EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL (EIN 95-2413054)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-11-15
- IRS object ID
- 202123199349319157
- Schema version
- 2020v4.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-11-15T14:52:28-06:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 330155525 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HBLA CERTIFIED PUBLIC ACCOUNTANTS INC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 18400 VON KARMAN AVE SUITE 110 | AddressLine1Txt |
| City | IRVINE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92612 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 952413054 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EMANATE HEALTH FOOTHILL PRESBYTERIAN | BusinessNameLine1Txt |
| Business Name Line2 | HOSPITAL | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | EMAN | BusinessNameControlTxt |
| Phone | 6269638411 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 140 W COLLEGE ST PO BOX 6108 | AddressLine1Txt |
| City | COVINA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 917225108 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RAJESH SHARMA | PersonNm |
| Person Title | PRES./CFO | PersonTitleTxt |
| Phone | 6269387577 | PhoneNum |
| Signature | 2021-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | RAJESH | PersonFirstNm |
| Person Last | SHARMA | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JONATHAN P SCHUBERT CPA | PreparerPersonNm |
| PTIN | P00103314 | PTIN |
| Phone | 9498332815 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ROBERT H CURRY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 140 W COLLEGE ST PO BOX 6108 | AddressLine1Txt |
| City | COVINA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 917225108 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $194,125,659 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | EMANATEHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1965 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | OPERATION OF ACUTE CARE HOSPITAL. | ActivityOrMissionDesc |
| Voting Members Governing Body | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 18 | VotingMembersIndependentCnt |
| Total Employee | 743 | TotalEmployeeCnt |
| Total Volunteers | 154 | TotalVolunteersCnt |
| Total Gross UBI | $9,907 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $1,842 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $107,602 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,431,998 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $118,972,353 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $108,703,808 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,244,350 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,763,629 | CYInvestmentIncomeAmt |
| PY Other Revenue | $972,458 | PYOtherRevenueAmt |
| CY Other Revenue | $768,364 | CYOtherRevenueAmt |
| PY Total Revenue | $121,296,763 | PYTotalRevenueAmt |
| CY Total Revenue | $115,667,799 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $55,679,025 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $54,295,245 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $57,872,168 | PYOtherExpensesAmt |
| CY Other Expenses | $56,598,609 | CYOtherExpensesAmt |
| PY Total Expenses | $113,551,193 | PYTotalExpensesAmt |
| CY Total Expenses | $110,893,854 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $7,745,570 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $4,773,945 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $125,004,588 | TotalAssetsBOYAmt |
| Total Assets EOY | $130,898,947 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $23,457,139 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $21,533,436 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $101,547,449 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $109,365,511 | NetAssetsOrFundBalancesEOYAmt |
| Mission | OUR MISSION IS TO HELP PEOPLE KEEP WELL IN BODY, MIND AND SPIRIT BY PROVIDING QUALITY HEALTH CARE SERVICES IN A SAFE, COMPASSIONATE ENVIRONMENT. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $95,883,160 | ExpenseAmt |
| Revenue | $108,843,532 | RevenueAmt |
| Desc | EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL (FPH) IS AN ACUTE CARE HOSPITAL WHICH PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE TO THE SURROUNDING COMMUNITY. FPH PROVIDES FOR, ON AVERAGE, 69 PATIENTS PER DAY. TOTAL ADJUSTED INPATIENT DAYS WERE 39,881. OUTPATIENT AND EMERGENCY VISITS TOTALED 49,333. FPH PROVIDED TRADITIONAL CHARITY CARE AT COST TOTALING $780,763 UNREIMBURSED MEDI-CAL PROGRAM COST TOTALING $15,763,180 AND OTHER COMMUNITY BENEFIT COST TOTALING $142,085. DURING 2020, FPH RECORDED A NET SUPPLEMENTAL PAYMENTS OF $7,175,474 FROM THE CALIFORNIA HOSPITAL FEE PROGRAM FOR THE HOSPITAL SERVICES TO MEDI-CAL FEE-FOR-SERVICE AND MEDI-CAL MANAGED CARE PATIENTS COVERED FOR THE PERIOD FROM JANUARY 1, 2020 TO DECEMBER 31, 2020. | Desc |
| Total Program Service Expenses | $95,883,160 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | Yes (1) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 141 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 743 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 20 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 18 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RAJESH K SHARMA PRESCFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6269387595 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 140 W COLLEGE PO BOX 6108 | AddressLine1Txt |
| City | COVINA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 917225108 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| WALTER ALLEN III | ||||||||
| BOARD OF DIRECTORS | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| RAYMOND MATTES IHM DMIN | ||||||||
| BOARD OF DIRECTORS | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| PATRICIA HANES PHD | ||||||||
| BOARD OF DIRECTORS | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| CLIFFORD CHRIST | ||||||||
| VICE CHAIR | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| ARTHUR LUDWICK | ||||||||
| BOARD OF DIRECTORS | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT H CURRY SEE SCH O | ||||||||
| CEO, BOD | 4.00 | Yes (X) | $0 | $1,958,584 | $33,034 | Yes (X) | 36.00 | |
| HAROLD BORAK SR | ||||||||
| BOARD OF DIRECTORS | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| OJ RODRIGUEZ | ||||||||
| BOARD OF DIRECTORS | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| MARY KIRCHEN IHM | ||||||||
| BOARD OF DIRECTORS | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| PHILIP MALDONADO DDS | ||||||||
| BOARD OF DIRECTORS | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| THOMAS O BRYAN MD | ||||||||
| BOARD OF DIRECTORS | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| GARY MATHEWSON | ||||||||
| CHAIR | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| SUBHASH DHAND MD | ||||||||
| BOARD OF DIRECTORS | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| BERNARD BOLLINGER JR ESQ | ||||||||
| SECRETARY | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| GEORGE FERENCZI MD | ||||||||
| BOARD OF DIRECTORS | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| ANNA LEUNG MD | ||||||||
| BOARD OF DIRECTORS | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| SHARON YEE MD | ||||||||
| BOARD OF DIRECTORS | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| EUGENE POCOCK MD | ||||||||
| BOARD OF DIRECTORS | 3.00 | Yes (X) | $30,000 | $0 | $0 | |||
| NAJI KANDALAFT MD | ||||||||
| BOARD OF DIRECTORS | 3.00 | Yes (X) | $5,713 | $41,326 | $0 | |||
| PATSY GORRELL | ||||||||
| TREASURER | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| LISA FUERST | ||||||||
| BOARD OF DIRECTORS | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| C DUANE DAUNER | ||||||||
| BOARD OF DIRECTORS | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| ROBINSON BARON MD | ||||||||
| BOARD OF DIRECTORS | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| RAFFI HODIKIAN MD | ||||||||
| BOARD OF DIRECTORS | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| RAJESH SHARMA SEE SCH O | ||||||||
| PRESIDENT & CFO | 4.00 | $0 | $1,168,549 | $24,739 | Yes (X) | 36.00 | ||
| STANLEY KOZAKA | ||||||||
| PHARMACIST | 40.00 | $196,758 | $0 | $24,541 | Yes (X) | |||
| CHANDRA REDDY | ||||||||
| RSO/NUCLEAR MED TECH | 40.00 | $198,733 | $0 | $23,397 | Yes (X) | |||
| CLAUDETTE HALL | ||||||||
| CHARGE RN 12HR SHIFT | 40.00 | $192,208 | $0 | $22,831 | Yes (X) | |||
| DONNA TOWNSEND | ||||||||
| CORP DIR MED/SURG & CARDIO | 40.00 | $223,362 | $0 | $24,822 | Yes (X) | |||
| WILLIAM LUU | ||||||||
| PHARMACIST | 40.00 | $183,938 | $0 | $9,526 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,030,712 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,168,459 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $162,890 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 155 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MEDLINE INDUSTRIES | |||||
| DEPT LA 21558 | PASADENA | CA | 91185 | CONTRACTORS | $5,614,062 |
| MCKESSON CORP | |||||
| FILE 57256 | LOS ANGELES | CA | 90074 | CONTRACTORS | $4,194,567 |
| BOSTON SCIENTIFIC | |||||
| PO BOX 951653 | DALLAS | TX | 75395 | CONTRACTORS | $1,263,301 |
| SIEMENS MEDICAL SOLUTIONS | |||||
| PO BOX 120001 DEPT 0733 | DALLAS | TX | 75312 | CONTRACTORS | $1,118,999 |
| REPUBLIC BUSINESS CREDIT LLC | |||||
| PO BOX 970 | SAN JOSE | CA | 95108 | CONTRACTORS | $1,036,205 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 65 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $163,319 | RelatedOrganizationsAmt |
| Government Grants | $2,268,679 | GovernmentGrantsAmt |
