUING CARE RETIREMENT COMMUNITYCT501(C)(3)9COVENANT RETIREMENT COMMUNITIES INC0
COVENANT HOUSING CORPORATION
5700 OLD ORCHARD ROADSKOKIEIL60077364484624MANAGEMENT/SUPPORT SERVICESIL501(C)(3)13COVENANT MINISTRIES OF BENEVOLENCE0
COVENANT MINISTRIES OF BENEVOLENCE
5145 N CALIFORNIA AVENUECHICAGOIL60625363486813MANAGEMENT/SUPPORT SERVICESIL501(C)(3)11EVANGELICAL COVENANT CHURCH0
COVENANT RETIREMENT COMMUNITIES OF THE GREAT LAKES CONF
2520 LAKE MICHIGAN DRIVE NWGRAND RAPIDSMI49504383244636CONTINUING CARE RETIREMENT COMMUNITYMI501(C)(3)9COVENANT RETIREMENT COMMUNITIES INC0
COVENANT RETIREMENT COMMUNITIES WEST
2550 TREASURE DRIVESANTA BARBARACA93105953472345CONTINUING CARE RETIREMENT COMMUNITYCA501(C)(3)9COVENANT RETIREMENT COMMUNITIES INC0
COVENANT RETIREMENT COMMUNITIES INC
5700 OLD ORCHARD ROADSKOKIEIL60077363478388MANAGEMENT/SUPPORT SERVICESIL501(C)(3)12COVENANT MINISTRIES OF BENEVOLENCE0
COVENANT VILLAGE OF COLORADO
9153 YARROW STREETWESTMINSTERCO80021841084331CONTINUING CARE RETIREMENT COMMUNITYCO501(C)(3)9COVENANT RETIREMENT COMMUNITIES INC0
COVENANT VILLAGE OF FLORIDA INC
9201 W BROWARD BLVDPLANTATIONFL33324521115870CONTINUING CARE RETIREMENT COMMUNITYFL501(C)(3)9COVENANT RETIREMENT COMMUNITIES INC0
EVANGELICAL COVENANT CHURCH
5101 N FRANCISCO AVENUECHICAGOIL60625362167730CHURCHIL501(C)(3)10N/A
LIFE CENTER ON THE GREEN INC
5145 N CALIFORNIA AVENUECHICAGOIL60625363495110FITNESS CENTER/REHAB FACILITYIL501(C)(3)9COVENANT MINISTRIES OF BENEVOLENCE0
SWEDISH COVENANT FACULTY GROUP (SCFG)
5145 N CALIFORNIA AVENUECHICAGOIL60625363686216PATIENT TREATMENT/EDUCATIONIL501(C)(3)11SWEDISH COVENANT HOSPITAL0
SWEDISH COVENANT HOSPITAL
5145 N CALIFORNIA AVENUECHICAGOIL60625362179813HOSPITALIL501(C)(3)3COVENANT MINISTRIES OF BENEVOLENCE0
SWEDISH COVENANT HOSPITAL FOUNDATION (SCHF)
5145 N CALIFORNIA AVENUECHICAGOIL60625205055155SUPPORTING ORGANIZATION OF SCHIL501(C)(3)7SWEDISH COVENANT HOSPITAL0
THE HOLMSTAD
700 W FABYAN PARKWAYBATAVIAIL60510362835154CONTINUING CARE RETIREMENT COMMUNITYIL501(C)(3)9COVENANT RETIREMENT COMMUNITIES INC0
WELLSPRING CENTER FOR HOPE
PO BOX 368800CHICAGOIL60636363726743SERVICES FOR ABUSED WOMENIL501(C)(3)9COVENANT MINISTRIES OF BENEVOLENCE0
WINDSOR PARK MANOR
124 WINDSOR PARK DRIVECAROL STREAMIL60188363385581CONTINUING CARE RETIREMENT COMMUNITYIL501(C)(3)9COVENANT RETIREMENT COMMUNITIES INC0
COVENANT INITATIVES FOR CARE
5145 N CALIFORNIA AVENUECHICAGOIL60625271841721MANAGEMENT/SUPPORT SERVICESIL501(C)(3)12COVENANT MINISTRIES OF BENEVOLENCE0
COVENANT RETIREMENT SERVICES
5700 OLD ORCHARD ROADSKOKIEIL60077272480652MANAGEMENT/SUPPORT SERVICESIL501(C)(3)12COVENANT RETIREMENT COMMUNITIES INC0
