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OUTPATIENT CLINIC FORM 990, Schedule H, Part I, Line 6 Community Benefit Report - Related Organization EISENHOWER MEDICAL CENTER'S QUANTIFIABLE COMMUNITY BENEFITS ARE GROUPED INTO CATEGORIES SPECIFIED BY THE STATE: MEDICAL CARE SERVICES, OTHER SERVICES FOR VULNERABLE POPULATIONS, OTHER SERVICES FOR THE BROADER COMMUNITY, AND HEALTH RESEARCH, EDUCATION AND TRAINING PROGRAMS. EMC'S NONQUANTIFIABLE BENEFITS RANGE THROUGOUT THE VARIOUS ORGANIZATION AND AGENCIES WHERE STAFF AND VOLUNTEERS HOLD POSITIONS. FORM 990, SCHEDULE H, PART I, LINE 7 FINANCIAL ASSISTANCE THE COSTING METHODOLOGY USE TO CALCULATE FINANCIAL ASSISTANCE AND MEDICAID IS HTE ALLOWABLE COST-TO-CHARGE RATIO PER THE COST REPORT. FORM 990, SCHEDULE H, PART I, LINE 7G DISCLOSURE IDENTIFYING COSTS THERE WAS AN IMMATERIAL AMOUNT OF COST ATTRIBUTABLE TO PHYSICIAN CLINICS INCLUDED. Form 990, Schedule H, Part II Community Building Activities THE COMMUNITY BUILDING ACTIVITIES, AS REPORTED INCLUDE ACTIVITIES SUCH AS CAREER DAYS AT LOCAL HIGH SCHOOLS AND "SHADOWING" PROGRAMS, WHEREBY STUDENTS CAN SHADOW A HEALTH CARE PROFESSIONAL TO GET FIRST HAND KNOWLEDGE OF WHAT A HEALTH CARE PROFESSIONAL DOES ON A DAILY BASIS. THIS PROMOTES THE ABILITY TO RECRUIT THOSE TO HELP THE COMMUNITY FROM WITHIN THE COMMUNITY. Form 990, Schedule H, Part III, LINE 2 BAD DEBT EXPENSE CALCULATION THE BAD DEBT EXPENSE IS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED COLLECTIONS FOR EACH MAJOR PAYOR SOURCE, CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING SUFFICIENCY OF THE ALOWANCE FOR UNCOLLECTIBLE ACCOUNTS. BECAUSE EISENHOWER MEDICAL CENTER RECOGNIZES SIGNIFICANT AMOUNTS OF PATIENT SERVICE REVENUE AT THE TIME THE SERVICES ARE RENDERED, EVEN THOUGH IT DOES NOT ASSESS THE PATIENT'S ABILITY TO PAY, THE MEDICAL CENTER PRESENTS THE PROVISION FOR DOUBTFUL ACCOUNTS AS A REDUCTION TO NET PATIENT SERVICE REVENUE. Form 990, Schedule H, Part III, Line 4 BAD DEBT EXPENSE THE FOOTNOTE FOR BAD DEBT EXPENSE CAN BE FOUND ON PAGE 9 OF THE AUDITED FINANCIAL STATEMENTS. Form 990, Schedule H, Part III, Line 8 Treatment of Medicare Shortfall as Community Benefit 100% OF THE COST OF THE MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. MEDICARE IS A SUBSTANTIAL PORTION OF EMC'S PATIENT POPULATION. WHILE THE LEVEL OF CARE IS REGARDLESS OF SOURCE OF PAYER, THE LEVEL OF PAYMENT FOR MEDICARE IS DETERMINED BY GOVERNMENT REIMBURSEMENT POLICY. THE MEDICARE SHORTFALL IS AN UNREIMBURSED AMOUNT THAT MUST BE ACCOUNTED FOR IN EMC'S FINANCIAL STATEMENTS. SINCE GENERALLY ACCEPTED ACCOUNTING STANDARDS IDENTIFY THIS SHORTFALL, IT SHOULD BE ACCEPTED AS A SHORTFALL IN IRS REPORTING STANDARDS. Form 990, Schedule H, Part III, Line 8 Medicare Costing Methodology THE COSTING METHODOLOGY FOR THE AMOUNT REPORTED ON LINE 6 IS THE ALLOWABLE COST-TO-CHARGE RATIO PER THE COST REPORT. Form 990, Schedule H, Part III, Line 9b App. of Collection Practices to those Qualifying for