| Total Contributions | $2,431,998 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT REV/MEDICARE/MEDICAID PAY | 900099 | $93,731,030 | $93,731,030 |
| HOSPITAL FEE PROGRAM REVENUE | 900099 | $14,972,778 | $14,972,778 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $108,703,808 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $728,920 | TotalRevenueColumnAmt |
| Exclusion | $728,920 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $160,313 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $160,313 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $160,313 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $9,893 | UnrelatedBusinessRevenueAmt |
| Exclusion | $150,420 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $81,492,569 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $78,457,860 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,034,709 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,034,709 | TotalRevenueColumnAmt |
| Exclusion | $3,034,709 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| REBATES & REFUNDS | 900099 | $193,426 | $193,426 | |
| CAFETERIA | 900099 | $161,912 | $161,912 | |
| OTHER OPERATING REVENUE | 900099 | $131,054 | $131,054 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $121,659 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,670 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $14 | UnrelatedBusinessRevenueAmt |
| Exclusion | $112,975 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $608,051 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $115,667,799 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $108,843,532 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $9,907 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,382,362 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $354,203 | TotalAmt |
| Program Services | $95,460 | ProgramServicesAmt |
| Management And General | $258,743 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,993,999 | TotalAmt |
| Program Services | $38,932,477 | ProgramServicesAmt |
| Management And General | $61,522 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,726,943 | TotalAmt |
| Program Services | $13,663,568 | ProgramServicesAmt |
| Management And General | $63,375 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,220,100 | TotalAmt |
| Program Services | $1,214,467 | ProgramServicesAmt |
| Management And General | $5,633 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $134,567 | TotalAmt |
| Management And General | $134,567 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,694,240 | TotalAmt |
| Program Services | $1,292,110 | ProgramServicesAmt |
| Management And General | $402,130 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,340,701 | TotalAmt |
| Program Services | $16,324,548 | ProgramServicesAmt |
| Management And General | $16,153 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,657 | TotalAmt |
| Program Services | $79,657 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,667 | TotalAmt |
| Program Services | $22,667 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,591,199 | TotalAmt |
| Program Services | $4,569,189 | ProgramServicesAmt |
| Management And General | $22,010 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,135,338 | TotalAmt |
| Management And General | $1,135,338 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| UNRELATED BUS INC TAX | $300 | $300 | |
| PURCHASED SERVICES | $17,617,798 | $12,869,589 | $4,748,209 |
| HOSPITAL FEE PROGRAM | $7,797,304 | $7,797,304 | |
| BAD DEBT EXPENSE | $2,453,644 | $2,453,644 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,731,194 | TotalAmt |
| Program Services | $4,689,860 | ProgramServicesAmt |
| Management And General | $41,334 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,893,854 | TotalAmt |
| Program Services | $95,883,160 | ProgramServicesAmt |
| Management And General | $15,010,694 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,035,392 | BOYAmt |
| EOY | $3,176,325 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,614,890 | BOYAmt |
| EOY | $15,327,979 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $571,750 | BOYAmt |
| EOY | $749,531 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,111,952 | BOYAmt |
| EOY | $662,084 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $113,132,213 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $80,257,050 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,168,505 | BOYAmt |
| EOY | $32,875,163 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,583,927 | BOYAmt |
| EOY | $53,371,500 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $145,244 | BOYAmt |
| EOY | $145,244 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,772,928 | BOYAmt |
| EOY | $24,591,121 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $125,004,588 | BOYAmt |
| EOY | $130,898,947 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,529,898 | BOYAmt |
| EOY | $15,163,102 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,769,885 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,157,356 | BOYAmt |
| EOY | $6,370,334 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,457,139 | BOYAmt |
| EOY | $21,533,436 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $99,670,385 | BOYAmt |
| EOY | $107,458,865 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,877,064 | BOYAmt |
| EOY | $1,906,646 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $101,547,449 | BOYAmt |
| EOY | $109,365,511 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $125,004,588 | BOYAmt |
| EOY | $130,898,947 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $4,773,945 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $3,015,971 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $28,146 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,498,549 | BeginningYearBalanceAmt |
| Contributions | $25,482 | ContributionsAmt |
| End Year Balance | $1,524,031 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,492,855 | BeginningYearBalanceAmt |
| Contributions | $5,694 | ContributionsAmt |
| End Year Balance | $1,498,549 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,464,398 | BeginningYearBalanceAmt |
| Contributions | $28,457 | ContributionsAmt |
| End Year Balance | $1,492,855 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,535,628 | BeginningYearBalanceAmt |
| Contributions | $13,770 | ContributionsAmt |
| Other Expenditures | $85,000 | OtherExpendituresAmt |
| End Year Balance | $1,464,398 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,521,722 | BeginningYearBalanceAmt |
| Contributions | $13,906 | ContributionsAmt |
| End Year Balance | $1,535,628 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,181,078 | OtherCostOrOtherBasisAmt |
| Book Value | $3,181,078 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $58,382,471 | OtherCostOrOtherBasisAmt |
| Depreciation | $36,689,028 | DepreciationAmt |
| Book Value | $21,693,443 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $51,568,664 | OtherCostOrOtherBasisAmt |
| Depreciation | $43,568,022 | DepreciationAmt |
| Book Value | $8,000,642 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $32,875,163 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| BENEFICIAL INTEREST IN FOUNDATION | $290,204 |
| HOSPITAL FEE PROGRAM | $17,852,289 |
| HOSPITAL/PROF. EXCESS INS RECOVERIES-CURRENT | $525,000 |
| HOSPITAL/PROF. EXCESS INS RECOVERIES-L/T | $2,129,000 |
| OTHER RECEIVABLES | $3,244,257 |
| OPERATING LEASE - RIGHT OF USE | $550,371 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $24,591,121 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| OTHER CURRENT LIABILITIES | $2,221,619 |
| MALPRACTICE RESERVE LONG TERM | $3,176,000 |
| DEFERRED RENT | $422,344 |
| CAPITAL LEASE | $550,371 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $6,370,334 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $116,093,000 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $3,015,971 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $3,015,971 | RevenueNotReportedAmt |
| Revenue Subtotal | $113,077,029 | RevenueSubtotalAmt |
| Other Revenues Not Included | $2,590,770 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $2,590,770 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $115,667,799 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $108,307,000 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $108,307,000 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $2,586,854 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $2,586,854 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $110,893,854 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | PERMANENTLY RESTRICTED ASSETS ARE RESTRICTED INVESTMENTS TO BE HELD IN PERPETUITY, THE INCOME FROM WHICH IS EXPENDABLE TO SUPPORT HEALTH CARE SERVICES. |
