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EISENHOWER MEDICAL CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
EISENHOWER MEDICAL CENTER (EIN 95-6130458)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-14
IRS object ID
201321349349305317
Schema version
2011v1.5
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-14T15:14:41-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line14370 LA JOLLA VILLAGE DRIVE STE 500AddressLine1
CitySAN DIEGOCity
StateCAState
ZIP Code92122ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN956130458EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1EISENHOWER MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% G AUBREY SERFLINGInCareOfName
Name ControlEISENameControl
Phone7607731888Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line139000 BOB HOPE DRIVEAddressLine1
CityRANCHO MIRAGECity
StateCAState
ZIP Code92270ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameG AUBREY SERFLINGName
TitlePRESIDENT/CEOTitle
Date Signed2013-05-14DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone8585357200Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonG AUBREY SERFLINGNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line139000 BOB HOPE DRIVEAddressLine1
CityRANCHO MIRAGECity
StateCAState
ZIP Code92270ZIPCode
FieldValueIRS element (for citing)
Gross Receipts451836311GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.EMC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1966YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionEISENHOWER MEDICAL CENTER, A NOT-FOR-PROFIT ORGANIZATION, EXISTS TO SERVE THE CHANGING HEALTHCARE NEEDS OF OUR REGION BY PROVIDING EXCELLENCE IN PATIENT CARE WITH SUPPORTIVE EDUCATION AND RESEARCH.ActivityOrMissionDescription
Nbr Voting Members Governing Body35NbrVotingMembersGoverningBody
Nbr Independent Voting Members32NbrIndependentVotingMembers
Total Nbr Employees2909TotalNbrEmployees
Total Nbr Volunteers822TotalNbrVolunteers
Total Gross UBI391416TotalGrossUBI
Contributions Grants Prior Year36217095ContributionsGrantsPriorYear
Contributions Grants Current Year26023308ContributionsGrantsCurrentYear
Program Service Revenue Prior Year402139490ProgramServiceRevenuePriorYear
Program Service Revenue CY403829317ProgramServiceRevenueCY
Investment Income Prior Year4411848InvestmentIncomePriorYear
Investment Income Current Year-2407868InvestmentIncomeCurrentYear
Other Revenue Prior Year4311965OtherRevenuePriorYear
Other Revenue Current Year5936492OtherRevenueCurrentYear
Total Revenue Prior Year447080398TotalRevenuePriorYear
Total Revenue Current Year433381249TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year193161382SalariesEtcPriorYear
Salaries Etc Current Year189526928SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year3240760TotalFundrsngExpCurrentYear
Other Expense Prior Year282296938OtherExpensePriorYear
Other Expenses Current Year286831702OtherExpensesCurrentYear
Total Expenses Prior Year475458320TotalExpensesPriorYear
Total Expenses Current Year476358630TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-28377922RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-42977381RevenuesLessExpensesCY
Total Assets BOY1025919556TotalAssetsBOY
Total Assets EOY997676029TotalAssetsEOY
Total Liabilities BOY534839818TotalLiabilitiesBOY
