2021-05-14T16:19:21-05:00 2020-06-30 910189318 MOSS ADAMS LLP 3121 W MARCH LANE SUITE 200 STOCKTON CA 95219 990 2019-07-01 941603784 ENLOE MEDICAL CENTER ENLO 5303327300 1531 ESPLANADE CHICO CA 95926 KEVIN WOODWARD VP/CFO 5303327300 2021-05-13 1 TRACY S PAGLIA P00366884 2099556100 2021-05-13 2019 2022-09-23 18:48:47Z MIKE WILTERMOOD 1531 ESPLANADE CHICO CA 95926 684563543 0 X WWW.ENLOE.ORG X 1965 CA THE MISSION OF EMC IS TO IMPROVE THE QUALITY OF LIFE THROUGH PATIENT-CENTERED CARE. 17 11 4020 500 -4816 -4816 131562 243202 634368503 648913616 7599992 6023901 4908805 20086665 647008862 675267384 236370 302007 0 0 335556146 342998983 0 0 0 318617608 337533638 654410124 680834628 -7401262 -5567244 609500254 693760224 353381493 440903638 256118761 252856586 X THE MISSION OF ENLOE MEDICAL CENTER IS TO IMPROVE THE QUALITY OF LIFE THROUGH PATIENT-CENTERED CARE. 0 0 500488577 302007 648913616 SEE SCHEDULE OENLOE MEDICAL CENTER (EMC), A CALIFORNIA NONPROFIT BENEFIT CORPORATION IS LOCATED IN THE CITY OF CHICO (THE "CITY"), 90 MILES NORTH OF SACRAMENTO IN BUTTE COUNTY, CALIFORNIA. EMC IS EXEMPT FROM FEDERAL INCOME TAXES AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. EMC PROVIDES A COMPREHENSIVE ARRAY OF INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO MORE THAN 400,000 RESIDENTS OF A SIX-COUNTY REGION OF CALIFORNIA, INCLUDING GLENN AND BUTTE COUNTIES (GENERALLY REFERRED TO AS THE NORTH VALLEY). EMC PROVIDES TRAUMA AND CARDIAC SURGERY SERVICES TO PATIENTS THROUGHOUT NORTHERN CALIFORNIA. THE REGIONAL SERVICE AREA IN WHICH EMC PROVIDES SERVICE IS PRIMARILY RURAL. INDUSTRY IS DOMINATED BY AGRICULTURE, GOVERNMENT AND SERVICE ORGANIZATIONS. A DISPROPORTIONATE SHARE OF RESIDENTS (75% +/-) ARE MEDICARE/MEDICAL PATIENTS.EMC OWNS AND OPERATES A NUMBER OF FACILITIES, INCLUDING THREE INPATIENT FACILITIES: AN ACUTE CARE HOSPITAL, ENLOE MEDICAL CENTER - ESPLANADE CAMPUS (THE "HOSPITAL"); A BEHAVIORAL HEALTH FACILITY, ENLOE MEDICAL CENTER - COHASSET CAMPUS (THE "BEHAVIORAL HEALTH FACILITY"); AND A FACILITY FOR REHABILITATION SERVICES, ENLOE REHAB CENTER (THE "REHAB CENTER"). EMC IS THE LARGEST PROVIDER OF ACUTE CARE SERVICES AND SOLE PROVIDER OF COMPREHENSIVE CARDIOLOGY SERVICES IN THE REGION. INPATIENT UNITS INCLUDE MEDICAL/SURGICAL ACUTE CARE, INTENSIVE CARE, CORONARY CARE, NEURO-TRAUMA CARE, INTENSIVE CARE NURSERY, OBSTETRICS/GYNECOLOGY, PEDIATRICS, BEHAVIORAL HEALTH AND REHABILITATION. IN ADDITION TO A FULL RANGE OF INPATIENT AND OUTPATIENT ANCILLARY AND SUPPORT SERVICES, EMC PROVIDES SPECIALTY SERVICES IN CARDIAC SURGERY, STROKE, NEUROSURGERY, ORTHOPEDICS, VASCULAR SURGERY, COLORECTAL, CANCER, WOMEN'S HEALTH, AND BARIATRIC SERVICES. EMC OPERATES, AT ITS ESPLANADE CAMPUS, ONE OF ONLY TWO LEVEL II TRAUMA CENTERS IN CALIFORNIA NORTH OF SACRAMENTO, AND HOUSES THE ONLY LEVEL II NEONATAL INTENSIVE CARE UNIT IN THE REGION.EMC PROVIDES A COMPREHENSIVE SCOPE OF MEDICAL SERVICES AND PROGRAMS INCLUDING A BARIATRIC SURGICAL PROGRAM, INPATIENT BEHAVIOR HEALTH, INPATIENT AND OUTPATIENT CANCER CARE, A COMPREHENSIVE HEART PROGRAM, DIGESTIVE HEALTH, EMERGENCY SERVICES, AN AMBULANCE AND FLIGHTCARE PROGRAM, HOME CARE AND HOSPICE SERVICES, A STROKE PROGRAM AND A COMPREHENSIVE WOUND CARE CLINIC, INCLUDING HYPERBARIC OXYGEN THERAPY, ONE OF THEMOST EFFECTIVE TREATMENTS AVAILABLE FOR HARD-TO-HEAL WOUNDS AND OTHER CHRONIC CONDITIONS.THE HEART PROGRAM INCLUDES A COMPREHENSIVE SCOPE OF SERVICES INCLUDING CARDIAC DIAGNOSTICS, CARDIAC CATHETERIZATION LAB PERFORMING A RANGE OF SERVICES INCLUDING CORONARY ANGIOGRAMS, CORONARY STENTING AND ANGIOPLASTY, AND ELECTROPHYSIOLOGY SERVICES; AND CORONARY SURGERY INCLUDING CORONARY BYPASS, ENDOSCOPIC VEIN/ARTERY REMOVAL, TRANMYOCARDIAL LASER REVACULARIZATION AND VALVE REPAIR/REPLACEMENT. EMC IS DESIGNATED AS A STEMI RECEIVING CENTER FOR THE TREATMENT OF SEVERE HEART ATTACK KNOWN AS AN ST ELEVATION MYOCARDIAL INTRACTION.OUTPATIENT CANCER SERVICES ARE PROVIDED THROUGH THE ENLOE REGIONAL CANCER CENTER THAT PROVIDES BOARD-CERTIFIED ONCOLOGISTS, HEMATOLOGISTS AND RADIATION ONCOLOGISTS AND OTHER SPECIALTY TRAINED STAFF SUPPORTING MEDICAL ONCOLOGY/INFUSION THERAPY AND RADIATION ONCOLOGY.ENLOE MEDICAL CENTER IS CURRENTLY GOVERNED BY A 