| PART X, LINE 2: | ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES, CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING A MINIMUM RECOGNITION THRESHOLD THAT A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. ASC 740 ALSO PROVIDES GUIDANCE ON DERECOGNITION, MEASUREMENT, CLASSIFICATION, INTEREST AND PENALTIES, DISCLOSURE AND TRANSITION. THE GUIDANCE IS APPLICABLE TO PASS-THROUGH ENTITIES AND TAX-EXEMPT ORGANIZATIONS. NO SIGNIFICANT TAX LIABILITY FOR TAX BENEFITS, INTEREST OR PENALTIES WAS ACCRUED AT DECEMBER 31, 2020 OR 2019. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | INVESTMENT FEES INCLUDED IN INCOME 134,567. TRANSFER FROM FOUNDATION 163,319. PASSTHROUGH INCOME DIFFERENCE 1,936. ROUNDING DIFFERENCE -1,219. CHANGE IN BENEFICIAL INTEREST FOUNDATION -161,477. PROVISION FOR BAD DEBTS 2,453,644. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 2,453,644. INVESTMENT FEES INCLUDED IN INCOME 134,567. ROUNDING DIFFERENCE -1,357. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 350.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 500.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $780,763 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $780,763 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00700 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $34,023,317 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $25,435,613 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,587,704 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07740 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $34,804,080 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $25,435,613 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,368,467 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08440 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $100,372 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $100,372 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $41,713 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $41,713 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $142,085 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $142,085 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $34,946,165 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $25,435,613 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,510,552 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08570 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,453,644 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $20,292,039 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $21,996,739 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,704,700 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FPH | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 SOUTH GRAND AVENUE | AddressLine1Txt |
| City | GLENDORA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91741 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.EMANATEHEALTH.ORG | WebsiteAddressTxt |
| State License | 106190298 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EMANATE HEALTH FOOTHILL PRESBYTERIAN HOS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | Yes (1) | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE FOOTNOTE AT PART V PAGE 8 | OwnWebsiteURLTxt |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE FOOTNOTE AT PART V PAGE 8 | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 350.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 500.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE FOOTNOTE AT PART V PAGE 8 | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE FOOTNOTE AT PART V PAGE 8 | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE NOTE AT PART V PAGE 8 | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL | PART V, SECTION B, LINE 5: COMMUNITY INPUT WAS PROVIDED BY A BROAD RANGE OF COMMUNITY MEMBERS THROUGH THE USE OF KEY INFORMANT INTERVIEWS, FOCUS GROUPS, AND/OR SURVEYS. INDIVIDUALS WITH KNOWLEDGE, INFORMATION, AND/OR EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY WERE CONSULTED, INCLUDING REPRESENTATIVES FROM STATE, LOCAL OR OTHER REGIONAL GOVERNMENTAL PUBLIC HEALTH DEPARTMENTS (OR EQUIVALENT DEPARTMENT OR AGENCY) AS WELL AS LEADERS; REPRESENTATIVES, OR MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS; AND REPRESENTATIVES FROM LOCAL SCHOOLS, PUBLIC SERVICE ORGANIZATIONS AND BUSINESSES. FOCUS GROUPS WERE CONDUCTED IN ENGLISH AND SPANISH AS NEEDED. FOR A COMPLETE LIST OF INDIVIDUALS WHO PROVIDED INPUT DURING THE CHNA PROCESS, SEE APPENDIX C OF THE CHNA REPORT. PRIMARY DATA WERE COLLECTED AS DESCRIBED ABOVE FROM A VARIETY OF STAKEHOLDERS THROUGH PHONE INTERVIEWS AND FOCUS GROUPS TO IDENTIFY THE MOST SEVERE HEALTH NEEDS AND DRIVERS IN THE EMANATE HEALTH (EH) SERVICE AREA AS WELL AS GEOGRAPHIC DISPARITIES, SUB-POPULATION DISPARITIES AND COMMUNITY ASSETS AND RESOURCES AVAILABLE TO ADDRESS THE IDENTIFIED HEALTH NEEDS AND DRIVERS. SIX FOCUS GROUPS AND TEN PHONE INTERVIEWS WERE CONDUCTED TO COLLECT PRIMARY DATA FROM OVER 50 STAKEHOLDERS THAT INCLUDED COMMUNITY REPRESENTATIVES, HEALTH EXPERTS, LOCAL GOVERNMENT REPRESENTATIVES, LOCAL BUSINESS OWNERS, AND SOCIAL AND HEALTH SERVICE PROVIDERS. PRIMARY DATA WERE INPUTTED INTO MICROSOFT EXCEL DATABASE TO ASSIST IN ORGANIZING THE DATA, CODING AND IDENTIFYING MAJOR THEMES, AND COLLECTING QUOTES. METHODOLOGY FOR INTERPRETATION AND ANALYSIS OF PRIMARY DATA:THE CENTER FOR NONPROFIT MANAGEMENT (CNM) USED A THREE-STEP PROCESS FOR ANALYZING AND INTERPRETING PRIMARY DATA: 1) ALL INFORMATION GATHERED DURING FOCUS GROUPS AND INTERVIEWS WERE ENTERED INTO MICROSOFT EXCEL, 2) SPREADSHEET DATA WERE REVIEWED MULTIPLE TIMES USING CONTENT ANALYSIS TO BEGIN SORTING AND CODING THE DATA, AND 3) THROUGH THE CODING PROCESS, THEMES, CATEGORIES AND QUOTES WERE IDENTIFIED. STEPS TWO AND THREE ARE REPEATED AS OFTEN AS NECESSARY TO RECOGNIZE AS MANY CONNECTIONS AND PATTERNS WITHIN THE DATA AS POSSIBLE. THIS APPROACH PROVIDES A SYSTEMATIC WAY TO IDENTIFY BROAD THEMES WITHIN A LARGE SET OF QUALITATIVE DATA AND BEGIN CODING AND CATEGORIZING DATA AROUND THOSE THEMES (E.G., ACCESS TO CARE, POVERTY, CULTURAL BARRIERS). RESPONSES WERE REVIEWED AND CODED SO THAT COMMON THEMES PULLED FROM THE DATA CAN BE COMBINED WITH QUANTITATIVE DATA TO FORM CONCLUSIONS. |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL | PART V, SECTION B, LINE 6A: THE CURRENT CHNA WAS COMPLETED THROUGH COLLABORATION BETWEEN EMANATE HEALTH (WHICH INCLUDES EMANATE HEALTH MEDICAL CENTER AND EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL), CITY OF HOPE, HUNTINGTON HOSPITAL, METHODIST HOSPITAL AND KAISER FOUNDATION HOSPITAL, BALDWIN PARK, CA. |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL | PART V, SECTION B, LINE 11: EMANATE HEALTH'S CHNA 2020-2023 IMPLEMENTATION PLAN'S AREAS OF FOCUS ARE CHRONIC DISEASES/HEALTHY BEHAVIORS; MENTAL HEALTH; HOMELESSNESS; AND ACCESS TO CARE. DUE TO THE 2020-2021 COVID-19 PANDEMIC, SEVERAL OF THE STRATEGIES AND ACTIVITIES WERE PUT ON HOLD DURING THE STAY-AT-HOME MANDATE AND THE CHALLENGES UNDERWENT BY THE HOSPITALS. HOWEVER, EMANATE HEALTH AND ITS COMMUNITY PARTNERS WORKED DILIGENTLY TO IMPLEMENT PART OF THE GOALS AND ACTIVITIES OUTLINED IN THE IMPLEMENTATION PLAN.CHRONIC DISEASES/HEALTH BEHAVIORSSTROKE DISEASE COVID-19 BRIEF THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION REPORTS THAT FOOTHILL PRESBYTERIAN HOSPITAL (FPH) HAS EARNED THE 2020 GET WITH THE GUIDELINES - STROKE GOLD PLUS QUALITY ACHIEVEMENT AWARD AND ALSO QUALIFIED FOR RECOGNITION FOR THE TARGET: TYPE 2 DIABETES HONOR ROLL. THE AWARDS RECOGNIZE FPH'S COMMITMENT AND SUCCESS IN IMPLEMENTING A HIGH STANDARD OF STROKE CARE BY ENSURING THAT THEIR STROKE PATIENTS RECEIVE TREATMENT THAT MEETS NATIONALLY ACCEPTED, EVIDENCE-BASED STANDARDS AND RECOMMENDATIONS. QUEEN OF THE VALLEY HOSPITAL RECEIVED THE GOLD PLUS QUALITY AWARD WITH THE HONOR ELITE DISTINCTION, AS WELL AS THE TARGET: TYPE 2 DIABETES HONOR ROLL. CONGRATULATIONS TO THE DOCTORS, NURSES AND OTHER STAFF ON EMANATE HEALTH'S STROKE TEAM FOR YOUR HARD WORK IN ACHIEVING THIS RECOGNITION.MENTAL HEALTH & HOMELESSNESS-WORKED AND PARTNERED WITH LOS ANGELES SERVICES AUTHORITY AND UNITED WAY FOR A "HOMELESS PATIENT NAVIGATOR" TRAINED INDIVIDUAL WHO WOULD VISIT HOSPITALS' HOMELESS PATIENTS AND AT-RISK FOR HOMELESSNESS PATIENTS PRIOR TO THEIR DISCHARGE. THE ROLE OF THE NAVIGATOR IS TO CONDUCT AN ASSESSMENT OF THE PATIENT'S HEALTH AND PSYCHOSOCIAL NEEDS TO CONNECT THEM WITH THE NEEDED SERVICES; I.E. IDENTIFY SHELTER OR HOUSING RESOURCES FOR THE PATIENT BEING DISCHARGED; FOOD ATTAINMENT; FOLLOW-UP MEDICAL APPOINTMENTS AND PRESCRIPTIONS; EMPLOYMENT, ETC. THE NAVIGATOR HAS BEEN GRANTED SPECIAL ACCESS TO THE LA COUNTY RESOURCE SYSTEM AND WORKS UNDER THE HOSPITAL SOCIAL SERVICES LEADERSHIP. -IN PARTNERSHIP WITH FIRST 5 LA'S WELCOME BABY PROGRAM, 1,345 PREGNANT AND POST-PARTUM WOMEN RECEIVED DEPRESSION AND RISK-SCREENING ASSESSMENTS. IT WAS IDENTIFIED THAT 239 WOMEN HAD SIGNS OF DEPRESSION. HOSPITAL LIAISONS CONDUCTED 1,283 BRIDGES FOR NEWBORN ASSESSMENTS WHICH INCLUDE INFORMATION ON DETERMINANTS OF HEALTH FOR THE FAMILY. OF THOSE, 125 WOMEN WERE REFERRED FOR MENTAL HEALTH SERVICES. THE NEW GAD-7 GENERALIZED ANXIETY DISORDER ASSESSMENT WAS ADMINISTERED TO 2,068 WOMEN. ALL SERVICES WERE PROVIDED VIRTUALLY. -IN PARTNERSHIP WITH THE HEALTH CONSORTIUM OF THE SAN GABRIEL VALLEY'S INTEGRATION COMMITTEE, WEBINARS WERE PROVIDED TO THE COMMUNITY BY EXPERT PRESENTERS. 1. THE INTERSECTION OF DIABETES AND DEPRESSION; THIS WEBINAR PRESENTED INFORMATION ON ETHNIC DISPARITIES, THE BI-DIRECTIONAL RELATIONSHIP AND A SUMMARY OF BEST/BETTER PRACTICES TO IMPROVE QUALITY OF CARE. A SECOND WEBINAR WAS OFFERED ON AN INTRODUCTION TO RACE EQUITY IN BEHAVIORAL HEALTHCARE (DEC 2020). THIS PRESENTATION PROVIDED PARTICIPANTS WITH A FOUNDATIONAL UNDERSTANDING OF KEY RACIAL EQUITY TERMS AND CONCEPTS FROM A BEHAVIORAL HEALTH PERSPECTIVE. IT ALSO EXPLORED RACISM AND RACIAL TRAUMA AND THE IMPORTANCE OF APPLYING A RACIAL EQUITY LENS/ANTI-RACIST APPROACH TO ADVANCE SOCIAL JUSTICE. |
| PART V, SECTION B, LINE 7A CHNA REPORT: | THE CHNA REPORT IS AVAILABLE ON THE HOSPITAL'S WEBSITE HTTPS://RES.CLOUDINARY.COM/DPMYKPSIH/IMAGE/UPLOAD/EMANATE-HEALTH-SITE-360/MEDIA/1616/EMANATE-HEALTH-2019-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDFPLEASE NOTE THAT THE ABOVE LINK IS CASE SENSITIVE. PLEASE USE LOWER CASE LETTERS. |