Total Liabilities EOY576201694TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY491079738NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY421474335NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionEISENHOWER MEDICAL CENTER, A NOT-FOR-PROFIT ORGANIZATION, EXISTS TO SERVE THE CHANGING HEALTHCARE NEEDS OF OUR REGION BY PROVIDING EXCELLENCE IN PATIENT CARE WITH SUPPORTIVE EDUCATION AND RESEARCH.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense366134955Expense
Revenue411447565Revenue
DescriptionPATIENT CARE SERVICES AT ACUTE CARE HOSPITAL - SEE SCHEDULE ODescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense75717856Expense
Revenue0Revenue
DescriptionCHARITY AND COMMUNITY SERVICES - SEE SCHEDULE ODescription
FieldValueIRS element (for citing)
Total Program Service Expense441852811TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096532NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees2909NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members35NbrVotingGoverningBodyMembers
Number Independent Voting Members32NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonG AUBREY SERFLINGNamePerson
Telephone Number7603403911TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line139000 BOB HOPE DRIVEAddressLine1
CityRANCHO MIRAGECity
StateCAState
ZIP Code92270ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (60 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
RICHARD G BENNETT
BOARD TRUSTEE/DIRECTOR1.0X000
CHARLES L BIGGS
BOARD TRUSTEE/DIRECTOR1.0X000
GARY P BRINSON
BOARD TRUSTEE/DIRECTOR1.0X000
WILLIAM D CALKINS
BOARD TRUSTEE/DIRECTOR1.0X000
JAMES G CULLEN
TRUSTEE/DIR/FIN CMTE CHAIR2.0X000X
SHAHIN ETEBAR MD
BOARD DIRECTOR1.0X10160000
HELENE V GALEN
BOARD TRUSTEE/DIRECTOR1.0X000
SAMUEL L GINN
BOARD TRUSTEE/DIRECTOR1.0X000
HARRY M GOLDSTEIN
CHAIRMAN EMERITUS1.0X000
ADRIAN GRAFF-RADFORD MD
BOARD TRUSTEE/DIRECTOR1.0X000
ALAN I GREENE
BOARD TRUSTEE/DIRECTOR1.0X000
JOHN F GRUNDHOFFER
BOARD TRUSTEE/DIRECTOR1.0X000
BARRY T HACKSHAW MD
BOARD TRUSTEE/DIRECTOR1.0X000
LARRY G HATFIELD
BOARD TRUSTEE/DIRECTOR1.0X000
ROBERT C HAWK
BOARD TRUSTEE/DIRECTOR1.0X000
JOHN H HERRELL
BOARD TRUSTEE/DIRECTOR1.0X000
LOIS U HORVITZ
BOARD TRUSTEE/DIRECTOR1.0X000
EUTHYM KONTAXIS MD
BOARD TRUSTEE/DIRECTOR1.0X12027500
JOHN M LANE
BOARD TRUSTEE/DIRECTOR1.0X000
JOHN MARION
BOARD TRUSTEE/DIRECTOR1.0X000
JOANN MCGRATH
BOARD TRUSTEE/DIRECTOR1.0X000
KENNETH MELKUS
BOARD TRUSTEE/DIRECTOR1.0X000
HAROLD M MESSMER JR
BOARD TRUSTEE/DIRECTOR1.0X000
KENNETH M NOVACK
BOARD TRUSTEE/DIRECTOR1.0X000
WILLIAM N OSTERMAN
BOARD TRUSTEE/DIRECTOR1.0X000
CAROL SWANSON PRICE
BOARD TRUSTEE/DIRECTOR1.0X000
GREG P RENKER
VICE CHAIRPERSON2.0X000X
HARRY S RINKER
BOARD TRUSTEE/DIRECTOR1.0X000
ROBERT J RISHWAIN
BOARD TRUSTEE/DIRECTOR1.0X000
KATHRYN B SAMPLE
BOARD TRUSTEE/DIRECTOR1.0X000
STEVEN SAMPLE
BOARD TRUSTEE/DIRECTOR1.0X000
SANDRA SCHULZ
BOARD DIRECTOR1.0X000
JOHN SCHWARZLOSE
BOARD DIRECTOR1.0X000
MICHAEL S SHANNON
BOARD TRUSTEE/DIRECTOR1.0X000
ALVIN V SHOEMAKER
CHAIRMAN2.0X000X
QUINTEN VANDERWERF MD
BOARD DIRECTOR1.0X5780000
LISSA NOEL WAGNER
BOARD TRUSTEE/DIRECTOR1.0X000
MARY WATTENBARGER
BOARD DIRECTOR1.0X000
G AUBREY SERFLING
PRESIDENT/CEO50.0X8949520233182X
KIMBERLY A OSBORNE
CHIEF FINANCIAL OFFICER50.0298858038637X
MARY KROLL
CORPORATE SECRETARY40.063903011681X
MICHAEL P APPLEHANS
GEN COUNSEL/CORP INTRTY OFCR50.0364346043920X
STEVEN ARENDT
CHIEF MEDICAL INFO OFFICER50.0254306031525X
MARY ELLEN FONTANA
VP CANCER CENTER/BUS DEV50.0331404035915X
ELIZABETH M GUIGNIER