14-17 MEMBER BOARD OF TRUSTEES COMPRISED OF PERSONS WHO RESIDE OR MAINTAIN THEIR PRINCIPAL PLACE OF BUSINESS WITHIN THE COMMUNITIES SERVED BY THE HOSPITAL. ENLOE MEDICAL CENTER IS A NON-MEMBER CORPORATION UNDER THE CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION LAW. NEW MEMBERS OF THE BOARD ARE ELECTED BY ITS EXISTING MEMBERS IN ACCORDANCE WITH PROCEDURES SET FORTH IN THE BYLAWS OF THE ORGANIZATION. THE BYLAWS SPECIFY THAT TWO BOARD MEMBERS MUST BE PHYSICIANS AND THAT THE MEDICAL STAFF CHAIRMAN AND THE MEDICAL STAFF CHAIRMAN-ELECT SHALL SERVE AS BOARD MEMBERS EX OFFICIO WITH A VOTE. THE CHIEF EXECUTIVE OFFICER SERVES ON THE BOARD EX OFFICIO WITH A VOTE AND THE CHAIRMAN OF THE ENLOE HEALTH FOUNDATION SERVES ON THE BOARD EX OFFICIO, WITH A VOTE. THE ELECTED MEMBERS OF THE BOARD SERVE STAGGERED TERMS OF THREE YEARS, FOR A MAXIMUM PERIOD OF THREE TERMS (OR NINE YEARS) PER MEMBER. 500488577 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 1 0 1 1 1 0 0 0 0 0 1 1 1 0 0 1 289 0 1 4020 1 0 0 0 0 0 0 0 0 0 0 0 0 X 17 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 0 CA X KEVIN WOODWARD 5303327300 1531 ESPLANADE CHICO CA 95926 MIKE WILTERMOOD CEO, TRUSTEE, EX-OFFICIO 50.00 5.00 X X 598316 0 47118 CONNIE ROWE VP OF PATIENT CARE SERVICES 50.00 5.00 X 320030 0 36064 MARCIA N GALL VP - MEDICAL AFFAIRS 50.00 X 308935 0 36330 JOSHUA CALDERON APP LIAISON 50.00 X 284851 0 44385 KEVIN WOODWARD CFO, VP OF FINANCE 50.00 5.00 X 297405 0 28404 CAROL LINSCHEID VP - HUMAN RESOURCES 50.00 X 290228 0 25709 BRADY HAYNES COO, VP 50.00 X 237657 0 37085 ROBERT GLATTHAAR APP LIAISON 50.00 X 241072 0 26381 CHRISTOPHER MARKING DIRECTOR, PHARMACY 50.00 X 219145 0 41207 LAURIE BRADSHAW NURSE PRACTITIONER 50.00 X 212863 0 42099 JEFFREY MARTINEK PHYSICIAN ASSISTANT 50.00 X 209965 0 42549 CRAIG DUNCAN CHAIRMAN 5.00 2.00 X X 0 0 0 DENISE ADAMS VICE CHAIRMAN 5.00 X X 0 0 0 WILLIAM CARRIERE SECRETARY 5.00 X X 0 0 0 CARRIE ALDEN TRUSTEE 5.00 X 0 0 0 CINDY BENNINGTON-FOOR TRUSTEE 5.00 X 0 0 0 GLORIA GODINEZ TRUSTEE 5.00 X 0 0 0 CAROL L HUSTON TRUSTEE 5.00 X 0 0 0 MARK KIMMELSHUE TRUSTEE (EX-OFFICIO) 2.00 5.00 X 0 0 0 RICK KREPELKA TRUSTEE 5.00 X 0 0 0 JEFFERY LOBOSKY MD TRUSTEE 5.00 X 0 0 0 DAVID LOOMBA MD TRUSTEE (EX-OFFICIO) 2.00 X 0 0 0 KEN PETTY MD TRUSTEE 2.00 X 0 0 0 WALT SCHAFER PHD TRUSTEE 5.00 X 0 0 0 ERIK SIMCHUCK MD TRUSTEE (EX-OFFICIO) 5.00 X 0 0 0 MONICA SODERSTROM TRUSTEE 5.00 X 0 0 0 JACK STERLING TRUSTEE 5.00 X 0 0 0 3220467 0 407331 978 0 1 0 ENLOE SPECIALTY PHYSICIANS INC 1531 ESPLANADE CHICO CA 95926 PROFESSIONAL MEDICAL SERVICES 21598342 NORTHSTATE ANESTHESIOLOGY PARTNERS 69 SYCAMORE VALLEY ROAD CHICO CA 95973 ANESTHESIA SERVICES 14837288 CHICO EMERGENCY PHYSICIANS MEDICAL 1531 ESPLANADE CHICO CA 95926 EMERGENCY MEDICINE 11556427 CROTHALL HEALTHCARE 13028 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 HOUSEKEEPING SERVICES 8241067 THOMAS CUISINE MANAGEMENT 700 E FRANKLIN ROAD MERIDIAN ID 93642 FOOD SERVICES 8137656 141 243202 243202 PATIENT SERVICE REVENUE 621300 648852983 648852983 JOINT VENTURE INCOME 900099 60633 60633 648913616 3633810 -4816 3638626 920138 540510 379628 379628 379628 11000000 8273857 336052 2726143 -336052 2390091 2390091 272517 145740 126777 126777 OTHER OPERATING REVENUE 900099 18061427 18061427 PATIENT RECORDS REVENUE 900099 78066 78066 1440767 1440767 19580260 675267384 648913616 -4816 26115382 302007 302007 2298402 2298402 250437 250437 226392614 189208216 37184398 14137448 11699331 2438117 79675652 65074740 14600912 20244430 16582487 3661943 972158 972158 551592 551592 214542 214542 127530 127530 1820231 201291 1618940 167852 167852 4488329 1873573 2614756 7931152 862190 7068962 327275 302378 24897 8708439 8708439 30761804 6012801 24749003 4777800 949275 3828525 PURCHASE SERVICES 94434642 22601388 71833254 MEDICAL FEES 90319522 89939072 380450 MEDICAL SUPPLIES 85322731 84456262 866469 6608039 1715127 4892912 680834628 500488577 180346051 0 10109055 86198734 174327 524536 116038899 94866210 11343649 9375557 583229 550087 6337214 7842965 20256144 51971890 606762466 352307558 265810411 254454908 146382611 148075711 2609961 6296110 29854754 33603516 609500254 693760224 74414812 167170319 21579383 241588751 227740050 15000000 22377930 24413886 353381493 440903638 X 255905645 252409575 213116 447011 256118761 252856586 609500254 693760224 X -5567244 1698828 606241 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 80180 0 0 0 80180 0 PART II-B, LINE 1: THE ORGANIZATION IS A MEMBER OF THE CALIFORNIA HOSPITAL ASSOCIATION (CHA) - CHA DIRECTS A PORTION OF THE DUES FOR DIRECT LOBBYING EXPENSES; AND THE ORGANIZATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION (AHA) - AHA EXPENDS A PORTION OF THE DUES SPECIFIC FOR LOBBYING PURPOSES. 