| PART V, SECTION B, LINE 10A IMPLEMENTATION STRATEGY: | THE IMPLEMENATION STATEGY IS AVAILABLE ON THE HOSPITAL'S WEBSITE THE HOSPITAL FACILITY'S MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY (SEE SECTION VIII OF THE 2020 CALIFORNIA COMMUNITY BENEFIT REPORT) POSTED ON WEBSITE BELOW HTTPS://RES.CLOUDINARY.COM/DPMYKPSIH/IMAGE/UPLOAD/EMANATE-HEALTH-SITE-360/MEDIA/1782/2019-CHNA-IMPLEMENTATION-PLAN.PDFPLEASE NOTE THAT THE ABOVE LINK IS CASE SENSITIVE. PLEASE USE LOWER CASE LETTERS. |
| PART V, SECTION B, LINE 11: | FOR THE 2019-2020 CHNA CYCLE, A COLLABORATIVE OF NONPROFIT HOSPITALS LOCATED IN THE SAN GABRIEL VALLEY OF LOS ANGELES COUNTY, CALIFORNIA (THE SPA 3 HOSPITAL COLLABORATIVE) COMMITTED TO PARTICIPATE IN A JOINT CHNA DATA COLLECTION PROCESS. THE INTENT WAS TO FACILITATE THE DEVELOPMENT OF A COORDINATED EFFORT TO COLLABORATIVELY ADDRESS PRIORITY HEALTH NEEDS THROUGH THEIR JOINT IMPLEMENTATION STRATEGIES MOVING FORWARD. THE SPA 3 HOSPITAL COLLABORATIVE AGREED TO SHARE AMONG ALL PARTICIPATING HOSPITALS THE PRIMARY DATA COLLECTED THROUGH THE CHNA CYCLE. ADDITIONALLY, THE HOSPITALS IDENTIFIED A LIMITED LIST OF SUBPOPULATIONS THEY WANTED TO TARGET THROUGH QUALITATIVE DATA COLLECTION EFFORTS (BOTH INDIVIDUAL INTERVIEWS AND FOCUS GROUPS). TOGETHER, THE SPA 3 HOSPITAL COLLABORATIVE AGREED ON A CORE SET OF QUESTIONS TO BE ASKED ACROSS ALL INTERVIEWS AND FOCUS GROUPS, AND DEVELOPED A LIST OF TOPICS OF INTEREST SPECIFIC TO EACH INTERVIEW OR FOCUS GROUP THAT WOULD LEAD TO A MORE DETAILED UNDERSTANDING OF THE SPECIFIC HEALTH NEEDS OF THE TARGET GROUP REPRESENTED IN THE ENGAGEMENT. THE NEW FEDERAL CHNA REQUIREMENTS HAVE PROVIDED AN OPPORTUNITY TO REVISIT THE NEEDS ASSESSMENT AND STRATEGIC PLANNING PROCESSES WITH AN EYE TOWARD ENHANCED COMPLIANCE AND TRANSPARENCY AND LEVERAGING EMERGING TECHNOLOGIES. THE INTENTION IS TO DEVELOP AND IMPLEMENT A TRANSPARENT, RIGOROUS, AND WHENEVER POSSIBLE, COLLABORATIVE APPROACH TO UNDERSTANDING THE NEEDS AND ASSETS IN OUR COMMUNITIES. FROM DATA COLLECTION AND ANALYSIS TO THE IDENTIFICATION OF PRIORITIZED NEEDS AND THE DEVELOPMENT OF AN IMPLEMENTATION STRATEGY, THE INTENT WAS TO DEVELOP A RIGOROUS PROCESS THAT WOULD YIELD MEANINGFUL RESULTS. REVIEW AND COMPILATION OF SECONDARY DATA WAS CONDUCTED THROUGH MULTIPLE SOURCES THAT PROVIDE ACCESS TO PUBLICLY AVAILABLE INDICATORS INCLUDING SOCIAL AND ECONOMIC FACTORS, HEALTH BEHAVIORS, PHYSICAL ENVIRONMENT, CLINICAL CARE, AND HEALTH OUTCOMES. PRIMARY DATA WERE COLLECTED THROUGH KEY INFORMANT INTERVIEWS, FOCUS GROUPS AND SURVEYS. THIS CONSISTED OF REACHING OUT TO LOCAL PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS AND RESIDENTS TO IDENTIFY ISSUES THAT MOST IMPACTED THE HEALTH OF THE COMMUNITY. THE CHNA PROCESS ALSO INCLUDED AN IDENTIFICATION OF EXISTING COMMUNITY ASSETS AND RESOURCES TO ADDRESS THE HEALTH NEEDS. IN CONJUNCTION WITH THIS REPORT, EMANATE HEALTH HAS DEVELOPED AN IMPLEMENTATION STRATEGY FOR THE PRIORITY HEALTH NEEDS THE HOSPITAL WOULD ADDRESS. THESE STRATEGIES ARE BUILD ON EMANATE HEALTH' ASSETS AND RESOURCES, AS WELL AS EVIDENCE-BASED STRATEGIES, WHEREVER POSSIBLE. |
| PART V, LINE 16A, CHARITY CARE/FAP: | HTTPS://RES.CLOUDINARY.COM/DPMYKPSIH/IMAGE/UPLOAD/EMANATE-HEALTH-SITE-360/MEDIA/1850/A009-CHARITY-CARE-2020-ENGLISH.PDFHOW AMOUNTS GENERALLY BILLED (AGB) IS CALCULATED HTTPS://RES.CLOUDINARY.COM/DPMYKPSIH/IMAGE/UPLOAD/EMANATE-HEALTH-SITE-360/MEDIA/1366/EMANATE-HEALTH-AMOUNTS-GENERALLY-BILLED-AGB-2019-ENGLISH.PDFPLEASE NOTE THAT THE ABOVE LINKS ARE CASE SENSITIVE. PLEASE USE LOWER CASE LETTERS. |
| PART V, LINE 16B APPLICATION FORM URL: | HTTPS://RES.CLOUDINARY.COM/DPMYKPSIH/IMAGE/UPLOAD/EMANATE-HEALTH-SITE-360/MEDIA/1380/EMANATE-HEALTH-FINANCIAL-ASSISTANCE-APPLICATION-ENGLISH.PDFPLEASE NOTE THAT THE ABOVE LINK IS CASE SENSITIVE. PLEASE USE LOWER CASE LETTERS. |
| PART V, LINE 16C PLAIN LANGUAGE SUMMARY PAGE: | HTTPS://RES.CLOUDINARY.COM/DPMYKPSIH/IMAGE/UPLOAD/EMANATE-HEALTH-SITE-360/MEDIA/1365/EMANATE-HEALTH-FINANCIAL-ASSISTANCE-PLAIN-LANGUAGE-SUMMARY-2019-ENGLISH.PDFPLEASE NOTE THAT THE ABOVE LINK IS CASE SENSITIVE. PLEASE USE LOWER CASE LETTERS. |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | ELIGIBILITY CRITERIA AND AMOUNTS CHARGED TO PATIENTS.SERVICES ELIGIBLE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY (FAP) WILL BE MADE AVAILABLE TO THE PATIENT ON A SLIDING FEE SCALE, IN ACCORDANCE WITH FINANCIAL NEED, AS DETERMINED IN REFERENCE TO FEDERAL POVERTY LEVELS (FPL) IN EFFECT AT THE TIME OF DETERMINATION.-PATIENTS WITH MONETARY ASSETS OR INCOME LEVEL AT 350% OR LESS OF THE FPL, WILL HAVE THE ENTIRE HOSPITAL BILL WRITTEN OFF REGARDLESS OF NET WORTH OR SIZE OF BILL;-PATIENTS WITH MONETARY ASSETS OR INCOME LEVEL BETWEEN 350% AND 500% OF THE FPL, WILL HAVE A PORTION OF THE HOSPITAL BILL WRITTEN OFF, BASED UPON THE SLIDING SCALE SET FORTH BELOW REGARDLESS OF NET WORTH OR SIZE OF BILL:351% - 400% = 75% WRITE-OFF401% - 450% = 50% WRITE-OFF451% - 500% = 25% WRITE OFF-PATIENTS WITH HOSPITAL BILL THAT EXCEEDS THE PATIENT'S MONETARY ASSETS OR NET WORTH MAY QUALIFY AND BE COVERED UNDER THIS POLICY USING THE GUIDELINES BELOW:- PATIENTS WILL BE INFORMED IN WRITING OF THE FINANCIAL ASSISTANCE DETERMINATION FROM THE PATIENT FINANCIAL SERVICES DEPARTMENT. - PATIENTS WHO ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE OR ARE ELIGIBLE TO RECEIVE PARTIAL ASSISTANCE WHICH LEAVES THEM OWING A BALANCE DUE TO THE HOSPITAL MAY REQUEST A PAYMENT PLAN FROM THE PATIENT FINANCIAL SERVICES DEPARTMENT. IN THE EVENT OF NON-PAYMENT OF A DISCOUNTED AMOUNT DUE UNDER THIS FINANCIAL ASSISTANCE POLICY THE HOSPITAL MAY ENGAGE IN FURTHER COLLECTION ACTIVITY. THE DETAILS OF THE FURTHER COLLECTION ACTIONS CAN BE FOUND IN EMANATE HEALTH BILLING AND COLLECTION POLICY. A COPY OF THIS POLICY CAN BE OBTAINED AT -SELF-PAY ACCOUNTS POLICYHTTPS://RES.CLOUDINARY.COM/DPMYKPSIH/IMAGE/UPLOAD/EMANATE-HEALTH-SITE-360/MEDIA/1372/A010-EH-COLLECTION-OF-SELF-PAY-PATIENT-ACCOUNTS-2019.PDF OR BY CONTACTING THE PATIENT FINANCIAL SERVICES DEPARTMENT. PLEASE NOTE THAT THE ABOVE LINK IS CASE SENSITIVE. PLEASE USE LOWER CASE LETTERS. FOR PURPOSES OF DETERMINING MONETARY ASSETS OR INCOME, THE REVIEW SHALL NOT INCLUDE THE:A. RETIREMENT OR DEFERRED COMPENSATION PLANS QUALIFIED UNDER THE INTERNAL REVENUE CODE, OR NON-QUALIFIED DEFERRED COMPENSATION PLANS;B. FIRST TEN THOUSAND DOLLARS ($10,000) OF A PATIENT'S MONETARY ASSETS;C. FIFTY PERCENT (50%) OF A PATIENT'S MONETARY ASSETS OVER THE FIRST $10,000. |
| PART I, LINE 6A: | THE SOLE MEMBER OF EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL (FPH) IS EMANATE HEALTH, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION. EMANATE HEALTH PREPARED AN ANNUAL WRITTEN COMMUNITY BENEFIT REPORT THAT DESCRIBES THE HOSPITAL'S PROGRAMS AND SERVICES THAT PROMOTE THE HEALTH OF THE COMMUNITIES SERVED BY THE HOSPITAL. |
| PART I, LINE 7: | MANY GOVERNMENT PROGRAMS (MEDI-CAL, COVERED CALIFORNIA, AND MEDICARE) AND OTHER THIRD PARTY COVERAGE PROGRAMS HAVE BEEN ESTABLISHED TO PROVIDE FOR OR DEFRAY THE HEALTHCARE COSTS FOR THE INDIVIDUALS WHO MAY BE CONSIDERED NEEDY. IN THE CASE WHERE ARRANGEMENTS FOR PAYMENT TO THE HOSPITAL REQUIRE THE HOSPITAL TO ACCEPT THE PAYMENT AMOUNT AS PAYMENT IN FULL, THE BALANCES OF THESE ACCOUNTS WRITTEN OFF ARE ATTRIBUTABLE TO CONTRACTUAL ADJUSTMENTS AND WILL NOT BE CONSIDERED CHARITY CARE. IN CASES WHERE THESE PROGRAMS REQUIRE THE PATIENTS TO PAY CO-PAYMENTS OR DEDUCTIBLES AND THE PATIENTS DO NOT HAVE THE ABILITY TO PAY; THESE AMOUNTS WILL BE CONSIDERED CHARITY CARE.CHARITY DETERMINATION WILL BE GRANTED ON "ALL, PARTIAL, OR NOTHING BASIS". THERE IS A CATEGORY OF PATIENTS WHO QUALIFY FOR MEDI-CAL, BUT DO NOT RECEIVE PAYMENT FOR THEIR ENTIRE STAY. UNDER THE CHARITY POLICY DEFINITION, THESE PATIENTS ARE ELIGIBLE FOR CHARITY CARE WRITE-OFFS. IN ADDITION, THE HOSPITAL SPECIFICALLY INCLUDES AS CHARITY THE CHARGES RELATED TO DENIED STAYS, DENIED DAYS OF CARE, AND NON-COVERED SERVICES. THESE "TREATMENT AUTHORIZATION REQUEST" DENIALS AND ANY LACK OF PAYMENT FOR NON-COVERED SERVICES PROVIDED TO MEDI-CAL PATIENTS ARE TO BE CLASSIFIED AS CHARITY. THESE PATIENTS ARE RECEIVING THE SERVICES AND THEY DO NOT HAVE THE ABILITY TO PAY FOR IT. IN ADDITION, MEDICARE PATIENTS WHO HAVE MEDI-CAL COVERAGE FOR THEIR CO-INSURANCE/DEDUCTIBLES, FOR WHICH MEDI-CAL DOES NOT MAKE PAYMENT AND MEDICARE DOES NOT ULTIMATELY PROVIDE BAD DEBT REIMBURSEMENT WILL ALSO BE INCLUDED AS CHARITY. THESE INDIGENT PATIENTS ARE RECEIVING A SERVICE FOR WHICH A PORTION OF THE RESULTING BILL IS NOT BEING REIMBURSED.THE ABOVE CHARITY WRITE-OFFS ARE CONVERTED INTO CHARITY COST USING THE COST TO CHARGE RATIO WHICH WAS DERIVED FROM WORKSHEET 2 OF THE INSTRUCTIONS TO THE IRS SCHEDULE H, "RATIO OF PATIENT CARE COST-TO-CHARGES."INCLUDED IN PART 1, LINE 7B ARE NET SUPPLEMENTAL MEDI-CAL PAYMENTS OF $7,175,474 FROM THE CALIFORNIA HOSPITAL FEE PROGRAM ("PROGRAM"). CALIFORNIA LEGISLATION ESTABLISHED THE PROGRAM TO IMPOSE A QUALITY ASSURANCE FEE ON CERTAIN GENERAL ACUTE CARE HOSPITALS IN ORDER TO MAKE SUPPLEMENTAL AND GRANT PAYMENTS AND INCREASED CAPITATION PAYMENTS (SUPPLEMENTAL PAYMENTS) TO HOSPITALS UP TO THE AGGREGATE UPPER PAYMENT LIMIT FOR VARIOUS PERIODS. SEVERAL PIECES OF LEGISLATION HAVE BEEN ENACTED TO CREATE THE PROGRAM FOR VARIOUS PERIODS OF TIME.THE PROGRAM IS DESIGNED TO MAKE SUPPLEMENTAL INPATIENT AND OUTPATIENT MEDI-CAL PAYMENTS TO PRIVATE HOSPITALS, INCLUDING ADDITIONAL PAYMENTS FOR CERTAIN FACILITIES THAT PROVIDE HIGH-ACUITY CARE AND TRAUMA SERVICES TO THE MEDI-CAL POPULATION. THE PROGRAM PROVIDES A MECHANISM FOR INCREASING PAYMENTS TO HOSPITAL THAT SERVE MEDI-CAL PATIENTS, WITH NO IMPACT ON THE STATE'S GENERAL FUND. SOME OF THESE PAYMENTS ARE BE MADE DIRECTLY BY THE STATE, WHILE OTHERS ARE BE MADE BY MEDI-CAL MANAGED CARE PLANS, WHICH WILL RECEIVE INCREASED CAPITATION RATES FROM THE STATE IN AMOUNTS EQUAL TO THE SUPPLEMENTAL PAYMENTS. OUTSIDE OF THE LEGISLATION, THE CALIFORNIA HOSPITAL ASSOCIATION (CHA) HAS CREATED A PRIVATE PROGRAM, OPERATED BY THE CALIFORNIA HEALTH FOUNDATION AND TRUST (CHFT), WHICH WAS ESTABLISHED TO ALLEVIATE DISPARITIES POTENTIALLY RESULTING FROM THE IMPLEMENTATION OF THE PROGRAMS.THERE ARE THREE PROGRAMS THAT HAD ACTIVITY IN 2020 AND 2019: A 36-MONTH HOSPITAL FEE PROGRAM COVERING THE PERIOD FROM JANUARY 1, 2014 THROUGH DECEMBER 31, 2016, A 30-MONTH HOSPITAL FEE PROGRAM COVERING THE PERIOD FROM JANUARY 1, 2017 THROUGH JUNE 30, 2019, AND A 30-MONTH HOSPITAL FEE PROGRAM COVERING THE PERIOD FROM JULY 1, 2019 THROUGH DECEMBER 31, 2021. FPH PROVIDED APPROXIMATELY 7,000 DAYS OF QUALITY HEALTH CARE SERVICES TO MEDI-CAL BENEFICIARIES ANNUALLY.DUE TO DEEP FUNDING CUTS TO MEDI-CAL PROGRAM, AS WELL AS HISTORICAL LOW LEVELS OF REIMBURSEMENT AND HIGH RATE OF DENIALS, THE HOSPITAL FEE PROGRAM HAS BEEN CRITICAL IN HELPING FPH TO CONTINUE PROVIDING QUALITY HEALTH CARE SERVICES TO THE POOREST AND MOST VULNERABLE POPULATION IN THE COMMUNITY. THE PROGRAM REMAINS CRUCIAL IN MAINTAINING MEDI-CAL SERVICES AND CHARITY PROVIDED BY OUR HOSPITAL TO THE COMMUNITY'S LOW INCOME POPULATION, AND IT IS VITAL TO FPH THAT FUTURE SIMILAR PROGRAMS BE APPROVED AND IMPLEMENTED.PART I, LINE 7F:HEALTH PROFESSION EDUCATION - IN AN EFFORT TO CREATE A HEALTHY COMMUNITY IN THE EAST SAN GABRIEL VALLEY AREA, EMANATE HEALTH HAS OFFERED A NUMBER OF SPECIAL EVENTS, LECTURES AND CLASSES TO HELP EDUCATE THE COMMUNITY TO IMPROVE THEIR HEALTH, SCHOLARSHIPS FOR NURSING STUDENTS AND OTHER HEALTH RELATED PROGRAMS THAT EDUCATE HEALTH PROFESSIONALS IN THE BROADER COMMUNITY. IN NOVEMBER 2016, THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME) OFFICIALLY ANNOUNCED ITS APPROVAL TO ACCREDIT A FAMILY MEDICINE RESIDENCY PROGRAM AT EMANATE HEALTH. IN ADDITION, EMANATE HEALTH OFFICIALLY ENTERED INTO AN AFFILIATION WITH USC'S KECK SCHOOL OF MEDICINE AND ITS DEPARTMENT OF FAMILY MEDICINE. THIS AFFILIATION PROVIDES OPPORTUNITIES FOR MEDICAL RESEARCH AND EDUCATIONAL OPPORTUNITIES FOR THE SCHOOL'S STUDENTS, WHILE ALSO ALLOWING EMANATE HEALTH PHYSICIANS WHO FUNCTION AS VOLUNTARY FACULTY TO OUR RESIDENTS TO ALSO BECOME VOLUNTARY FACULTY FOR USC'S DEPARTMENT OF FAMILY MEDICINE. THE TEN FIRST-YEAR RESIDENT POSITIONS IN OUR CHARTER CLASS STARTED TRAINING AT OUR HOSPITALS AND AT EAST VALLEY COMMUNITY HEALTH CENTER IN JULY - 2017, AND THE NUMBER OF RESIDENTS INCREASED TO 30 POSITIONS IN 2020. |
| PART III, LINE 2: | STATEMENT REGARDING COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES 2 AND 3 OF PART III - REGARDING CARE OF THE POOR AND COMMUNITY BENEFIT REPORT:EMANATE HEALTH HAS A POLICY TO TREAT EMERGENCY PATIENTS REGARDLESS OF ABILITY TO PAY. A PATIENT IS CLASSIFIED AS A CHARITY PATIENT IN ACCORDANCE WITH CERTAIN ESTABLISHED POLICIES OF THE CORPORATION. ESSENTIALLY, THESE POLICIES DEFINE CHARITY SERVICES AS THOSE SERVICES FOR WHICH NO PAYMENT IS ANTICIPATED BECAUSE OF INABILITY TO PAY. EMANATE HEALTH PROVIDES PROGRAMS AND ACTIVITIES THAT CONTRIBUTE TO CHARITY CARE, CARE OF THE POOR, AND COMMUNITY BENEFIT. THESE PROGRAMS AND ACTIVITIES SERVE A MAJORITY OF PERSONS WHO ARE BENEFICIARIES OF MEDI-CAL AND COUNTY/STATE PROGRAMS FOR THE MEDICALLY INDIGENT. ALSO INCLUDED ARE ACTIVITIES THAT IMPROVE THE COMMUNITY'S HEALTH STATUS, AND EDUCATE OR PROVIDE SOCIAL SERVICES TO THE ELDERLY AND CHILDREN. EMANATE HEALTH USES 3 CATEGORIES TO CLASSIFY CARE OF THE POOR AND COMMUNITY BENEFIT: CATEGORY 1: TRADITIONAL CHARITY CARE - CARE OF THE POOR INCLUDES SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTH CARE BECAUSE OF INADEQUATE RESOURCES AND/OR ARE UNINSURED OR UNDERINSURED. THIS WRITE-OFF IS ARRANGED BEFORE THE CARE IS GIVEN WHEN POSSIBLE. IF THERE IS ANY SUBSIDY DONATED FOR THESE SERVICES, THAT AMOUNT IS DEDUCTED FROM THE GROSS AMOUNT. CATEGORY 2: UNPAID COST OF PUBLIC PROGRAMS - THIS AMOUNT REPRESENTS THE UNPAID COST OF SERVICES PROVIDED TO PATIENTS IN THE MEDI-CAL PROGRAM AND ENROLLED IN HMO AND PPO PLANS UNDER CONTRACT WITH THE MEDI-CAL PROGRAM. CATEGORY 3: COMMUNITY BENEFIT - SERVICES THAT ARE BENEFICIAL TO THE BROADER COMMUNITY, IE., OTHER NEEDY POPULATIONS THAT MAY NOT QUALIFY AS POOR BUT THAT NEED SPECIAL SERVICES AND SUPPORT. EXAMPLES INCLUDE THE ELDERLY, SUBSTANCE ABUSERS, THE HOMELESS, VICTIMS OF CHILD ABUSE, AND PERSONS WITH AIDS. THEY ALSO INCLUDE THE COST OF HEALTH PROMOTION AND EDUCATION, AND HEALTH CLINICS AND SCREENINGS. ALL CHARITY AMOUNT IS INCLUDED IN PART I, LINE 7.STATEMENT REGARDING BAD DEBT EXPENSE:THE POLICY OF EMANATE HEALTH IS TO PROVIDE OUR UNINSURED AND UNDERINSURED PATIENTS THE SAME ALLOWANCES PROVIDED TO ITS MANAGED CARE CONTRACTORS. THAT IS, THOSE PATIENTS SHALL HAVE APPLIED TO THEIR ACCOUNTS APPROPRIATE ALLOWANCES AND PER DIEM RATES. EMANATE HEALTH IS TO FOLLOW UP ON AND COLLECT ALL SELF PAY ACCOUNT BALANCES, AS WELL AS, WHERE THIRD PARTY BENEFITS EXIST, ALL PATIENT CO-PAYS AND DEDUCTIBLES, EITHER AT THE TIME OF SERVICE, OR WHEN THEY BECOME DUE. THIS SHALL BE ACCOMPLISHED IN A FAIR, CARING AND COMPASSIONATE MANNER. THE RESULTING NET REALIZABLE BALANCE ON THESE ACCOUNTS ARE WRITTEN OFF TO BAD DEBT AFTER ALL COLLECTION EFFORTS AND FOLLOW UP ATTEMPTS HAVE BEEN MADE. EMANATE HEALTH RECOGNIZES BAD DEBT EXPENSE BASED UPON ITS HISTORICAL EXPERIENCE. |
| PART III, LINE 4: | TEXT OF THE FOOTNOTE TO THE CONSOLIDATED FINANCIAL STATEMENTS REGARDING BAD DEBT EXPENSE:PATIENT SERVICE REVENUE IS REPORTED AT THE AMOUNT THAT REFLECTS THE CONSIDERATION EMANATE EXPECTS TO BE DUE FROM PATIENTS, THIRD-PARTY PAYORS (INCLUDING HEALTH INSURERS AND GOVERNMENT PROGRAMS), AND OTHERS IN EXCHANGE FOR PROVIDING PATIENT CARE. PROVIDING PATIENT CARE SERVICES IS CONSIDERED A SINGLE PERFORMANCE OBLIGATION, SATISFIED OVER TIME, IN BOTH THE INPATIENT AND OUTPATIENT SETTING. GENERALLY, EMANATE BILLS THE PATIENTS AND THIRD-PARTY PAYORS SEVERAL DAYS AFTER SERVICES ARE PERFORMED AND/OR WHEN THE PATIENT IS DISCHARGED FROM THE FACILITY. REVENUE FOR INPATIENT ACUTE CARE SERVICES IS RECOGNIZED BASED ON ACTUAL CHARGES INCURRED IN RELATION TO TOTAL EXPECTED, OR ACTUAL, CHARGES. EMANATE MEASURES THE PERFORMANCE OBLIGATION FROM ADMISSION INTO THE HOSPITAL TO THE POINT WHEN IT IS NO LONGER REQUIRED TO PROVIDE SERVICES TO THAT PATIENT, WHICH IS GENERALLY AT THE TIME OF DISCHARGE. AS ALL EMANATE'S PERFORMANCE OBLIGATIONS RELATE TO CONTRACTS WITH A DURATION OF LESS THAN ONE YEAR, EMANATE ELECTED TO APPLY THE OPTIONAL EXEMPTION PROVIDED IN ACCOUNTING STANDARDS CODIFICATION (ASC) 606, REVENUE FROM CONTRACTS WITH CUSTOMERS, AND, THEREFORE, IS NOT REQUIRED TO DISCLOSE THE AGGREGATE AMOUNT OF THE TRANSACTION PRICE ALLOCATED TO PERFORMANCE OBLIGATIONS THAT ARE UNSATISFIED OR PARTIALLY SATISFIED AT THE END OF THE REPORTING PERIOD, WHICH ARE PRIMARILY RELATED TO INPATIENT ACUTE CARE SERVICES AT THE END OF THE REPORTING PERIOD. THE PERFORMANCE OBLIGATIONS FOR THESE CONTRACTS ARE GENERALLY COMPLETED WHEN THE PATIENTS ARE DISCHARGED, WHICH GENERALLY OCCURS WITHIN DAYS OR WEEKS OF THE END OF THE REPORTING PERIOD. FOR PATIENTS COVERED BY THIRD-PARTY PAYORS, EMANATE DETERMINES THE TRANSACTION PRICE BASED ON STANDARD CHARGES FOR GOODS AND SERVICES PROVIDED, REDUCED BY CONTRACTUAL ADJUSTMENTS PROVIDED TO THOSE THIRD-PARTY PAYORS. EMANATE DETERMINES ITS ESTIMATES OF CONTRACTUAL ADJUSTMENTS AND DISCOUNTS BASED ON CONTRACTUAL AGREEMENTS, ITS DISCOUNT POLICIES, AND HISTORICAL EXPERIENCE.LAWS AND REGULATIONS CONCERNING GOVERNMENT PROGRAMS, INCLUDING MEDICARE AND MEDICAID, ARE COMPLEX AND SUBJECT TO VARYING INTERPRETATIONS. EMANATE IS SUBJECT TO RETROACTIVE REVENUE ADJUSTMENTS DUE TO FUTURE AUDITS, REVIEWS, AND INVESTIGATIONS. IN ADDITION, THE CONTRACTS EMANATE HAS WITH COMMERCIAL PAYORS ALSO PROVIDE FOR A RETROACTIVE AUDIT AND REVIEW OF CLAIMS. SETTLEMENTS WITH THIRD-PARTY PAYORS FOR RETROACTIVE ADJUSTMENTS ARE CONSIDERED VARIABLE CONSIDERATION AND ARE INCLUDED IN THE DETERMINATION OF THE ESTIMATED TRANSACTION PRICE FOR PROVIDING PATIENT CARE. THESE SETTLEMENTS ARE ESTIMATED BASED ON THE TERMS OF THE PAYMENT AGREEMENT WITH THE PAYOR, CORRESPONDENCE WITH THE PAYOR, AND EMANATE'S HISTORICAL SETTLEMENT ACTIVITY, ATTEMPTING TO ENSURE THAT A SIGNIFICANT REVENUE REVERSAL WILL NOT OCCUR WHEN THE FINAL AMOUNTS ARE SUBSEQUENTLY DETERMINED. ESTIMATED SETTLEMENTS ARE ADJUSTED IN FUTURE PERIODS AS NEW INFORMATION BECOMES AVAILABLE, OR AS YEARS ARE SETTLED OR ARE NO LONGER SUBJECT TO SUCH AUDITS, REVIEWS, AND INVESTIGATIONS. GENERALLY, PATIENTS COVERED BY THIRD-PARTY PAYORS ARE RESPONSIBLE FOR RELATED DEDUCTIBLES AND COINSURANCE, WHICH IS REFERRED TO AS THE PATIENT PORTION. EMANATE ALSO PROVIDES SERVICES TO UNINSURED PATIENTS AND OFFERS THOSE UNINSURED PATIENTS A DISCOUNT FROM STANDARD CHARGES IN ACCORDANCE WITH ITS POLICIES. CONSISTENT WITH EMANATE'S MISSION, CARE IS PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THEREFORE, EMANATE HAS DETERMINED THAT IT HAS PROVIDED IMPLICIT PRICE CONCESSIONS TO UNINSURED PATIENTS AND PATIENTS WITH OTHER UNINSURED BALANCES, SUCH AS COPAY AND DEDUCTIBLES. THE DIFFERENCE BETWEEN AMOUNTS BILLED TO PATIENTS AND THE AMOUNTS EXPECTED TO BE COLLECTED BASED ON EMANATE'S COLLECTION HISTORY WITH THOSE PATIENTS IS RECORDED AS IMPLICIT PRICE CONCESSIONS, OR AS A DIRECT REDUCTION TO NET PATIENT SERVICE REVENUE. SUBSEQUENT ADJUSTMENTS THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT OR PAYOR'S ABILITY TO PAY ARE RECOGNIZED AS BAD DEBT EXPENSE. WITH THE ADOPTION OF ASC 606, BAD DEBT EXPENSE IS INCLUDED WITHIN OTHER EXPENSE IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS, RATHER THAN AS A DEDUCTION TO ARRIVE AT REVENUE. BAD DEBT EXPENSE FOR THE YEARS ENDED DECEMBER 31, 2020 AND 2019 WAS NOT MATERIAL FOR EMANATE. EMANATE ESTIMATES THE TRANSACTION PRICE FOR THE PATIENT PORTION AND UNINSURED BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS. |