Fin. Assistance FOR PATIENTS WHO QUALIFY FOR PARTIAL CHARITY CARE AND WHO ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR DISCOUNTED BILLS, EMC MAY OFFER EXTENDED PAYMENT PLANS, WILL NOT SEND UNPAID BILLS TO OUTSIDE COLLECTION AGENCIES, AND WILL CEASE ALL COLLECTION EFFORTS. EMC WILL NOT IMPOSE EXTRAORDINARY COLLECTIONS ACTIONS SUCH AS WAGE GARNISHMENTS, LIENS ON PRIMARY RESIDENCES OR OTHER LEGAL ACTIONS FOR ANY PATIENT WITHOUT FIRST MAKING REASONABLE EFFORTS TO DETERMINE WHETHER THAT PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE. Form 990, Schedule H, Part V, Line 3 Input from community representatives EISENHOWER MEDICAL CENTER SURVEYED RANDOM SAMPLES OF THE COMMUNITY AGED 18 AND OVER AS WELL AS EXECUTIVES IN VARIOUS ORGANIZATIONS THROUGHOUT THE VALLEY THAT PARTICIPATE OR RUN PROGRAMS DESIGNED TO BENEFIT THE COMMUNITY. BY ANALYZING THE INFORMATION GAINED, EMC WAS ABLE TO ASCERTAIN THE AREAS IN WHICH THE COMMUNITY HAS THE GREATEST NEED. Form 990, Schedule H, Part V, Section B, Line 5A COMMUNITY HEALTH NEEDS ASSESSMENT THE COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE LOCATED AT: http://emc.org/body.cfm?id=1113 Form 990, Schedule H, Part V, Line 7 Needs not addressed SUBSTANCE ABUSE: ALTHOUGH EISENHOWER MEDICAL CENTER TREATS THE CONSEQUENCES OF SUBSTANCE ABUSE WHEN PRESENTED AT THE EMERGENCY DEPARTMENT OR ADMITTED BY A PHYSICIAN, THE HOSPITAL IS NOT EQUIPPED TO TREAT THE UNDERLYING BASIS FOR THE ABUSE OR ADDICTION. HOWEVER, A PROMINENT ELEMENT OF THE EISENHOWER CAMPUS IS THE BETTY FORD CENTER. RECOGNIZED AS THE PREMIER TREATMENT CENTER IN ITS FIELD, THE BETTY FORD CENTER IS COMMITTED TO PROVIDING EFFECTIVE ALCOHOL AND OTHER DRUG DEPENDENCE TREATMENT SERVICES TO WOMEN AND MEN 18 YEARS AND OLDER. FOUNDED IN 1982, THE CENTER IS A LICENSED 100 BED RECOVERY HOSPITAL THAT HAS TREATED THOUSANDS OF PATIENTS AND FAMILY MEMBERS FROM ALL OVER THE UNITED STATES AND THROUGHOUT THE WORLD. ALL ASPECTS OF DRUG AND ALCOHOL DEPENDENCY ARE ADDRESSED IN RESIDENTIAL, OUTPATIENT, FAMILY AND CHILDREN'S PROGRAMS SO THAT PATIENT'S PHYSICAL, SPIRITUAL AND PSYCHOLOGICAL NEEDS CAN BE MET. Form 990, Schedule H, Part V, Line 14g Other method for publicizing policies A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS ATTACHED TO BILLING INVOICES. Schedule H, Part VI, LINE 2 Needs Assessment EMC CONTRACTED WITH THE HEALTH ASSESSMENT RESOURCE CENTER TO HELP IDENTIFY KEY HEALTH ISSUES AND SUBSEQUENTLY SURVEY THE COMMUNITY TO DETERMINE THE HEALTH STATUS OF THE COACHELLA VALLEY. Schedule H, Part VI, LINE 3, Patient education Patient education of eligibility for assistance EMC EDUCATES PATIENTS ABOUT ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS OR UNDER ITS CHARITY CARE POLICY THROUGH VERBAL COMMUNICATION DURING COLLECTION FOLLOW UP AND THROUGH INFORMATIONAL FLYERS INCLUDED WITH BILLING STATEMENTS. Schedule H, Part VI, LINE 4, Community information Community information COMMUNITY IS DEFINED TO INCLUDE THE FOLLOWING