13770417 13770417 79282831 53739082 25543749 225845648 101213438 124632210 266621803 190392191 76229612 21241767 6962847 14278920 254454908 ANNUITY PAYMENT LIABILITY 8803 DUE TO AFFILIATE 10029980 MALPRACTICE LIABILITY 7828000 LONG-TERM LIABILITY 635183 PENSION LIABILITY 5911920 24413886 1 1 X 1 X 138.000000000000 1 X 450.000000000000 1 0 1 1 3569142 3569142 0.00520 143459952 66127310 77332642 0.11360 328424262 241933517 86490745 0.12700 475453356 308060827 167392529 0.24580 617406 3597307 1314 3595993 0.00530 2108 3890411 10982 3879429 0.00570 1283311 1283311 0.00190 619514 8771029 12296 8758733 0.01290 619514 484224385 308073123 176151262 0.25870 0 36204165 28963332 192370397 235492728 -43122331 X 1 1 1 1 ENLOE MEDICAL CENTER 1531 ESPLANADE CHICO CA 95926 WWW.ENLOE.ORG 230000027 X X X ENLOE MEDICAL CENTER 1 0 0 1 X X X X X X X X X 19 1 1 0 1 X SEE PART V, PAGE 8 X 1 19 1 SEE PART V, PAGE 8 0 1 X 138.000000000000 450.000000000000 X X X X X X 1 1 X X X X 1 X ENLOE.ORG/PATIENT-FAMILY/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE X ENLOE.ORG/PATIENT-FAMILY/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE X ENLOE.ORG/PATIENT-FAMILY/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X 1 X 0 0 ENLOE MEDICAL CENTER PART V, SECTION B, LINE 5: THE 2019 BUTTE COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS A COLLABORATIVE PROJECT, BRINGING TOGETHER ENLOE MEDICAL CENTER, ADVENTIST HEALTH, ORCHARD HOSPITAL AND BUTTE COUNTY PUBLIC HEALTH TO GATHER COMMUNITY FEEDBACK AND HEALTH DATA. PRIMARY HEALTH SURVEY DATA WAS ATTAINED BY CONDUCTING AN OVERSAMPLE OF BUTTE COUNTY RESIDENTS USING THE WELL-ESTABLISHED BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) SURVEY PROTOCOL AND METHODOLOGY. THE BRFSS FOLLOWS THE CENTER FOR DISEASE CONTROL PROTOCOL AND USES THE STANDARDIZED CORE QUESTIONNAIRE AND MODULES. ADDITIONAL DATA COLLECTION EFFORTS INCLUDED COMMUNITY FOCUS GROUPS FACILITATED FOR THE UNDERREPRESENTED GROUPS AND OTHER HARD-TO-REACH SUBPOPULATIONS. PARTICIPANTS INCLUDED SENIORS, COLLEGE STUDENTS, INDIVIDUALS RECEIVING MENTAL HEALTH SERVICES, INDIVIDUALS PARTICIPATING IN PROGRAMS AT BOTH THE AFRICAN AMERICAN FAMILY AND CULTURAL CENTER AND THE HMONG CULTURAL CENTER, HIGH-SCHOOL STUDENTS, PHYSICIANS, GENERAL COMMUNITY MEMBERS, VETERANS AND INDIVIDUALS EXPERIENCING HOMELESSNESS. IN ADDITION TO COMPLETING A WRITTEN SURVEY, PARTICIPANTS WERE ASKED QUESTIONS AS A GROUP AND ENCOURAGED TO SHARE THEIR PERSONAL OR ANECDOTAL EXPERIENCE ACCESSING HEALTH CARE AND LIVING HEALTHY LIVES. QUANTITATIVE SECONDARY DATA WAS COLLECTED FROM AN ARRAY OF WELL-ESTABLISHED SOURCES, INCLUDING THE ROBERT WOOD JOHNSON FOUNDATION, CALIFORNIA HEALTH INTERVIEW SURVEY, OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT, CALIFORNIA DEPARTMENT OF PUBLIC HEALTH, AS WELL AS VARIOUS OTHER SOURCES.THE RESULTS OF THE THREE-ASSESSMENT METHODS WERE REVIEWED FOR A DEGREE OF COMMONALITY. SECONDARY HEALTH METRIC DATA WAS MADE TO ALIGN WITH PRIMARY HEALTH SURVEY AND QUALITATIVE FOCUS GROUP DATA, SUCH THAT THOSE HEALTH FACTORS WITH THE GREATEST ALIGNMENT BECAME EVIDENT. ENLOE MEDICAL CENTER PART V, SECTION B, LINE 6A: THE MOST RECENT STUDY WAS CONDUCTED IN 2019 BY A COLLABORATIVE TEAM OF REPRESENTATIVES FROM ENLOE MEDICAL CENTER, ADVENTIST HEALTH, ORCHARD HOSPITAL AND BUTTE COUNTY PUBLIC HEALTH TO GATHER COMMUNITY FEEDBACK AND HEALTH DATA. ENLOE MEDICAL CENTER PART V, SECTION B, LINE 11: AMONG THE TOP HEALTH PRIORITIES IN BUTTE COUNTY IS ACCESS TO HEALTH CARE, MENTAL ILLNESS AND SUBSTANCE USE DISORDERS, AND CHRONIC DISEASES. CHANGE IN POLICY, SYSTEM AND THE ENVIRONMENT CONTINUE TO BE A SIGNIFICANT NEED. IT IS THE GOAL OF ENLOE MEDICAL