| PART III, LINE 8: | MEDICARE COST REPORT WAS USED TO REPORT THE MEDICARE REVENUE AND MEDICARE ALLOWABLE COSTS. THE MEDICARE RAC (RECOVERY AUDIT CONTRACTORS) AMOUNT RETRACTED BY MEDICARE IN THE CURRENT YEAR FOR THE SERVICES PROVIDED TO THE MEDICARE PATIENTS IN THE PRIOR YEARS WAS NOT OFFSET AGAINST THE MEDICARE REVENUE IN THE CURRENT YEAR. MEDICARE ALLOWABLE COSTS TEND TO UNDERSTATE THE ACTUAL COSTS WHICH INCLUDED CERTAIN COST DISALLOWANCES AND NON-REIMBURSABLE COST CENTERS SUCH AS NON-ALLOWABLE PHYSICIAN FEES, CAFETERIA COSTS, MANAGED CARE OUTSIDE MEDICAL CLAIMS, HOME OFFICE'S MANAGEMENT FEES ADJUSTMENT, NON-ALLOWABLE MEALS, HOME OFFICE BUILDING COSTS, AND OTHER NON-ALLOWABLE EXPENSES. IF THE ESTIMATED ADDITIONAL ALLOCATED DISALLOWABLE MEDICARE COSTS OF $1,008,000 WERE INCLUDED IN LINE 5 AND LINE 6 RESPECTIVELY, THE (SHORTFALL) ON LINE 7 WOULD BE ($2,712,700). |
| PART III, LINE 9B: | EMANATE HEALTH OFFERS THE FOLLOWING COVERAGE OPTIONS WHICH ARE ALWAYS EXPLORED IN ASSESSING PATIENTS' ABILITY TO PAY:A) LINKAGE TO AVAILABLE STATE AID SUCH AS: (I) MEDI-CAL, (II) CALIFORNIA CHILDREN SERVICES, (III) COVERED CALIFORNIA, (IV) OTHERB) PATIENTS UNDER AGE TWENTY ONE YEARS, WHO ARE SELF PAY, SHALL BE REFERRED TO THE ONSITE MEDI-CAL ELIGIBILITY WORKER OR TO EITHER OF OUR CONTRACTED VENDORS FOR COMPLETION OF A MEDI-CAL APPLICATION AND/OR THE ON SITE GEM (GET ELIGIBILITY MOVING) PROGRAM.C) ALL OBSTETRICAL PATIENTS WHO ARE SELF PAY AND UNABLE TO MEET THEIR FINANCIAL OBLIGATION SHALL BE REFERRED TO THE ONSITE MEDI-CAL ELIGIBILITY WORKER OR TO EITHER OF OUR CONTRACTED VENDORS FOR COMPLETION OF A MEDI-CAL APPLICATION AND/OR THE ON SITE GEM PROGRAM.FOR THOSE PATIENTS WHO QUALIFY FOR CHARITY CARE ACCORDING TO EMANATE HEALTH'S CHARITY CARE POLICY, THE PATIENT ACCOUNTS WOULD BE WRITTEN OFF TO CHARITY AND THE PATIENTS WOULD NOT BE BILLED. |
| PART VI, LINE 2: | 2019 NEEDS ASSESSMENT:THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (ACA) ENACTED ON MARCH 23, 2010, INCLUDED NEW REQUIREMENTS FOR NONPROFIT HOSPITALS IN ORDER TO MAINTAIN TAX EXEMPT STATUS. THE PROVISION WAS THE SUBJECT OF FINAL REGULATIONS PROVIDING GUIDANCE ON THE REQUIREMENTS OF SECTION 501(R) OF THE INTERNAL REVENUE CODE. INCLUDED IN THE NEW REGULATIONS IS A REQUIREMENT THAT ALL NONPROFIT HOSPITALS MUST CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND DEVELOP AN IMPLEMENTATION STRATEGY (IS) EVERY THREE YEARS. WHILE EMANATE HEALTH HAS CONDUCTED CHNAS FOR MANY YEARS TO IDENTIFY NEEDS AND RESOURCES IN OUR COMMUNITIES AND TO GUIDE OUR COMMUNITY BENEFIT PLANS, THESE NEW REQUIREMENTS HAVE PROVIDED AN OPPORTUNITY TO REVISIT OUR NEEDS ASSESSMENT AND STRATEGIC PLANNING PROCESSES WITH AN EYE TOWARD ENHANCING COMPLIANCE AND TRANSPARENCY AND LEVERAGING EMERGING TECHNOLOGIES. THE CHNA PROCESS UNDERTAKEN IN 2019 AND DESCRIBED IN THIS REPORT WAS CONDUCTED IN COMPLIANCE WITH CURRENT FEDERAL REQUIREMENTS. SUMMARY OF COMMUNITY IDENTIFIED NEEDS HEALTH OUTCOMES AND DRIVERS ALSO KNOWN AS SOCIAL DETERMINANTS OF HEALTH ARE INTERCONNECTED AND CAN NEGATIVELY OR POSITIVELY IMPACT INDIVIDUAL HEALTH. THEY INCLUDE SOCIAL AND ECONOMIC FACTORS THAT OFTEN CONTRIBUTE TO THE ABILITY OR INABILITY OF CERTAIN POPULATIONS OR GROUPS TO ACCESS THE NECESSARY CARE NEEDED TO DIAGNOSE, TREAT AND PREVENT POOR HEALTH. THEREFORE, IT IS IMPORTANT THAT THESE FACTORS BE TAKEN INTO CONSIDERATION WHEN DEVELOPING HEALTH STRATEGIES AND PROGRAMS TO ADDRESS HEALTH NEEDS. THE FOLLOWING IS A LIST OF 10 IDENTIFIED COMMUNITY NEEDS (HEALTH OUTCOMES AND SOCIAL DETERMINANTS OF HEALTH) THAT RESULTED FROM THE ANALYSIS OF PRIMARY AND SECONDARY DATA, OBSERVATIONS OF DISPARITIES, AND REVIEW OF THE PREVIOUS 2016 EMANATE HEALTH CHNA FINDINGS. ACCESS TO CARE CANCER CHRONIC DISEASES (HEART DISEASE & STROKE, DIABETES) ECONOMIC AND FOOD INSECURITY EXERCISE, NUTRITION, AND WEIGHT (OBESITY) HOMELESSNESS AND HOUSING INSTABILITY MENTAL HEALTH ORAL HEALTH SENIOR SERVICES SUBSTANCE ABUSE/TOBACCO USE SUMMARY OF NEEDS ASSESSMENT METHODOLOGY AND PROCESS IDENTIFICATION THE 2019 CHNA NEEDS ASSESSMENT METHODOLOGY AND PROCESS INVOLVED A MIXED-METHODS APPROACH THAT INCLUDED THE COLLECTION OF BOTH SECONDARY DATA AND PRIMARY DATA. SECONDARY DATA INDICATORS ON A VARIETY OF HEALTH, SOCIAL, ECONOMIC, AND ENVIRONMENTAL TOPICS WERE COLLECTED BY ZIP CODE, SERVICE PLANNING AREA (SPA)1, COUNTY, AND STATE LEVELS (AS AVAILABLE). IN MOST CASES, VALUES PRESENTED FOR THE EMANATE HEALTH SERVICE AREA WERE CALCULATED BY AGGREGATING VALUES OF SMALLER GEOGRAPHIC UNITS (E.G., ZIP CODES, CENSUS TRACTS) WHICH FALL WITHIN THE SERVICE AREA BOUNDARY. WHEN ONE OR MORE GEOGRAPHIC UNITS ARE NOT ENTIRELY ENCOMPASSED BY A SERVICE AREA, THE MEASURE IS AGGREGATED PROPORTIONALLY. THE OPTIONS FOR WEIGHING "SMALL AREA ESTIMATIONS" ARE BASED ON TOTAL AREA, TOTAL POPULATION, AND DEMOGRAPHIC GROUP POPULATION. PRIMARY DATA COLLECTION CONSISTED OF REACHING OUT TO LOCAL PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND RESIDENTS TO IDENTIFY ISSUES THAT MOST AFFECTED THE HEALTH OF THE COMMUNITY. THE CHNA PROCESS ALSO INCLUDED AN IDENTIFICATION OF EXISTING COMMUNITY ASSETS AND RESOURCES TO ADDRESS THE IDENTIFIED HEALTH NEEDS. IN ORDER TO BE INCLUDED IN THE LIST OF IDENTIFIED HEALTH NEEDS, A HEALTH OUTCOME OR DRIVER HAD TO MEET TWO REQUIREMENTS: IT HAD TO BE MENTIONED IN THE PRIMARY DATA COLLECTION MORE THAN ONCE AND A SECONDARY DATA INDICATOR ASSOCIATED WITH THE HEALTH OUTCOME AND/OR DRIVER NEEDED TO PERFORM POORLY AGAINST A DESIGNATED BENCHMARK (COUNTY AVERAGE, STATE AVERAGE, OR HEALTHY PEOPLE 2020 GOAL). PRIORITIZATION THE PRIORITIZATION THAT IS OUTLINED IN THIS REPORT IS BASED ON THE COMMUNITY KEY INFORMANT INTERVIEWS AND FOCUS GROUP INPUT. IT IS COMPLEMENTED WITH THE SERVICE AREA DATA RESOURCES AND WAS UPDATED UPON THE CONDUCT OF A COMMUNITY-INVOLVED PRIORITIZATION PROCESS IN JANUARY 2020. COMMUNITY ASSETS AND RESOURCES COMMUNITY ASSETS AND RESOURCES TO ADDRESS THE EMERGING HEALTH NEEDS WERE IDENTIFIED THROUGH FOCUS GROUPS AND INTERVIEWS IN THE IDENTIFICATION PHASE OF THE PROCESS. STAKEHOLDERS WERE ASKED TO SHARE NAMES OF COMMUNITY ORGANIZATIONS, PROGRAMS, AND OTHER RESOURCES THEY KNEW OF AND/OR HAD EXPERIENCE WITH TO ADDRESS THE SPECIFIC HEALTH NEEDS. THESE INCLUDED HOSPITALS, CLINICS, HEALTH CENTERS, ASSOCIATIONS, COMMUNITY-BASED ORGANIZATIONS, FAITH-BASED ORGANIZATIONS, UNIVERSITIES, PUBLIC INITIATIVES AND HOTLINES. FOLLOWING THE IDENTIFICATION OF ASSETS, INTERNET RESEARCH WAS CONDUCTED TO VALIDATE EACH ASSET AND RESOURCE AND COLLECT UP-TO-DATE INFORMATION FOR EACH. |
| PART VI, LINE 3: | PATIENT EDUCATION OF ELIGIBILITY ASSISTANCE:THE HOSPITAL EMPLOYS A VARIETY OF METHODS TO INFORM AND EDUCATE PATIENTS ABOUT THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE BY POSTING ITS CHARITY CARE POLICIES IN PUBLIC PLACES AND PROVIDING PATIENTS WITH WRITTEN NOTICE ABOUT THEIR FINANCIAL OPTIONS, INCLUDING THE AVAILABILITY OF DISCOUNTS, PAYMENT PLANS AND PUBLIC INSURANCE PROGRAMS SUCH AS MEDI-CAL, HEALTHY KIDS, COVERED CALIFORNIA, ACCESS FOR INFANTS AND MOTHERS PROGRAM AND OTHER OPTIONS. SINCE 1991, EMANATE HEALTH'S GEM (GET ENROLLMENT MOVING PROJECT) HAS BEEN A LEADER IN THE SAN GABRIEL VALLEY IN CONNECTING FAMILIES AND INDIVIDUALS WITH ACCESS TO FREE OR LOW-COST HEALTH INSURANCE, AS WELL AS REFERRALS TO OTHER HEALTH ACCESS PROGRAMS FOR THE UNINSURED. THE GEM PROJECT PARTNERS WITH PROMOTORAS (BILINGUAL HEALTH PROMOTERS), SCHOOLS, CHILD-CARE AGENCIES, CHURCHES, FAMILY RESOURCE CENTERS, CLINICS, COMMUNITY BASED ORGANIZATION, ETC. TO IDENTIFY UNINSURED CHILDREN AND ADULTS, AND PROVIDE INSURANCE ENROLLMENT SERVICES IN THE GEM OFFICE AND AT THE OFF-SITE COMMUNITY LOCATIONS. IN ADDITION, THE HOSPITAL HAS OUTREACH PROGRAMS TO LOW INCOME VULNERABLE POPULATIONS VIA DOOR-TO-DOOR, COMMUNITY SITES AND EVENTS. EMANATE HEALTH ALSO SUPPORTS ECHO (EVERY CHILD'S HEALTH OPTION) PROGRAM WHICH PROVIDES URGENT AND SPECIALTY CARE TO UNINSURED CHILDREN. |
| PART VI, LINE 4: | COMMUNITY INFORMATION:EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL (FPH) TOGETHER WITH ITS AFFILIATE EMANATE HEALTH MEDICAL CENTER (EHMC) SERVES AN URBAN COMMUNITY OF NEARLY ONE MILLION PEOPLE IN THE SAN GABRIEL VALLEY. EHMC HAS TWO HOSPITALS: INTER-COMMUNITY HOSPITAL (ICH) IN COVINA AND QUEEN OF THE VALLEY HOSPITAL (QVH) IN WEST COVINA. FOLLOWING IS A SUMMARY OF THE MAJOR DEMOGRAPHICS OF THE HOSPITAL AND ITS AFFILIATES' SERVICE AREA -- POPULATION BY AGE: 6.1% AGE 0-4, 16.9% AGE 5-17, 63.8% AGE 18-64 AND 11.2% AGE 65+; MEDIAN HOUSEHOLD INCOME $66,422; POVERTY LEVEL: 47.2% OF THE RESIDENTS IN THE HOSPITAL SERVICE AREA LIVE UNDER 200% OF THE FEDERAL POVERTY LEVEL AND ARE CLASSIFIED AS LOW-INCOME; PAYER MIX BASED ON FPH'S INPATIENT DAYS SERVED: MEDI-CAL AND MEDI-CAL MANAGED CARE 25.7%, MEDICARE AND MEDICARE MANAGED CARE, 56.4%, MANAGED CARE 17%, AND SELF-PAY 0.9%. APPROXIMATELY 11 OTHER HOSPITALS ARE SERVICING THE AREAS. |