CITIES/AREAS IN THE COACHELLA VALLEY: RANCHO MIRAGE, INDIAN WELLS, PALM DESERT, THOUSAND PALMS, LA QUINTA, CATHEDRAL CITY, PALM SPRINGS, INDIO AND DESERT HOT SPRINGS. THE MEDIAN INCOME FOR EACH CITY PER THE 2011 AMERICAN COMMUNITY SURVEY IS AS FOLLOWS: INDIAN WELLS - $111,078, RANCHO MIRAGE - $76,261, LA QUINTA - $67,444, PALM DESERT - $50,267, CATHEDRAL CITY - $46,282, PALM SPRINGS - $45,418, INDIO - $41,082 AND DESERT HOT SPRINGS - $32,260. PER THE 2011 U.S. CENSUS, THE POPULATION IS MADE UP OF 55.4% HISPANIC, 37.5% WHITE, 3.5% ASIAN, 2.0% BLACK, 1.3% OTHER AND .3% NATIVE AMERICAN. BASED ON 2013 HEALTH ASSESSMENT RESOURCE CENTER (HARC) SURVEY ESTIMATES THAT APPROXIMATELY 57.9% OF THE POPULATION IS OVER 55 YEARS WITH 40% OF THAT BEING PERSONS OVER 65. 42.1% OF THE POPULATION ARE BETWEEN THE AGES OF 18 AND 54. ADDITIONAL SURVEY RESULTS SHOW THAT 83% OF THE POPULATION ARE COVERED BY SOME FORM OF INSURANCE AND THAT 17% ARE NOT. OF THOSE THAT ARE COVERED, 33.8% ARE ENROLLED IN MEDICARE AND 5.6% IN MEDICAL. 71% OF ALL PATIENTS FOR EISENHOWER MEDICAL CENTER ARE ENROLLED IN MEDICARE. THIS SHOWS THAT 3/4 OF EMC'S PATIENTS COME FROM 1/3 OF THE VALLEY'S INSURED POPULATION. Schedule H, Part VI, LINE 5, Promotion of community Promotion of community health THE MAJORITY OF THE EMC BOARD OF TRUSTEES IS MADE UP OF PROMINENT MEMBERS OF THE COMMUNITY WHO ARE NEITHER EMPLOYEES OR CONTRACTORS OF THE ORGANIZATION. EMC EXTENDS MEDICAL STAFF PRIVELAGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS. WHEN EMC ENDS THE YEAR WITH AN EXCESS OF OPERATING RECEIPTS OVER OPERATING DISBURSEMENTS, THESE EXCESS FUNDS ARE USED TO EXPAND AND REPLACE EXISTING FACILITIES AND MEDICAL EQUIPMENT TO IMPROVE PATIENT CARE AND FOR MEDICAL TRAINING AND EDUCATION. Schedule H, Part VI, LINE 7, State filing State filing of community benefit report CALIFORNIA X X X X X false true false false false false false false false G AUBREY SERFLING 600256 0 125000 0 237962 0 205897 0 18864 0 1187979 0 94632 0 KIMBERLY A OSBORNE 337241 0 75000 0 54623 0 63098 0 8070 0 538032 0 0 0 MICHAEL P APPLEHANS 302408 0 35000 0 138672 0 87354 0 17269 0 580703 0 84546 0 STEVEN ARENDT 172407 0 0 0 0 0 16100 0 3073 0 191580 0 0 0 ELIZABETH M GUIGNIER 210989 0 35000 0 3777 0 72549 0 16535 0 338850 0 0 0 LYNN A HART 205222 0 35000 0 3774 0 55979 0 11725 0 311700 0 0 0 MICHAEL D LANDES 307534 0 100000 0 25916 0 99976 0 17159 0 550585 0 0 0 MARTIN J MASSIELLO 400005 0 75000 0 6484 0 134170 0 12760 0 628419 0 0 0 MARY ANN MCLAUGHLIN 182957 0 35000 0 7064 0 51091 0 10124 0 286236 0 0 0 ANN M MOSTOFI 270005 0 35000 0 46009 0 33962 0 18394 0 403370 0 29000 0 DAVID PEREZ 239990 0 35000 0 46769 0 53045 0 19382 0 394186 0 39399 0 JOSEPH SCHERGER MD 349981 0 35000 0 24838 0 119815 0 16937 0 546571 0 0 0 ALI A TOURKAMAN 239569 0 35000 0 0 0 69983 0 15879 0 360431 0 0 0 ALAN WILLIAMSON 200004 0 35000 0 6905 0 48490 0 13705 0 304104 0 0 0 ROY T YOUNG MD 240131 0 0 0 24274 0 23731 0 8976 0 297112 0 0 0 MAUREEN