CENTER'S COMMUNITY OUTREACH PROGRAM TO CONTINUE BUILDING ON ESTABLISHED RELATIONSHIPS TO RAISE AWARENESS OF AVAILABLE PROGRAMS AND SERVICES THROUGHOUT THE REGION AND BREAK DOWN BARRIERS PREVENTING INDIVIDUALS FROM ACCESSING PROGRAMS/SERVICES TO ACHIEVE WELLNESS.ACCESS TO HEALTH CARE CONTINUES TO BE A CONCERN FOR BUTTE COUNTY RESIDENTS. ENLOE MEDICAL CENTER WILL CONTINUE ITS FOCUS ON PHYSICIAN RECRUITMENT, AS WELL AS OUTREACH WITH HEALTH SCREENINGS AND PREVENTIVE EDUCATION. ENLOE WILL CONTINUE TO HOST:COMMUNITY HEALTH EDUCATION PROGRAMS, PROVIDING OPPORTUNITIES FOR INDIVIDUALS TO LEARN DIRECTLY FROM HEALTH CARE PROFESSIONALS IN THE SPECIALTY AREAS LINKED TO THE TOP IDENTIFIED HEALTH NEEDS.FREE FLU VACCINATION CLINICS IN COLLABORATION WITH THE LOCAL HEALTH DEPARTMENT.MENTAL ILLNESS AND SUBSTANCE ABUSE, INCLUDING ALCOHOL, TOBACCO, ILLICIT DRUGS, AND PRESCRIPTION OPIOIDS, CONTINUE TO RISE TO THE TOP OF PRESSING HEALTH NEEDS IN BUTTE COUNTY. ENLOE WILL CONTINUE TO PARTNER WITH LOCAL PROGRAMS, AGENCIES, COALITIONS, AND TASK FORCES DEDICATED TO ADDRESSING THESE NEEDS. ADDITIONALLY, WE WILL CONTINUE TO LOOK AT INTERNAL POLICY, SYSTEM, AND ENVIRONMENTAL CHANGES TO ADOPT FOR IMPACT.ENLOE'S RECENT HIRE OF A SUBSTANCE USE NAVIGATOR IN THE EMERGENCY DEPARTMENT HAS ALREADY PROVEN EFFECTIVE IN ADDRESSING SUBSTANCE ABUSE AND IDENTIFYING DRUG ADDICTION AS AN ILLNESS THAT REQUIRES MEDICAL ATTENTION. ROBOTIC-ASSISTED SURGERY ALSO EMERGED AS A CONTRIBUTING FACTOR IN THE REDUCTION OF OPIOID USE. THE MINIMALLY INVASIVE TECHNOLOGY MEANS LESS PAIN AND HAS REDUCED THE QUANTITY AND FREQUENCY OF OPIOIDS PRESCRIBED TO PATIENTS.BUTTE COUNTY RESIDENTS HAVE A HIGHER-THAN-AVERAGE INCIDENCE OF CHRONIC CONDITIONS INCLUDING DEPRESSION, COPD, ALZHEIMER'S DISEASE/DEMENTIA, CANCER, AND ASTHMA. ADDRESSING THE UNMET SOCIAL NEEDS ADVERSELY INFLUENCING THE HEALTH OF OUR COMMUNITY IS ONE WAY IN WHICH WE CAN WORK TO LOWER THE INCIDENCE OF THESE CHRONIC CONDITIONS. HOWEVER, CONTINUED EDUCATION - INPATIENT, OUTPATIENT, COMMUNITY, AND ONE- ON-ONE - IS NEEDED TO EMPOWER INDIVIDUALS TO MOVE TOWARD WELLNESS.TO SUPPORT SELF-ADVOCACY, ENLOE OFFERS A VARIETY OF CLASSES AND SUPPORT GROUPS AT LITTLE OR NO COST TO MEMBERS OF THE COMMUNITY. ADDITIONALLY, ENLOE SUPPORTS OTHER LOCAL PROGRAMS FOR COMMUNITY MEMBERS, PATIENTS, AND CAREGIVERS TO RAISE AWARENESS FOR THESE CHRONIC AND DEBILITATING DISEASES.A TOP PRIORITY OF THE SURGEON GENERAL OF CALIFORNIA'S OFFICE IS ADDRESSING SOCIAL DETERMINANTS THAT INFLUENCE EARLY CHILDHOOD DEVELOPMENT AND HEALTH. THE HEALTHY BEGINNINGS OBJECTIVES FOCUS ON MATERNAL AND INFANT HEALTH, AS WELL AS CHILD AND ADOLESCENT PHYSICAL, MENTAL, AND SOCIAL HEALTH FOR WHICH ACES RATES ARE KEY HEALTH INDICATORS.ENLOE MEDICAL CENTER'S CUDDLE CARE PROGRAM PROVIDES A WIDE RANGE OF SERVICES THAT ARE SUPPORTIVE IN POSTPARTUM SETTINGS, AS WELL AS THE SPECIAL CARE NURSERY, IN WHICH ENLOE VOLUNTEERS OFFER LOVING TOUCH FOR BABIES WITH NEONATAL ABSTINENCE SYNDROME (NAS). ADDITIONALLY, ENLOE WOMEN'S SERVICES AND ENLOE'S NETTLETON MOTHER & BABY CARE CENTER IMPLEMENT DEPRESSION SCREENINGS THROUGHOUT PREGNANCY AND POSTPARTUM TO ENSURE THE SAFETY OF BOTH MOTHER AND BABY. THROUGH COMMUNITY OUTREACH EVENTS, INCLUDING ENLOE'S ANNUAL COMMUNITY WELLNESS EXPO AND MOTHERS STROLL, WE COMMIT TO INCREASING AWARENESS AND ACCESS TO NECESSARY SUPPORT SERVICES THROUGH COMMUNITY PARTNERSHIPS. ENLOE MEDICAL CENTER PART V, SECTION B, LINE 13B: COMMUNITY SERVICE WILL BE PROVIDED TO UNINSURED PATIENTS ON A SLIDING SCALE BASIS, USING THE CURRENT PUBLISHED FEDERAL POVERTY LEVELS (FPL) AS GUIDELINES. COMMUNITY SERVICE DISCOUNTS WILL BE GRANTED USING THE FOLLOWING CRITERIA:- IF FAMILY INCOME IS LESS THAN 138 PERCENT FPL: FREE CARE- IF FAMILY INCOME IS 139 PERCENT TO 250 PERCENT FPL: CO-PAYMENT OF $100 PER ELIGIBLE ACCOUNT, NOT TO EXCEED $250 PER CALENDAR MONTH. MAXIMUM $250 PER MONTH EXCLUDES EMERGENCY AND CARDIOLOGY PHYSICIAN AND/OR HOSPITAL-BASED PHYSICIAN SERVICE ACCOUNTS.