| PART VI, LINE 5: | PROMOTION OF COMMUNITY HEALTH:EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL (FPH), A FULLY ACCREDITED 105 BED NONPROFIT HOSPITAL, HAS PROUDLY SERVED THE COMMUNITIES OF GLENDORA, AZUSA, LA VERNE AND SAN DIMAS SINCE 1973. KEY SERVICES: FULL RANGE OF GENERAL ACUTE CARE SERVICES. EMANATE HEALTH OUTPATIENT DIABETES EDUCATION PROGRAM - RECOGNIZED BY THE AMERICAN DIABETES ASSOCIATION AS A CENTER OF EXCELLENCE FOR DIABETES EDUCATION. 37-BED DIABETES CARE UNIT. 13-BED CARL E. WYNN NEWBORN INN - STATE-OF-THE-ART, PRIVATE-ROOM MATERNITY CARE. 9-BED CORONARY CARE UNIT. 9-BED INTENSIVE CARE UNIT. 37-BED MEDICAL/SURGICAL CARE SERVICES. THE ARTHUR AND SARAH LUDWICK EMERGENCY CARE PAVILLION - 24-HOUR EMERGENCY SERVICES, FEATURING THE ONLY FAA-APPROVED HELIPORT BETWEEN SAN BERNARDINO AND ARCADIA WITH APPROXIMATELY 33,000 ER VISITS IN 2020.LITHOTRIPSY SERVICES. EMANATE HEALTH CENTERS FOR REHABILITATION SERVICES - OFFERING SPEECH, OCCUPATIONAL AND PHYSICAL THERAPY SERVICES FOR CHILDREN AND ADULTS. THE HOSPITAL IS GOVERNED BY A 20-MEMBER BOARD OF DIRECTORS COMPRISED OF PHYSICIANS, BUSINESS AND COMMUNITY LEADERS. THE BOARD HAS THE OVERALL RESPONSIBILITY FOR THE MANAGEMENT OF THE HOSPITAL. TO CARRY OUT THIS RESPONSIBILITY, THE GOVERNING BODY PROVIDES FOR THE EFFECTIVE FUNCTIONING OF ACTIVITIES RELATED TO: DELIVERY OF PATIENT CARE, PERFORMANCE IMPROVEMENT, PATIENT SAFETY, RISK MANAGEMENT, MEDICAL STAFF CREDENTIALING, FINANCIAL MANAGEMENT, STRATEGIC PLANNING AND COMMUNITY BENEFIT.FPH'S MEDICAL STAFF CONSISTED OF 451 PHYSICIANS, OF WHICH 172 ARE MEMBERS OF ITS ACTIVE STAFF (DEFINED AS ADMITTING MORE THAN TWELVE PATIENTS PER YEAR). 88.1% OF THE TOTAL MEDICAL STAFF MEMBERS AND 91.9% OF THE ACTIVE MEDICAL MEMBERS WERE BOARD-CERTIFIED IN THEIR RESPECTIVE SPECIALTIES.THE SURPLUS FUNDS HELD BY THE HOSPITAL ARE USED TO FULFILL ITS MISSION AS AN INTEGRATED HEALTH CARE ORGANIZATION COMMITTED TO PROVIDING QUALITY HEALTH CARE SERVICES IN A COMPASSIONATE ENVIRONMENT FOR THE PEOPLE IN THE SURROUNDING COMMUNITIES BY OFFERING OUTREACH EDUCATION AND CHARITY CARE, INVESTING IN ADVANCED MEDICAL TECHNOLOGY AND MODERNIZING HOSPITAL FACILITIES. |
| PART VI, LINE 6: | AFFILIATED HEALTH CARE SYSTEM: EMANATE HEALTH, THE SOLE CORPORATE MEMBER OF EMANATE HEALTH MEDICAL CENTER (EHMC), EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL (FPH), EMANATE HEALTH HOSPICE (HOSPICE), AND EMANATE HEALTH FOUNDATION (FOUNDATION), PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT THAT DESCRIBES SPECIFIC OUTREACH PROGRAMS AND SERVICES THAT SUPPORT AND PROVIDE CHARITY CARE AND EDUCATION AND PROMOTE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES SERVED BY FPH AND ITS AFFILIATE ORGANIZATIONS.EHMC OPERATES ACUTE CARE HOSPITALS WITH A TOTAL OF 516 LICENSED BEDS AND PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES FOR THE COMMUNITIES SURROUNDING ITS TWO MEDICAL CENTER CAMPUSES: QUEEN OF THE VALLEY HOSPITAL (QVH) LOCATED IN WEST COVINA WITH 325 LICENSED BEDS, AND INTER-COMMUNITY HOSPITAL (ICH) LOCATED IN COVINA WITH 191 LICENSED BEDS. HOSPICE, LOCATED IN WEST COVINA, CALIFORNIA, OPERATES A 10 LICENSED BED SKILLED NURSING FACILITY AND IN HOME SERVICES FOR TERMINALLY ILL PATIENTS AND A HOME HEALTH AGENCY DOING BUSINESS AS EMANTE HEALTH HOME CARE. FOUNDATION PERFORMS THE FUND-RAISING AND TRUST ADMINISTRATION ACTIVITIES RELATED TO EMANATE HEALTH AND ITS AFFILIATES.COMMUNITY OUTREACH:EMANATE HEALTH IS AN ORGANIZATION RECOGNIZED FOR ITS OUTSTANDING COMMUNITY OUTREACH EFFORTS AND ACCOMPLISHMENTS. AN ORGANIZATION DEDICATED TO CREATING INNOVATIVE PARTNERSHIPS AMONG THE NUMEROUS HEALTH AND SOCIAL SERVICE ORGANIZATIONS IN OUR VALLEY, WITH CLOSE TO 100 PARTICIPATING AGENCIES IN DIVERSE COLLABORATIVE RELATIONSHIP DEVOTED TO PROMOTING COMMUNITY HEALTH AND WELL-BEING.SOME HIGHLIGHTS INCLUDE EMANATE HEALTH'S PARTNERSHIP NURSING PROGRAM, WHICH IS BASED ON THE CONCEPT THAT THROUGH WORKING PARTNERSHIPS BETWEEN FAITH COMMUNITIES, COMMUNITY ORGANIZATIONS AND MEDICAL PROFESSIONALS, HEALTH AND WELLNESS ISSUES CAN BE SIGNIFICANTLY IMPROVED. GET ENROLLMENT MOVING PROGRAM (GEM), VOLUNTEERS AND EMANATE HEALTH STAFF MEMBERS WORK TOGETHER TO RECRUIT ELIGIBLE FAMILIES AND ENROLL THEM IN MEDI-CAL, HEALTHY KIDS, COVERED CALIFORNIA, AND OTHER HEALTH ACCESS PROGRAMS. GEM ALSO CALLS ENROLLED INDIVIDUALS THREE SEPARATE TIMES TO CONFIRM ENROLLMENT, ENSURE UTILIZATION OF SERVICES AND TROUBLE SHOOT, AND TO PROVIDE ASSISTANCE AT RENEWAL TIME. GEM IS A PROJECT OF EMANATE HEALTH AND IT IS SUPPORTED BY FUNDING FROM THE L.A. COUNTY OF PUBLIC HEALTH DEPARTMENT AND FIRST 5 LA. GEM PROMOTORAS DE SALUD/HEALTH PROMOTERS IS A PEER OUTREACH AND EDUCATION NEIGHBORHOOD-BASED INITIATIVE WITH THE PURPOSE OF TEACHING AND CONNECTING COMMUNITY RESIDENTS WITH HEALTH INSURANCE OPTIONS. AS LEADERS IN THEIR COMMUNITY, THEY VISIT HOMES DOOR-TO-DOOR TO IDENTIFY NEEDS FOR INFORMATION AND SERVICES. EMANATE HEALTH'S DIABETES PROGRAM PROVIDES FREE DIABETIC FOOT SCREENINGS FOR PATIENTS AND RESIDENTS EVERY MONTH. DIABETES TEST STRIPS ARE PROVIDED FREE OF CHARGE TO PATIENTS THROUGH A PARTNERSHIP WITH A LOCAL COMMUNITY CLINIC; THIS PRACTICE HAD ALREADY SHOWN POSITIVE RESULTS IN RESIDENTS BETTER MANAGING THEIR DIABETES. FREE SUPPORT GROUPS ARE OFFERED AT FOOTHILL EDUCATION CENTER IN GLENDORA AND EMANATE HEALTH RESOURCE CENTER IN COVINA TO HELP RESIDENTS WITH THEIR CONCERNS, ACHIEVEMENTS AND CHALLENGES IN MANAGING THEIR DIABETES. THE LATINO COMMUNITY HAS ACCESS TO SPANISH LANGUAGE GROUPS LED BY A REGISTERED NURSE AND CERTIFIED DIABETES EDUCATOR. EMANATE HEALTH'S VISION IS TO BE AN INTEGRAL PARTNER IN ELEVATING COMMUNITIES' HEALTH THROUGH PARTNERSHIPS. EMANATE HEALTH HAS FORMED A DIABETES PREVENTION AND MANAGEMENT MULTIDISCIPLINARY GROUP MADE UP OF 18 PUBLIC AND PRIVATE AGENCIES WHO JOIN MINDS TO RESPOND TO THE NEEDS OF THE DIABETIC POPULATION AND DECREASE THE DEVASTATING EFFECTS THAT COME WITH IT. EMANATE HEALTH'S BEST BABIES COLLABORATIVE PROGRAM OFFERS FREE HOME VISITATION SERVICES FOR HIGH RISK TEENS AND WOMEN IN PARTNERSHIP WITH SIX COMMUNITY PARTNERS. THIS PROGRAM IS MADE POSSIBLE THROUGH FUNDING AND PARTNERSHIP WITH FIRST 5 LA. EMANATE HEALTH HAS BEEN PROACTIVE IN OFFERING OUTREACH AND EDUCATION THROUGHOUT THE COMMUNITY IN THE AFFORDABLE CARE ACT/MEDI-CAL EXPANSION AND MARKET PLACE. SINCE CONCEPTION, EVERY CHILD'S HEALTHY OPTION (ECHO) IS A COLLABORATIVE EFFORT INVOLVING EMANATE HEALTH, COORDINATED AND LEAD BY LOCAL SCHOOL DISTRICTS. THE ECHO PROGRAM HAS IN PLACE A CADRE OF VOLUNTEER HEALTH PROVIDERS WHO OFFER FREE URGENT CARE SERVICES IN VARIOUS SPECIALTIES; IT ENSURES THAT EVERY CHILD, REGARDLESS OF INCOME LEVEL, HAVE ACCESS TO URGENT QUALITY HEALTH CARE AND PROVIDES ENROLLMENT FOR THE CHILD IN HEALTH INSURANCE. OTHER IMPORTANT PROGRAMS THAT RECEIVE SUPPORT FROM EMANATE HEALTH ARE THE SAN GABRIEL VALLEY COALITION ON HOMELESSNESS AND THE SAN GABRIEL VALLEY DISABILITIES COLLABORATIVE.AS A TEAM OF THE FOUR FINEST HEALTH CARE INSTITUTIONS IN THE REGION, OUR COLLECTIVE STRENGTHS ENABLE US TO CONTINUE THE COMMITMENT TO EXCELLENCE THE SAN GABRIEL VALLEY HAS COME TO KNOW AND TRUST. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | CA |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROBERT H CURRY SEE SCH O | ||||||||||||||
| CEO, BOD | $0 | $1,075,590 | $0 | $864,801 | $0 | $18,193 | $0 | $14,250 | $0 | $18,784 | $0 | $1,991,618 | $0 | $0 |
| RAJESH SHARMA SEE SCH O | ||||||||||||||
| PRESIDENT & CFO | $0 | $739,437 | $0 | $417,504 | $0 | $11,608 | $0 | $11,400 | $0 | $13,339 | $0 | $1,193,288 | $0 | $0 |
| DONNA TOWNSEND | ||||||||||||||
| CORP DIR MED/SURG & CARDIO | $214,763 | $0 | $0 | $0 | $8,599 | $0 | $4,765 | $0 | $20,057 | $0 | $248,184 | $0 | $0 | $0 |
| CHANDRA REDDY | ||||||||||||||
| RSO/NUCLEAR MED TECH | $198,323 | $0 | $0 | $0 | $410 | $0 | $5,667 | $0 | $17,730 | $0 | $222,130 | $0 | $0 | $0 |
| STANLEY KOZAKA | ||||||||||||||
| PHARMACIST | $194,593 | $0 | $1,500 | $0 | $665 | $0 | $5,337 | $0 | $19,204 | $0 | $221,299 | $0 | $0 | $0 |
| CLAUDETTE HALL | ||||||||||||||
| CHARGE RN 12HR SHIFT | $191,541 | $0 | $0 | $0 | $667 | $0 | $5,114 | $0 | $17,717 | $0 | $215,039 | $0 | $0 | $0 |
| WILLIAM LUU | ||||||||||||||
| PHARMACIST | $183,716 | $0 | $0 | $0 | $222 | $0 | $2,697 | $0 | $6,829 | $0 | $193,464 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | ESTABLISHING THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT/CEO - EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL IS AN AFFILIATE OF EMANATE HEALTH. ESTABLISHING THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT/CEO - EMANATE HEALTH USES A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE COMPENSATION COMMITTEE TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT/CEO. PLEASE SEE ADDITIONAL EXPLANATION AT SCHEDULE O FOR FORM 990, PART VI, SECTION B, LINE 15. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 990 PART V LINE 7H | THE ORGANIZATION DID NOT RECEIVE ANY CONTRIBUTIONS OF CARS, BOATS, AIRPLANES OR OTHER VEHICLES. CONSEQUENTLY THERE WERE NO FORMS 1098C FILED. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF THIS ORGANIZATION IS EMANATE HEALTH, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE SOLE MEMBER OF THIS ORGANIZATION IS EMANATE HEALTH. THE MEMBER THROUGH THE BOARD OF DIRECTORS HAS THE RIGHT TO ELECT OR APPOINT ONE OR MORE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY. |
| FORM 990, PART VI, SECTION A, LINE 7B | DECISIONS OF THE GOVERNING BODY ARE SUBJECT TO THE APPROVAL OF THE ORGANIZATION'S SOLE MEMBER, EMANATE HEALTH. |
| FORM 990, PART VI, SECTION B, LINE 11B | STAFF ACCOUNTANTS, DIRECTOR OF FINANCE AND VICE PRESIDENT OF CORPORATE FINANCE REVIEW FORM 990 FOR ACCURACY AND COMPLETENESS UPON RECEIVING IT FROM THE CPA TAX PREPARER. FORM 990 IS FORWARDED TO RAJESH SHARMA, PRESIDENT & CFO, FOR THE FINAL REVIEW. TAX PREPARER PRESENTS FORM 990 TO THE AUDIT AND COMPLIANCE COMMITTEE FOR APPROVAL. BOARD DELEGATED REVIEW AND APPROVAL TO THE AUDIT AND COMPLIANCE COMMITTEE. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL BOARD MEMBERS, KEY EMPLOYEES, AND MANAGEMENT ARE COVERED BY THE CONFLICT OF INTEREST POLICY. DETERMINATIONS OF CONFLICT AND REVIEW OF CONFLICT ARE PERFORMED AT THESE VARIOUS LEVELS OF THE ORGANIZATION. APPROPRIATE ACTION DEPENDING ON THE CONFLICT IS TAKEN BY MANAGEMENT, KEY EMPLOYEES, AND THE BOARD. DISCLOSURE FORMS ARE REQUIRED ANNUALLY BY EACH MEMBER OF THE BOARD OF DIRECTORS, KEY EMPLOYEES, AND MANAGEMENT. |