STROHM MD 236087 0 23999 0 0 0 20802 0 13267 0 294155 0 0 0 FREDERICK L WESTERGARD 280717 0 0 0 0 0 24584 0 13790 0 319091 0 0 0 MIGUEL A PADILLA 229840 0 0 0 0 0 21678 0 11370 0 262888 0 0 0 SHARON HENDERSON 210294 0 12896 0 0 0 19524 0 6082 0 248796 0 0 0 FORM 990, SCHEDULE J, PART I, LINE 4B TERMS AND CONDITIONS OF SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN EMC HAS A 457(F) PLAN OFFERED TO PROVIDE AN OPPORTUNITY TO DEFER CURRENT SALARY AND/OR BONUS AS PART OF THE EXECUTIVE FLEXIBLE BENEFIT PLAN. EXECUTIVES MUST MAKE ELECTION PRIOR TO JULY 1 EACH YEAR. ELECTION MAY NOT REDUCE THE PARTICIPANTS ANNUAL INCOME BELOW THE SOCIAL SECURITY WAGE BASE. DEFERRALS WILL BE CREDITED MID-PLAN YEAR. PARTICIPANT ELECTS THE VESTING DATE FOR EACH YEAR'S DEFERRALS. THE FOLLOWING INDIVIDUALS RECEIVED A DISTRIBUTION FROM THE NONQUALIFIED DEFERRED COMPENSATION PLAN DURING THE YEAR: - G. AUBREY SERFLING= $94,632 - ANN MOSTOFI= $29,000 - MICHAEL APPLEHANS= $84,546 - DAVID PEREZ= $39,399 A CITY OF RANCHO MIRAGE JOINT POWERS FINANCING AUTH 956130458 75212YAF8 2007-08-14 261211954 SEE PART VI false false false B CALIFORNIA MUNICPAL FINANCE AUTHORITY 201563466 13048TGP2 2010-08-11 110101868 SEE PART VI false false false A 0 0 263865443 0 0 78601931 3254935 0 0 148640854 37178243 0 2010 true true true true B 0 0 110109763 8026438 0 0 0 0 0 76913110 23094785 2075430 2011 true false true true A false true false false 0.01600 0.01600 false false false true B false true false false 0 false false false true A false true false false 0 false 0 false true B false true false false 0 false 0 false true A true B true DESCRIPTION OF PURPOSE FORM 990, SCHEDULE K, PART I, COLUMN F A - CONSTRUCTION OF HOSPITAL AND REFUNDING BOND ISSUES DATED 2/19/1997 AND 5/27/2004 B - CONSTRUCTION OF HOSPITAL AND REFUND A PORTION OF TAXABLE INCOME TOTAL PROCEEDS OF ISSUE FORM 990, SCHEDULE K, PART II, COLUMN A & B, LINE 3 THE DIFFERENCE BETWEEN TOTAL PROCEEDS AND ISSUE PRICE IS INVESTMENT OF INCOME OF $7,895 FOR THE 2010 BONDS AND $2,653,488 FOR THE 2007 BONDS. OTHER SPENT PROCEEDS FORM 990, SCHEDULE K, PART II, COLUMN A & B, LINE 11B THE OTHER SPENT PROCEEDS ARE THE REFUNDING PROCEEDS OF THE ISSUE. EISENHOWER MEDICAL ASSOCIATION OWNER/KEY EMPL WILLIAMSON 24495733 VENDOR FOR PHYSICIAN SERVICES false X 1 281200 MARKET VALUE X 6719 MARKET VALUE X 1 3500 MARKET VALUE X 22 971036 COST/SELLING PRICE X THERAPY BED 1 2065 MARKET VALUE false true false PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4A Key Achievements (Fiscal Year 2013) In July 2012, Eisenhower Medical Center is named as one of 154 of the nations Most Wired hospitals in the 2012 Most Wired Survey Benchmarking Study released in the July issue of Hospitals & Health Networks, the journal of the American Hospital Association. In August 2012, Eisenhower Medical Center and Desert Cardiology Center announce their newly licensed relationship as Eisenhower Desert Cardiology Center, formally aligning the long-standing