- IF FAMILY INCOME IS 251 PERCENT TO 350 PERCENT FPL: 100 PERCENT OF MEDICARE FEE SCHEDULE.OTHER FACTORS CONSIDERED BUT ARE NOT LIMITED TO: INCOME LEVEL, ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS, UNISURED DISCOUNT ELIGIBILITY, RESIDENCY, MEDICAID/MEDICARE ELIGIBILITY AND STATE REGULATIONS. SCHEDULE H, PART V, LINE 7A HOSPITAL FACILITY'S WEBSITE: HTTPS://WWW.ENLOE.ORG/ABOUT-US/COMMUNITY-BENEFIT-REPORT SCHEDULE H, PART V, LINE 10 HTTPS://WWW.ENLOE.ORG/ABOUT-US/COMMUNITY-BENEFIT-REPORT PART I, LINE 7: COSTING METHODOLOGY UTILIZED FOR FINANCIAL ASSISTANCE AND MEANS TESTED GOVERNMENT PROGRAMS WAS A MODIFIED COST TO CHARGE RATIO. THE COSTING METHODOLOGY FOR ALL OTHER BENEFIT PROGRAMS WAS BASED ON ACTUAL COST FOR ALL PATIENT SEGMENTS. PART III, LINE 2: EMC USES A COST TO CHARGE METHODOLOGY TO REPORT THE ORGANIZATIONS BAD DEBT EXPENSE AT THE COST OF CARE. AMOUNTS CHARGED OFF AS BAD DEBT IS RECORDED AT GROSS CHARGES. A COST TO CHARGE RATIO IS APPLIED TO THE GROSS CHARGE AMOUNT WRITTEN OFF TO REPORT BAD DEBT EXPENSE AT THE COST OF PROVIDING CARE. PART III, LINE 3: BAD DEBT EXPENSE IS DETERMINED USING THE DIFFERENCE BETWEEN THE STANDARD RATES (AFTER NEGOTIATED DISCOUNTED RATES HAVE BEEN APPLIED) AND THE AMOUNTS ACTUALLY COLLECTED. THE ORGANIZATION DOES NOT HAVE A MEANS TO DETERMINE THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS THAT WOULD OTHERWISE BE ELIGIBLE UNDER THE ORGANIZATIONS' COMMUNITY SERVICE AND DISCOUNT POLICY (THE "POLICY"/"COMMUNITY BENEFIT"). THE POLICY REQUIRES THE PATIENT GUARANTOR TO APPLY FOR COMMUNITY BENEFIT CARE. THE DETERMINANTS FOR COMMUNITY BENEFIT CARE ARE A FUNCTION OF HOUSEHOLD INCOME AND DEPENDENTS - THE APPLICANT PROCESS REQUIRES AN INCOME DECLARATION. ABSENT THE APPLICANT PROCESS FOR COMMUNITY BENEFIT CARE IT IS DIFFICULT TO DETERMINE THE AMOUNT OF BAD DEBT THAT REASONABLY COULD BE ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S CHARITY CARE POLICY. BY DEFINITION, UNCOLLECTIBLE ACCOUNTS, ARE TYPICALLY REFLECTIVE OF AN INDIVIDUAL'S INABILITY TO MEET THEIR FINANCIAL OBLIGATIONS - THE ORGANIZATION ASSUMES THAT APPROXIMATELY 80% OF THE AMOUNT REPORTED AS BAD DEBT COULD REASONABLY BE ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY QUALIFY FOR CHARITY CARE UNDER THE ORGANIZATION'S CHARITY CARE POLICY. PART III, LINE 4: PLEASE REFER TO AUDIT FINANCIAL STATEMENT NOTE 1- PATIENT ACCOUNTS RECEIVABLE ON PAGE 13/53. PART III, LINE 8: COSTING METHODOLOGY UTILIZED WAS A MODIFIED COST TO CHARGE RATIO AS APPLIED TO MEDICARE PATIENT POPULATION. CARING FOR MEDICARE PATIENTS FULFILLS A COMMUNITY NEED AND RELIEVES A GOVERNMENT BURDEN AS THESE PATIENTS TYPICALLY HAVE LOW AND/OR FIXED INCOMES. MEDICARE DOES NOT PROVIDE SUFFICIENT REIMBURSEMENT TO COVER THE COST OF PROVIDING CARE FOR THESE PATIENTS FORCING THE HOSPITAL TO USE OTHER SOURCES TO COVER THE DEFICIT. PART III, LINE 9B: COLLECTION PRACTICES ARE CONSISTENT FOR ALL PATIENTS AND COMPLY WITH APPLICABLE PROVISIONS OF CALIFORNIA LAW. ENLOE MEDICAL CENTER'S COLLECTION POLICIES OUTLINE THE TYPES OF COLLECTION EFFORTS CONTRACTED COLLECTIONS AGENCIES MAY/MAY NOT TAKE TO COLLECT ON PAST-DUE ACCOUNTS. (A) IT IS RECOGNIZED THAT AS PART OF THE CHARITY CARE AND DISCOUNT PROCESS, PATIENTS MAY BREAK THEIR PROMISE TO PAY FROM TIME TO TIME. (B) IN THESE INSTANCES, PATIENTS WITH PAST DUE CHARITY CARE OBLIGATIONS MAY BE REFERRED TO COLLECTION IN THE SAME MANNER AS ANY OTHER PATIENT WITH AN UNPAID PAST - DUE ACCOUNT. (C) HOWEVER, IN NO INSTANCE WILL ANY PATIENT RECEIVING COMMUNITY SERVICE UNDER THIS POLICY BE SUBJECT TO ABUSIVE TELEPHONE COLECTIONS PRACTICES, LIENS BEING PLACED ON THEIR PRIMARY RESIDENCE, WAGE GARNISHMENTS, OR INVOLUNATARY COURT HOLD ORDERS. (D) NON-PAYMENT WILL NOT BE REPORTED TO A CREDIT REPORTING AGENCY AT ANY TIME PRIOR TO 150 DAYS FROM INITIAL BILLING. PART VI, LINE 2: COMMUNITY NEEDS: EMC PERFORMS A COMMUNITY NEEDS ASSESSMENT EVERY THREE YEARS. THE PRIMARY PURPOSE OF CONDUCTING THE CHNA IS TO OBJECTIVELY LOOK AT THE CURRENT HEALTH NEEDS OF A COMMUNITY, AS WELL AS THE EXISTING RESOURCES AVAILABLE TO ADDRESS THOSE NEEDS, THEN PRIORITIZE THE UNMET HEALTH NEEDS AND CREATE AN ACTION PLAN TO ADDRESS THEM IN THE COMING YEARS. PART VI, LINE 3: PATIENT EDUCATION: EMC PROVIDES UNINSURED PATIENTS AND FAMILIES WITH ASSISTANCE IN ACCESSING FINANCIAL ASSISTANCE THROUGH EMC'S PATIENT FINANCIAL SERVICES DEPARTMENT. THE DEPARTMENT EMPLOYS SPECIALTY TRAINED FINANCIAL COUNSELORS THAT ASSIST