SC INSURANCE COMPANY
6970 E CHAUNCEY LANE STE 100PHOENIXAZ85054273312053INSURANCEAZ501(C)(3)11SWEDISH COVENANT HOSPITAL0
EMANUEL MEDICAL CENTER INC
825 DELBON AVENUETURLOCKCA95382942281314ACUTE CARE HOSPITALCA501(C)(3)3COVENANT MINISTRIES OF BENEVOLENCE0
CHILDREN'S HOME OF CROMWELL CONN INC
BOX 118CROMWELLCT06416060646920SERVICES FOR AT-RISK FAMILIESCT501(C)(3)9COVENANT MINISTRIES OF BENEVOLENCE0
COLONIAL ACRES HOME INC
5800 ST CROIX AVENUEMINNEAPOLISMN55422410841150CONTINUING CARE RETIREMENT COMMUNITYMN501(C)(3)9COVENANT RETIREMENT COMMUNITIES INC0
COVENANT CHILDREN'S HOME AND FAMILY SERVICES
502 ELM PLACEPRINCETONIL61356362167043SERVICES FOR AT-RISK FAMILIESIL501(C)(3)9COVENANT MINISTRIES OF BENEVOLENCE0
COVENANT ENABLING RESIDENCES OF ILLINOIS
15841 TERRACE DRIVEOAK FORESTIL60452363731196GROUP HOMES FOR ADULTS WITH DISABILITYIL501(C)(3)9COVENANT MINISTRIES OF BENEVOLENCE0

Form990 Schedule R Part III Form990ScheduleRPartIII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAPredominant Income TypePredominantIncomeTypeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
COAST ASSET MANAGEMENT LLC
2450 COLORADO AVE SUITE 100SANTA MONICACA90404954763400HEDGE FUND INVESTMENTCAN/AEXCLUDED00
COVENANT VILLAGE OF PORTLAND LP
420 NE MASON STREETPORTLANDOR97211364356838ASSISTED LIVING COMMUNITYORN/ARELATED00
LIFECONNECT LLC
5700 OLD ORCHARD ROADSKOKIEIL60077272827919WELLNESS SOFTWARE DEVELOPEMENTILN/ARELATED00
MANAGEMENT SERVICES ORGANIZATION LLC
5700 OLD ORCHARD ROADSKOKIEIL60077272827998MANAGEMENT & CONSULTING SERVICESILN/ARELATED00
SWEDISH COVENANT SURGERY LLC
5215 N CALIFORNIA AVENUECHICAGOIL60625272485300OUTPATIENT MEDICAL SERVICESILN/ARELATED00

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryPrimary ActivityPrimaryActivityLegal Domicile Foreign CountryLegalDomicileForeignCountryDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityControlled OrgControlledOrgAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINLegal Domicile StateLegalDomicileState
COVENANT INTERNATIONAL INSURANCE COMPANY LTD
CRAWFORD HOUSE 50 CEDAR AVEHAMILTONBDINSURANCEBDN/AC0
COVENANT TRUST COMPANY
FINANCIAL SERVICESN/AC05215 OLD ORCHARD RD STE 725SKOKIEIL60077363583163IL
SWEDISH COVENANT MANAGEMENT SERVICES INC (SCMS)
PHYSICIAN PRACTICE MANAGEMENTN/AC05145 NORTH CALIFORNIA AVENUECHICAGOIL60625364073303IL
SWEDISH COVENANT MANAGED CARE ALLIANCE (SCMCA)
PHYSICIAN - HOSPITAL ORGANIZATIONN/AC02740 WEST FOSTER AVENUE SUITE 409CHICAGOIL60625364118659IL
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.