relationship between the Medical Center and the physician practice located on the Eisenhower campus. In September 2012, Eisenhower Lucy Curci Cancer Center hosts the sixth annual Arnold Palmer Prostate Center Symposium, a series of weekly lectures regarding the prevention, diagnosis and treatment of prostate cancer in recognition of National Prostate Cancer Awareness Month. In October 2012, Eisenhower Medical Centers Foundation department launches the Send a Smile program, a simple way for friends and loved ones to send words of encouragement to a patient. The electronic program results in a greeting card with their message being printed and hand delivered to the patient. In November 2012, Eisenhower is among the first four hospitals in California, and is the first in the Valley, to earn Cycle IV Chest Pain Center accreditation from the Society of Cardiovascular Patient Care. In November 2012, Eisenhower Medical Center announces it is bringing Walgreens outpatient pharmacy services to the main Eisenhower campus in Rancho Mirage. In November 2012, the estate of Dolores Hope gives a gift of $2 million to Eisenhower Medical Center. One million of the gift is donated to Eisenhower Lucy Curci Cancer Center in honor of John and Lucy Curci, both of whom were close friends of Mrs. Hope. Mrs. Hope directed that the remaining one million donated to Eisenhower Medical Center is to be used to care for those in need. In February 2013, Eisenhower Medical Center hosts the 10th annual Community Heart Conference at the Annenberg Center for Health Sciences. On March 2, 2013, Eisenhower hosts the 18th annual Jim Cook Day of Hope for Diabetes, the largest educational and inspirational event of its kind in the 11 western United States, at the Annenberg Center for Health Sciences at Eisenhower. On March 9, Eisenhower Lucy Curci Cancer Center hosts the 10th annual Community Cancer Awareness Day. In March 2013, Eisenhower Medical Center becomes one of only four percent of community hospitals starting new, medium to large size residency programs to fill its available slots in a residency programs first year. Eisenhower welcomes its first 22 residents in Family and Internal Medicine in June, 2013. Eisenhower is the first hospital in the valley to offer an accredited residency program. A surgical team at Eisenhower Medical Center in Rancho Mirage performed their first da Vinci Single-Site Cholecystectomy on June 10, 2013. The patients gallbladder was removed through one tiny incision in the belly button, making the procedure virtually scarless. FAMILY OR BUSINESS RELATIONSHIPS FORM 990, PART VI, LINE 2 KATHRYN B. SAMPLE AND STEVEN B. SAMPLE, BOTH ON THE BOARD TRUSTEES, ARE MARRIED. MEMBERS OR STOCKHOLDERS FORM 990, PART VI, LINE 6 THE BOARD OF TRUSTEES ARE MEMBERS OF EISENHOWER MEDICAL CENTER. POWER TO ELECT OR APPOINT MEMBERS FORM 990, PART VI, LINE 7A TRUSTEES HAVE THE RIGHT TO ELECT THE GOVERNING BODY MEMBERS OF THE EISENHOWER MEDICAL CENTER