PATIENTS WITH THE APPLICANT PROCESS FOR FEDERAL AND STATE PROGRAMS, INCLUDING THE STATE'S MEDICAID PROGRAM - MEDI-CAL; THE COUNTY MEDICAL SERVICES PROGRAM - A PROGRAM THAT PROVIDES HEALTH COVERAGE FOR LOW-INCOME, INDIGENT ADULTS; AND THE STATE'S HEALTHY FAMILIES PROGRAM - A LOW COST INSURANCE PROGRAM FOR CHILDERN AND TEENS, PROVIDING HEALTH, DENTAL AND VISION COVERAGE TO CHIDREN WHO DO NOT HAVE INSURANCE AND DO NOT QUALIFY FOR MEDI-CAL. THE FINANCIAL COUNSELORS ALSO ASSIST PATIENT FAMILIES WITH THE BENEFITS OR FINANCIAL ASSISTANCE AVAILABLE THROUGH EMC'S COMMUNITY SERVICE AND DISCOUNT POLICY. THE INFORMATION ON THE ELIGIBILITY FOR ASSISTANCE IS PROVIDED AT THE TIME OF REGISTRATION AND NO LATER THAN AT THE TIME OF DISCHARGE. BILLING NOTICES TO UNINSURED PATIENTS INCLUDE CONTACT INFORMATION FOR MEDI-CAL AND THE FINANCIAL COUNSELORS SUPPORTING THE COMMUNITY SERVICE AND DISCOUNT POLICY AND APPLICANT PROCESS. EMC ALSO POSTS NOTICES REGARDING THE AVAILABILITY OF THE COMMUNITY SERVICE AND DISCOUNT POLICY IN ALL PATIENT REGISTRATION AREAS, IN PATIENT HANDBOOKS AND PUBLICATIONS, AT THE FINANCIAL COUNSELOR OFFICE AND ON EMC'S WEBSITE. THE NOTICES ARE AVAILABLE IN THE LANGUAGES REPRESENTED BY ITS PATIENT POPULATION. A TOLL-FREE TELEPHONE NUMBER IS AVAILABLE TO ASSIST PERSONS WITH THE PROCESS. PART VI, LINE 4: COMMUNITY INFORMATION: EMC IS A COMMUNITY-OWNED, NOT-FOR-PROFIT, 298-BED SYSTEM, LOCATED IN CHICO, CALIFORNIA - NORTHERN CALIFORNIA; AND LOCATED APPROXIMATELY 90 MILES NORTH OF SACRAMENTO. EMC PROVIDES A COMPREHENSIVE ARRAY OF INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO NEARLY 400,000 RESIDENTS OF A SIX-COUNTY REGION OF NORTHERN CALIFORNIA. CHICO IS HOME TO APPROXIMATELY 112,000 PEOPLE; INCLUDING ROUGHLY 17,000 STUDENTS ATTENDING CALIFORNIA STATE UNIVERSITY, CHICO. EMC IS THE LARGEST MEDICAL CENTER IN THE REGION AND IS ONLY ONE OF TWO LEVEL II TRAUMA CENTERS BETWEEN SACRAMENTO AND THE OREGON BORDER. THE SIZE AS WELL AS THE EXTREME DIVERSITY OF THE SOCIO-ECONOMICS, DEMOGRAPHICS AND GEOGRAPHY WITHIN OUR SERVICE AREA REQUIRES THAT WE OFFER FULL CONTINUUM OF HEALTH SERVICES RANGING FROM PREVENTATIVE EDUCATION AND OUTPATIENT SERVICES TO ACUTE CARE, BEHAVIORAL HEALTH, INPATIENT REHABILITATION AND HOME HEALTH AND HOSPICE SERVICES. SERVING A SIX-COUNTY REGION IN NORTHERN CALIFORNIA, WE PROVIDE QUALITY, COMPASSIONATE, COST-EFFECTIVE CARE TO THE PATIENT POPULATION IT SERVES. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH: EMC'S GOVERNING BOARD OF TRUSTEES IS COMPRISED OF PERSONS WHO RESIDE IN THE SERVICE AREA OF EMC. EMC EXTENDS MEDICAL STAFF PRIVILEDGES TO ALL QUALIFIED PHYSICIANS. THE STRATEGIC PRIORITIES OF EMC INCLUDE EMPLOYEE ENGAGEMENT, QUALITY AND PATIENT EXPERIENCE, PHYSICIAN-HOSPITAL ALIGNMENT AND FINANCIAL STEWARDSHIP. EMC'S STRATEGIC PLAN INCLUDES THE CONTINUING EFFORT TO IMPROVE THE QUALITY OF PATIENT CARE BY STRIVING TO MEET THE FUTURE HEALTH CARE NEEDS OF THE COMMUNITY AND MEETING THE STATE'S SEISMIC REQUIREMENTS. EMC COMPLETED AN EXPANSION PROJECT IN 2013 WHICH INCLUDED THE CONSTRUCTION OF A FIVE-STORY, 191,000 SQUARE FOOT PATIENT TOWER AS WELL AS NEW A SURGERY CENTER, TRAUMA CENTER, EXPANDED EMERGENCY CENTER AND PARKING STRUCTURE. EMC CONTINUES TO INVEST IN NEEDED MEDICAL TECHNOLOGY, MEDICAL EQUIPMENT AND INFORMATION SYSTEMS, ITS PEOPLE AND PHYSICIANS. PROGRAM PRIORITIES OF EMC ARE BALANCED WITH AVAILABLE RESOURCES PROVIDED FOR CURRENT OPERATIONS WHILE INSURING THE LONG-TERM FINANCIAL HEALTH OF EMC. PART VI, LINE 6: N/A PART VI, LINE 7, REPORTS FILED WITH STATES CA 1 BUTTE COMMUNITY COLLEGE DISTRICT 3536 BUTTE CAMPUS DR OROVILLE CA 95965 911637174 501(C)(3) 65588 (RN) PROGRAMS HEALTH COMMUNITY FORUM PROJECT ENLOE FOUNDATION 1531 ESPLANADE CHICO CA 95926 942985552 501(C)(3) 149800 GENERAL SUPPORT NORTH VALLEY COMMUNITY FOUNDATION 240 MAIN STREET SUITE 260 CHICO CA 95928 680161455 501(C)(3) 10000 GENERAL SUPPORT TO ENLOE CANCER CENTER CELEBRATION COMPASSION JESUS PROVIDES OUR DAILY BREAD 1297 PARK AVE CHICO CA 95928 680290819 501(C)(3) 12200 MEDICAL RESPITE PROGRAM CHICO STATE ENTERPRISES 25 MAIN STREET SUITE 203 CHICO CA 95928 680386518 501(C)(3) 32500 GENERAL SUPPORT 5 0 PART I, LINE 2: THERE IS NO SPECIFIC PROCEDURE