| FORM 990, PART VI, SECTION B, LINE 15 | EXECUTIVE PAY AT EMANATE HEALTH FOLLOWS MARKET-BASED PAY PRACTICES FOR HEALTHCARE ORGANIZATIONS OF SIMILAR SIZE AND TYPE IN THE SOUTHERN CALIFORNIA AREA. SALARY RANGES FOR EXECUTIVES WORKING AT EMANATE HEALTH FACILITIES FALL WITHIN THE MIDDLE OF THE MARKET, JUST AS THEY DO FOR ALL EMPLOYEES OF OUR ORGANIZATION. EVERY POSITION IN THE ORGANIZATION HAS A SALARY RANGE ATTACHED TO IT THAT REPRESENTS WHAT OTHERS DOING A SIMILAR JOB IN OTHER ORGANIZATIONS ARE LIKELY TO BE PAID. THE LONG-STANDING PAY PHILOSOPHY FOR EMANATE HEALTH HAS BEEN TO POSITION OUR SALARY RANGES IN THE MIDDLE OF OUR LOCAL LABOR MARKET; WE DON'T WANT TO LAG THE LOCAL MARKET, NOR DO WE WANT TO LEAD THE MARKET, SINCE THAT IS NOT A STRATEGY WE CAN AFFORD TO SUSTAIN OVER TIME. WE RELY ON MARKET STUDIES TO DETERMINE WHERE OUR PAY PRACTICES ARE RELATIVE TO OTHER HOSPITALS IN SOUTHERN CALIFORNIA. FOR EXECUTIVE PAY, WE USE THE NATIONALLY-RECOGNIZED AND RESPECTED FIRM, HEWITT ASSOCIATES LLC, AN AON HEWITT COMPANY (AON), TO ANALYZE OUR EXECUTIVE PAY PROGRAM AND DETERMINE WHERE IT FALLS IN OUR MARKET. THIS STUDY IS PERFORMED EVERY OTHER YEAR. THE MOST RECENT EXECUTIVE COMPENSATION DATA IS DATED APRIL 16, 2020. AS PART OF THEIR EXECUTIVE COMPENSATION REVIEW, AON ALSO ISSUES AN OPINION LETTER REGARDING THE REASONABLENESS OF THE PAY PROGRAM FOR A NOT-FOR-PROFIT ORGANIZATION LIKE OURS THAT IS SUBJECT TO THE REQUIREMENTS OF SECTION 4958 OF THE INTERNAL REVENUE CODE AND UNITED STATES TREASURY DEPARTMENT REGULATIONS. IN THEIR APRIL 16, 2020, OPINION LETTER, AON WROTE, "THIS LETTER IS TO INDICATE THAT WE HAVE REVIEWED THE CURRENT COMPENSATION LEVELS, STRUCTURE, AND ADMINISTRATION OF THE EXECUTIVE COMPENSATION PROGRAM AT EMANATE HEALTH. THE FOLLOWING REVIEW IS BASED UPON OUR COMPREHENSIVE REPORT ENTITLED: EMANATE EXECUTIVE COMPENSATION ASSESSMENT. THIS REPORT WAS PRESENTED TO THE COMPENSATION COMMITTEE ON APRIL 16TH AND DISCUSSED IN DETAIL. BASED UPON THIS REVIEW, WE FIND THEM IN SUBSTANTIAL COMPLIANCE WITH ALL CURRENT RULES, REGULATIONS, AND GUIDELINES GOVERNING EXECUTIVE COMPENSATION IN NOT-FOR-PROFIT (501.C) CORPORATIONS. FURTHER, THE LEVELS OF COMPENSATION AWARDED TO THE VARIOUS EXECUTIVES, BOTH IN TERMS OF OPPORTUNITY AND ACTUAL AMOUNTS, ARE CONSISTENT AND REASONABLE WITH PREVAILING MARKET TRENDS AND PRACTICES. LASTLY, THE GOVERNING PRACTICES OF THE COMPENSATION COMMITTEE ARE CONSISTENT WITH SARBANES-OXLEY GUIDELINES AND SECTION 4958 (INTERMEDIATE SANCTIONS) GUIDELINES FOR INDEPENDENCE." THE EXECUTIVE POSITIONS THAT ARE INCLUDED IN THE EXECUTIVE COMPENSATION REVIEW INCLUDE THE PRESIDENT/CEO, CHIEF MEDICAL OFFICER, EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER, CHIEF NURSE & CLINICAL EXECUTIVE (FPH/ICH), CHIEF NURSE & CLINICAL EXECUTIVE (QVH), CHIEF HUMAN RESOURCES OFFICER, CHIEF SUPPORT SERVICES OFFICER, CHIEF MARKETING & COMMUNICATIONS OFFICER AND CEO (EMANATE HEALTH FOUNDATION). EMANATE HEALTH EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST EMANATE HEALTH IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVE REQUIRED TO ENABLE EMANATE HEALTH TO FULFILL ITS MISSION OF PROVIDING HIGH QUALITY HEALTHCARE FOR ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES, IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES EMANATE HEALTH SERVES, PROMOTING PATIENT AND EMPLOYEE SATISFACTION, AND ENSURING FINANCIAL STABILITY. A SUBSTANTIAL PORTION OF EXECUTIVE COMPENSATION IS PERFORMANCE BASED AND IS LINKED TO ORGANIZATIONAL GOALS APPROVED IN ADVANCE BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE. THESE GOALS INCLUDE ATTAINMENT OF ANNUAL AND LONG-TERM FINANCIAL PERFORMANCE, CERTAIN HEALTHCARE QUALITY STANDARDS AND EMANATE HEALTH'S COMMITMENT TO SERVING THE POOR AND DISENFRANCHISED IN THE COMMUNITIES IT SERVES. TOTAL COMPENSATION, WHICH INCLUDES BASE SALARY, ANNUAL AND LONG-TERM INCENTIVE COMPENSATION, IS ESTABLISHED TO APPROXIMATE THE PREVAILING MARKET CONDITIONS FOR EXECUTIVES OF COMPANIES OF SIMILAR SIZE AND REVENUE. |
| FORM 990, PART VI, SECTION C, LINE 19 | UPON REQUEST AN AUDIT REPORT IS AVAILABLE AS REQUIRED. NO OTHER DOCUMENTS ARE AVAILABLE TO THE PUBLIC. |
| FORM 990, PART VII, SECTION A, LINE 1A AND SCHEDULE J | REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS THE OFFICERS REPORTED ON PART VII OF FORM 990 AND SCHEDULE J RECEIVE THEIR ENTIRE COMPENSATION FROM EMANATE HEALTH. THE IRS INSTRUCTIONS TO FORM 990 REQUIRE THAT ALL COMPENSATION PAID BY A RELATED ORGANIZATION MUST BE DISCLOSED IN THE 990 RETURN FOR EACH AFFILIATED ENTITY. THEREFORE, THE OFFICER COMPENSATION REPORTED IN THE 990 RETURNS FOR EMANATE HEALTH MEDICAL CENTER, EMANATE HEALTH HOSPICE, EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL AND EMANATE HEALTH FOUNDATION, ALL ORGANIZATIONS RELATED TO EMANATE HEALTH, CONSTITUTE THE COMPENSATION PAID BY EMANATE HEALTH AND DOES NOT REPRESENT ADDITIONAL COMPENSATION TO SUCH OFFICERS. |
| PART VII, SECTION A | THE OFFICERS SERVE AS CORPORATE OFFICERS FOR EMANATE HEALTH, EMANATE HEALTH MEDICAL CENTER, (EHMC), EMANATE HEALTH HOSPICE (HOSPICE), EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL (FPH) AND EMANATE HEALTH FOUNDATION (FOUNDATION), ALL AFFILIATES OF THE TAXPAYER. THE NUMBER OF HOURS DEVOTED BY THE CORPORATE OFFICERS TO THE AFFILIATES ARE AS FOLLOWS. ROBERT CURRY DEVOTED 14, 2, 2, AND 18 HOURS TO EHMC, HOSPICE, FOUNDATION, AND EMANATE HEALTH, RESPECTIVELY. RAJESH SHARMA DEVOTED 14, 2, 2, AND 18 HOURS TO EHMC, HOSPICE, FOUNDATION, AND EMANATE HEALTH, RESPECTIVELY. |
| FORM 990, PART IX, LINE 11G | OTHER FEES FOR SERVICE: PROGRAM SERVICE EXPENSES 1,292,110. MANAGEMENT AND GENERAL EXPENSES 402,130. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,694,240. |
| FORM 990, PART IX, LINE 24E | CONTRACT LABOR: PROGRAM SERVICE EXPENSES 2,437,494. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,437,494. UTILITIES: PROGRAM SERVICE EXPENSES 1,021,419. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,021,419. EQUIPMENT RENTAL: PROGRAM SERVICE EXPENSES 901,990. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 901,990. TAXES & LICENSES: PROGRAM SERVICE EXPENSES 218,577. MANAGEMENT AND GENERAL EXPENSES 27,465. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 246,042. OTHER EXPENSE: PROGRAM SERVICE EXPENSES 60,733. MANAGEMENT AND GENERAL EXPENSES 7,631. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 68,364. TELEPHONE: PROGRAM SERVICE EXPENSES 49,630. MANAGEMENT AND GENERAL EXPENSES 6,236. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 55,866. POSTAGE: PROGRAM SERVICE EXPENSES 17. MANAGEMENT AND GENERAL EXPENSES 2. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19. |
| FORM 990, PART XI, LINE 9: | CHANGE IN VALUE OF RESTRICTED FUNDS 31,924. PASSTHROUGH INCOME DIFFERENCE -1,936. TRANSFER FROM FOUNDATION -163,319. CHANGE IN BENEFICIAL INTEREST 161,477. |
| FORM 990, PART XII, LINE 2C | THE BOARD OF DIRECTORS HAS CONSTITUTED AN AUDIT AND COMPLIANCE COMMITTEE AND DELEGATED TO THAT COMMITTEE THE RESPONSIBILITY FOR ENGAGING INDEPENDENT AUDITORS AND MONITORING THE AUDIT PROCESS. THIS STRUCTURE HAS BEEN IN EFFECT IN PRIOR YEARS AND WAS NOT CHANGED IN 2020. |
| PART XII LINES 2B: | THE FINANCIAL STATEMENTS OF EMANATE HEALTH AND ITS AFFILIATES, EMANATE HEALTH MEDICAL CENTER, EMANATE HEALTH HOSPICE, EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL, EMANATE HEALTH FOUNDATION, GLENDORA SURGERY CENTER, AND EMANATE HEALTH MSO WERE AUDITED ON A CONSOLIDATED BASIS. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| EMANATE HEALTH | ||||||||||
| 140 W COLLEGE STREET PO BOX 6108 | COVINA | CA | 917225108 | 953885523 | EXEMPT ORGANIZATION SUPPORT & MANAGEMENT | CA | 501(C)(3) | LINE 12B, II | N/A | 0 |
| EMANATE HEALTH MEDICAL CENTER | ||||||||||
| 140 W COLLEGE STREET PO BOX 6108 | COVINA | CA | 917225108 | 956006469 | ACUTE CARE HOSPITAL | CA | 501(C)(3) | LINE 3 | N/A | 0 |
| EMANATE HEALTH FOUNDATION | ||||||||||
| 140 W COLLEGE STREET PO BOX 6108 | COVINA | CA | 917225108 | 952534063 | EXEMPT ORGANIZATION PUBLIC SUPPORT | CA | 501(C)(3) | LINE 7 | N/A | 0 |
| EMANATE HEALTH HOSPICE | ||||||||||
| 140 W COLLEGE STREET PO BOX 6108 | COVINA | CA | 917225108 | 953493611 | HOME HEALTH & HOSPICE CARE | CA | 501(C)(3) | LINE 10 | N/A | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| GLENDORA SURGERY CENTER | |||||||||
| 315 E ROUTE 66 101 | GLENDORA | CA | 91740 | 510492499 | OUTPATIENT SURGERY CENTER | CA | N/A | S | 0 |
| EMANATE HEALTH MSO | |||||||||
| 210 W SAN BERNARDINO ROAD | COVINA | CA | 91723 | 812647150 | MANAGEMENT SERVICES | CA | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| EMANATE HEALTH MEDICAL CENTER | ||
| O | $390,760 | FAIR MARKET VALUE |
| EMANATE HEALTH FOUNDATION | ||
| C | $163,319 | FAIR MARKET VALUE |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE R, PART V, NUMBER 2, CODE O: | FormAndLineReferenceDesc |
| Explanation | THE EXECUTIVE SALARIES ARE PROCESSED THROUGH EMANATE HEALTH. THE SALARIES REPORTED ON FORM 990 ARE PROCESSED THROUGH EMANATE HEALTH. EMANATE HEALTH ACTS AS A COMMON PAYMASTER FOR AFFILIATED ENTITIES, EMANATE HEALTH MEDICAL CENTER, EMANATE HEALTH FOUNDATION AND EMANATE HEALTH HOSPICE. EMANATE HEALTH FILED ONE FORM W-3 WHICH SHOWS A COMBINED NUMBER OF 3,450 EMPLOYEES. THE NUMBER OF EMPLOYEES FOR EACH ENTITY IS REPORTED SEPARATELY ON ITS OWN FORM 990 PART I LINE 5. EMANATE HEALTH MEDICAL CENTER'S FORM 990 REPORTED A TOTAL OF 2,925 EMPLOYEES, EMANATE HEALTH HOSPICE'S FORM 990 REPORTED 85 EMPLOYEES, EMANATE HEALTH FOUNDATION'S FORM 990 REPORTED 8 EMPLOYEES AND EMANATE HEALTH'S FORM 990 REPORTED 432 EMPLOYEES. THE FILING ORGANIZATION FILES ITS OWN FORM W-3, HOWEVER AMOUNTS REPORTED ON SCHEDULE R, PART V, NUMBER 2, CODE O REPRESENT SHARED EMPLOYEE EXPENSES THAT OCCUR BETWEEN THE AFFILIATES. | ExplanationTxt |