BOARD OF DIRECTORS. DECISIONS RESERVED TO MEMBERS OR STOCKHOLDERS FORM 990, PART VI, LINE 7B MEMBERS HAVE THE RIGHT TO VOTE ON THE FOLLOWING MAJOR DECISIONS: ANY MATERIAL CHANGE IN THE MISSION OF EMC; THE MERGER OF EMC WITH ANY OTHER BUSINESS ENTITY; THE DISSOLUTION OF EMC; THE SALE OF ALL OR SUBSTANTIALLY ALL OF EMC'S ASSETS; AND ANY MATTER ON WHICH A MEMBER OF A CALIFORNIA NON-PROFIT CORPORATION IS REQUIRED TO BE PERMITTED TO VOTE ON UNDER APPLICABLE LAW. PROCESS USED TO REVIEW THE FORM 990 FORM 990, PART VI, LINE 11B THE FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND SUBSEQUENTLY REVIEWED BY MANAGEMENT. AFTER MANAGEMENT REVIEW, THE FORM 990 IS PRESENTED TO THE BOARD AFTER FILING. MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST FORM 990, PART VI, LINE 12C ANNUALLY RELATED PARTIES, INCLUDING OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES ARE SURVEYED FOR TRANSACTIONS THAT COULD GIVE RISE TO CONFLICTS. WRITTEN QUESTIONAIRES ARE REVIEWED BY LEGAL AND FINANCE TO DETERMINE IF ADDITIONAL QUESTIONS OR INFORMATION SHOULD BE DOCUMENTED REGARDING SPECIFIC TRANSACTIONS. ALL NEW CONTRACTS ARE REVIEWED BY EXECUTIVE MANAGEMENT FOR CONFLICT CONSIDERATIONS. GENERAL COUNSEL REVIEWS ALL STATEMENTS SUBMITTED BY BOARD MEMBERS WHO INDICATE A POTENTIAL CONFLICT. GENERAL COUNSEL ADVISES THE CEO AND CHAIRMAN OF THE BOARD OF ANY MATERIAL CONFLICTS SO THAT THE INDIVIDUAL CAN BE RECUSED FROM ANY DISCUSSION OR DELIBERATION PERTAINING TO THE CONFLICT. PROCESS FOR DETERMINING COMPENSATION FORM 990, PART VI, LINE 15 AND 15B EISENHOWER MEDICAL CENTER ENGAGES AN INDEPENDENT CONSULTING FIRM TO PROVIDE THE BOARD'S COMPENSATION COMMITTEE TO PROVIDE BENCHMARKED SURVEY DATA FOR THE EXECUTIVE LEADERSHIP TEAM IN THE ORGANIZATION. THE CONSULTANT PROVIDES ANALYSIS OF SALARIES, INCENTIVE PLANS AND BENEFITS AS COMPARED TO PEER GROUP OF OTHER NOT-FOR-PROFIT HEALTH CARE ORGANIZATIONS. THIS REVIEW WAS COMPLETED AND PRESENTED TO THE COMPENSATION COMMITTEE IN JANUARY 2013. THIS PROCESS WAS CONTEMPORANEOUSLY SUBSTANTIATED IN THE MEETING MINUTES OF THE COMPENSATION COMMITTEE. PROCESS FOR MAKING DOCUMENTS AVAILABLE TO THE PUBLIC FORM 990, PART VI, LINE 19 EISENHOWER MEDICAL CENTER RELEASES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS TO THE GENERAL PUBLIC UPON REQUEST. THAT REQUEST MAY BE EITHER VERBAL OR WRITTEN. OTHER FEES EXCEED 10% FORM 990, PART IX, LINE 11G REPRESENTS PURCHASED SERVICES: PHYSICIANS SERVICES $27,043,301 PURCHASED SERVICES-OTHER $24,345,639 MISCELLANEOUS SERVICES $24,533,474 OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 9 PENSION RELATED CHANGES $9,011,758 CHANGE IN VALUE OF CHARITABLE REMAINDER TRUSTS $2,439,406 CHANGE IN NPV OF PLEDGES $6,012,026 EISENHOWER PROPERTIES LLC 39000 BOB HOPE DRIVE RANCHO MIRAGE CA 92270 201971850 PROPERTY RENT CA 2286390 23369284 EMC EISENHOWER HEALTH SERVICES 39000 BOB HOPE DRIVE RANCHO MIRAGE CA 92270 330617193 SUPPORT SERV. 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