FOR MONITORING THE USE OF FUNDS. THE FUNDS ARE: (1) GIVEN DIRECTLY TO OTHER NONPROFIT ORGANIZATIONS AS UNRESTRICTED DONATIONS, OR (2) TO COVER EXPENSES THAT MEET THE FUND'S RESTRICTED PURPOSE. X X X X 0 1 0 0 0 0 0 0 0 MIKE WILTERMOOD CEO, TRUSTEE, EX-OFFICIO 504887 0 0 0 93429 0 19245 0 27873 0 645434 0 0 0 CONNIE ROWE VP OF PATIENT CARE SERVICES 318053 0 0 0 1977 0 16800 0 19264 0 356094 0 0 0 MARCIA N GALL VP - MEDICAL AFFAIRS 288075 0 0 0 20860 0 16801 0 19529 0 345265 0 0 0 JOSHUA CALDERON APP LIAISON 281442 0 0 0 3409 0 16512 0 27873 0 329236 0 0 0 KEVIN WOODWARD CFO, VP OF FINANCE 261294 0 0 0 36111 0 16386 0 12018 0 325809 0 0 0 CAROL LINSCHEID VP - HUMAN RESOURCES 269465 0 0 0 20763 0 16800 0 8909 0 315937 0 0 0 BRADY HAYNES COO, VP 234847 0 0 0 2810 0 7213 0 29872 0 274742 0 0 0 ROBERT GLATTHAAR APP LIAISON 238957 0 0 0 2115 0 14363 0 12018 0 267453 0 0 0 CHRISTOPHER MARKING DIRECTOR, PHARMACY 218835 0 0 0 310 0 13334 0 27873 0 260352 0 0 0 LAURIE BRADSHAW NURSE PRACTITIONER 211924 0 0 0 939 0 12995 0 29104 0 254962 0 0 0 JEFFREY MARTINEK PHYSICIAN ASSISTANT 209738 0 0 0 227 0 12027 0 30522 0 252514 0 0 0 PART I, LINE 4B ENLOE MEDICAL CENTER PROVIDES FOR AN EXECUTIVE BENEFIT PLAN, PARTICIPANTS ARE PROVIDED A FIXED PERCENTAGE OF THEIR BASE SALARY USED TO PURCHASE BASIC (HEALTH, DENTAL, VISION AND OTHER BENEFITS) AND SUPPLEMENTAL BENEFITS (DISABILITY INSURANCE, LIFE INSURANCE) AND OTHER FLEXIBLE BENEFIT OPTIONS WITH THE BALANCE AVAILABLE FOR A TAX DEFERRED CONTRIBUTION IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN AS DESCRIBED IN SECTION 457(F) OF THE INTERNAL REVENUE CODE. THE FOLLOWING INDIVIDUALS RECEIVED FROM THE PLAN: MIKE WILTERMOOD: $70,970 A CA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY 680164610 130795WHS 2008-08-20 69528444 REDEMPTION OF 1998 BOND 0 0 0 B CA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY 680164610 13080SKG8 2015-11-19 195078324 ADVANCED REFUNDING OF SERIES 2008B BOND 0 0 0 C CA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY 511598225 000000000 2017-02-23 28000000 EQUIPMENT PROGRAM PURCHASE NOTE 0 0 0 A 45165000 69528444 6847905 1009273 2211063 66308108 2008 1 0 1 1 B 955000 195078324 9188666 1821380 3346810 189910134 0 1 1 1 C 10834743 28000000 127295 27287705 0 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 C 0 0 0 0 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 0 1 0 0 0 0 0 1 A 1 B 1 C 1 MICHAEL WILTERMOOD OFFICER SPLIT-INTEREST LOAN X 3976279 3980015 0 1 1 CONNIE ROWE KEY EMPLOYEE SPLIT-INTEREST LOAN X 1270634 1271828 0 1 1 MARCIA NELSON GALL KEY EMPLOYEE SPLIT-INTEREST LOAN X 1613079 1614595 0 1 1 CAROL LINSCHEID KEY EMPLOYEE SPLIT-INTEREST LOAN X 1437631 1438982 0 1 1 BRADY HAYNES KEY EMPLOYEE SPLIT-INTEREST LOAN X 1069132 1070137 0 1 1 9375557 CHICO HOSPITALIST GROUP ENTITY MORE THAN 35% OWNED BY FORREST OLSON, MD AND SHAWN MAIORANO, DO 7271578 A 35% CONTROLLED ENTITY OF TRUSTEE 0 NORTHSTATE NEUROSURGICAL ASSOCIATES ENTITY MORE THAN 35% OWNED BY JEFFERY LOBOSKY, TRUSTEE 2888818 PROFESSIONAL SERVICES AGREEMENT 0 NORTHSTATE ANESTHESIOLOGY PARTNERS ENTITY MORE THAN 35% OWNED BY DAVE LOOMBA, MD, TRUSTEE 13528675 PROFESSIONAL SERVICES AGREEMENT 0 NORTH STATE RADIOLOGY MEDICAL ENTITY MORE THAN 35% OWNED BY KEN PETTY, TRUSTEE 2251683 PROFESSIONAL SERVICES AGREEMENT 0 JASON MCKAY FAMILY MEMBER OF CAROL HUSTON, TRUSTEE 68416 EMPLOYMENT 0 KRISTIN L MCKAY FAMILY MEMBER OF CAROL HUSTON, TRUSTEE 182021 EMPLOYMENT 0 FORM 990, PART VI, SECTION B, LINE 11B THE FINAL FORM 990 IS PROVIDED TO EMC'S GOVERNING BODY WHERE IT IS REVIEWED AND MADE AVAILABLE FOR COMMENT PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. THE REVIEW PROCESS INCLUDES MULTIPLE LEVELS OF REVIEW INCLUDING KEY CORPORATE FINANCE DEPARTMENT PERSONNEL AND SENIOR EXECUTIVES, INCLUDING THE DIRECTOR OF FINANCE AND VICE PRESIDENT/CHIEF FINANCIAL OFFICER AND CHIEF EXECUTIVE OFFICER. ADDITIONALLY, THE ORGANIZATION CONTRACTS WITH MOSS ADAMS, LLP, A CPA FIRM, FOR PREPARATION AND REVIEW OF THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C ENLOE MEDICAL CENTER (EMC) IS COMMITTED TO PREVENTING ANY PARTICIPANT OF EMC FROM GAINING ANY PERSONAL BENEFIT FROM INFORMATION RECEIVED OR FROM ANY TRANSACTION OF EMC. EMC MAINTAINS A WRITTEN CONFLICT OF INTEREST POLICY THAT REQUIRES ANY INTERESTED PERSON TO SUBMIT A CONFLICT OF INTEREST STATEMENT ANNUALLY TO THE COMPLIANCE OFFICER. EMC DEFINES AN INTERESTED PERSON AS ANY DIRECTOR, TRUSTEE, PRINCIPAL OFFICER, CONTRACTED PHYSICIAN OR MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS THAT HAS A DIRECT OR INDIRECT FINANCIAL INTEREST, OR OUTSIDE INTEREST OR ACTIVE INTEREST. A FINANCIAL INTEREST IS BASED ON IF THE PERSON, DIRECTLY OR INDIRECTLY, THROUGH BUSINESS, INVESTMENT OR IMMEDIATE FAMILY HAS AN OWNERSHIP OR INVESTMENT INTEREST IN ANY ENTITY WITH WHICH EMC HAS A TRANSACTION OR ARRANGEMENT, OR A COMPENSATION ARRANGEMENT WITH ANY ENTITY OR INDIVIDUAL WITH WHICH THE ORGANIZATION HAS A TRANSACTION OR ARRANGEMENT, OR A POTENTIAL OWNERSHIP OR INVESTMENT INTEREST IN, OR COMPENSATION ARRANGEMENT WITH ANY ENTITY OR INDIVIDUAL WITH WHICH EMC IS NEGOTIATING A TRANSACTION OR ARRANGEMENT. EACH BOARD MEMBER, OFFICER, MEMBER OF A BOARD COMMITTEE (COMMITTEE) AND CONTRACT PHYSICIAN IS REQUIRED TO ANNUALLY SIGN A CONFLICT OF INTEREST ANNUAL STATEMENT WHICH AFFIRMS THAT SUCH PERSON HAS (I) RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, (II) HAS READ AND UNDERSTANDS THE POLICY, (III) AGREES TO COMPLY WITH THE POLICY, AND (IV) HAS DISCLOSED ALL REAL AND POTENTIAL CONFLICTS. THESE STATEMENTS ARE SUBMITTED BY THE CHIEF COMPLIANCE OFFICER TO THE BOARD ON AN ANNUAL BASIS. THE MINUTES OF THE BOARD CONTAIN ALL APPROPRIATE DOCUMENTATION OF PERSONS WITH ACTUAL OR PERCEIVED CONFLICT OF INTEREST. ANY PERSON DEEMED TO BE AN INTERESTED PERSON IS RECUSED FROM DISCUSSION OR PARTICIPATION IN THE DECISION PROCESS FOR ANY CONTEMPLATED TRANSACTION OR ARRANGEMENT. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, AN INTERESTED PERSON IS REQUIRED TO DISCLOSE THE EXISTENCE AND NATURE OF ANY FINANCIAL OR OTHER INTEREST TO THE CHAIRMAN OF THE BOARD OF COMMITTEE. AFTER DISCLOSURE OF THE INTEREST AND ALL MATERIAL FACTS, INVESTIGATION AND ANY DISCUSSION WITH THE INTERESTED PERSON, THE CHAIRMAN OR RESPECTIVE COMMITTEE WILL UNDERTAKE SUCH STEPS AS NECESSARY TO DECIDE IF A CONFLICT OF INTEREST EXISTS. VIOLATIONS OF THE CONFLICTS OF INTEREST POLICY ARE SUBJECT TO THE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION, INCLUDING DISMISSAL, AT THE BOARD'S DISCRETION. FORM 990, PART VI, SECTION B, LINE 15 ENLOE MEDICAL CENTER (EMC) IS COMMITTED TO ENSURING THAT ALL EXECUTIVE COMPENSATION DECISIONS ARE COMPETITIVE, FAIR AND EQUITABLE, SUPPORTING THE MISSION AND VALUES OF EMC, AS WELL AS IN COMPLIANCE WITH APPROPRIATE REGULATORY GUIDELINES. RESPONSIBILITY FOR DUE DILIGENCE AND THE DEVELOPMENT OF RECOMMENDATIONS REGARDING EXECUTIVE COMPENSATION RESIDES WITH THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD. THE COMMITTEE IS COMPRISED OF INDIVIDUALS INDEPENDENT OF THE MANAGEMENT OF EMC. THE KEY PRINCIPLES TO OUR COMPENSATION PHILOSOPHY ARE TO PROVIDE A REASONABLE MARKET WAGE, MAINTAIN COMPETITIVE AND INTERNALLY EQUITABLE PAY AND PROVIDE MARKET COMPETITIVE BENEFITS. EXECUTIVE COMPENSATION IS BASED ON NATIONAL AND REGIONALLY RECOGNIZED ORGANIZATIONS. THE EXECUTIVE COMPENSATION COMMITTEE COMPLETES A MARKET-BASED ANALYSIS ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 EMC MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN DEFINED BENEFIT PENSION PLANS 607,043. CHANGE IN VALUE OF GIFT ANNUITY FUNDS -802. NORTH VALLEY ADVANCED IMAGING LLC 1720 ESPLANADE CHICO CA 95926 263877565 HEALTH IMAGING CA 266447 2006285 ENLOE MEDICAL CENTER ENLOE HEALTH FOUNDATION 1531 ESPLANADE CHICO CA 95926 942985552 SUPPORT EMC CA 501(C)(3) LINE 7 ENLOE MEDICAL CENTER 1 LGIMA US CREDIT FUND LLC 71 SOUTH WACKER DRIVE SUITE 800 CHICAGO IL 60606 800969802 INVESTMENTS IL N/A RELATED 1512788 30105957 0 0 0.64560 BUTTE COUNTY EMERGENCY MEDICAL SERVICES 333 HUSS DRIVE SUITE 100 CHICO CA 95928 455110584 AMBULANCE SERVICES CA N/A RELATED -16560 806 0 1 0.50000 CHICO PHYSICIAN PRACTICE SUPPORT SERVICE 1531 ESPLANADE CHICO CA 95926 680352993 PHYSICIAN MGMT CA ENLOE MEDICAL CENTER C 1.00000 1 GIFT ANNUITY TRUSTS (2) GIFT ANNUITY TRUSTS CA 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ENLOE HEALTH FOUNDATION C 243202 BOOK VALUE/ACTUAL