VP HUMAN RESOURCES50.0218079052814X
LYNN A HART
VP QUALITY & RESOURCES MGMT50.0213671028703X
MICHAEL D LANDES
PRESIDENT EMC FOUNDATION50.0353996067226X
MARTIN J MASSIELLO
CHIEF OPERATING OFFICER50.0402806056174X
MARY ANN MCLAUGHLIN
AVP NURSING50.0190466025308X
ANN M MOSTOFI
VP PATIENT CARE/CNO50.0321684039083X
DAVID PEREZ
VP CHIEF INFO OFFICER50.0246315052706X
JOSEPH SCHERGER MD
VP PRIMARY CARE50.0376344052405X
ALI A TOURKAMAN
VP FAC. PLANNING/CONSTRUCTION50.0302949038445X
LOUISE A WHITE
VP PATIENT CARE/CNO50.0247082032937X
ALAN WILLIAMSON
VP MEDICAL AFFAIRS50.0258666021653X
ROY T YOUNG MD
DIRECTOR, RESIDENCY PROGRAM50.0278859037413X
MAUREEN STROHM MD
DIR. FAMILY MEDICINE RESIDENCY50.0260898033281X
FREDERICK L WESTERGARD
RNFA50.0251144033635X
MIGUEL A PADILLA
RNFA50.0217891027799X
THOMAS M POTTS
PHYSICIST50.0204135026291X
FieldValueIRS element (for citing)
Total Reportable Comp From Org6832429TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation1020733TotalOtherCompensation
Number Individuals GT100 K295NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
EISENHOWER MEDICAL ASSOCIATES INC
39000 BOB HOPE DRIVE LCCC- 2ND FLORANCHO MIRAGECA92270MEDICAL SERVICES19394156
HOSPITAL HOUSEKEEPING SYSTEMS
P O BOX 826SAN ANTONIOTX782930826ENVIRONMENTAL SVCS1469706
DESERT ORTHOPEDIC CENTER
P O BOX 1730RANCHO MIRAGECA92270MED ADMIN/CONSULTING830794
LINC LIGHTING ELECTRICAL
152 TECHNOLOGYIRVINECA92618CONSTRUCTION427237
DESERT CARDIOLOGY CONSULTANTS
39000 BOB HOPE DRIVERANCHO MIRAGECA92270MED ADMIN/CONSULTING416830
FieldValueIRS element (for citing)
Number Of Contractors GT100 K24NumberOfContractorsGT100K
Government Grants10377368GovernmentGrants
All Other Contributions15645940AllOtherContributions
Noncash Contributions882627NoncashContributions
Total Contributions26023308TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
Patient Revenue541610391437996391437996
Medical Office Bldg Rental52300047469914368452378539
ELECTRONIC HEALTH RECORDS MEANINGFUL USE54161039350003935000
PHARMACY44611036575493657549
MEDICAL RECORDS9000995178151781
FieldValueIRS element (for citing)
Total Program Service Revenue403829317TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3635550TotalRevenueColumn
Related Or Exempt Function Income2060295RelatedOrExemptFunctionIncome
Unrelated Business Revenue12877UnrelatedBusinessRevenue
Exclusion$1,562,378ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities12411644Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities11534109Securities
Other6920953Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities877535Securities
Other-6920953Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-6043418TotalRevenueColumn
Exclusion-$6,043,418ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEMBERSHIP FEES90009922148792214879
HOSPITAL SUITES FEES900099930883930883
ALL OTHER REVENUE90009927907302790730
FieldValueIRS element (for citing)
Total Other Revenue5936492TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column433381249TotalRevenueColumn
Related Or Exempt Function Income411447565RelatedOrExemptFunctionIncome
Unrelated Business Revenue391416UnrelatedBusinessRevenue
Exclusion-$4,481,040ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total4696674Total
Program Services3428572ProgramServices
Management And General986302ManagementAndGeneral
Fundraising281800Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total126363800Total
Program Services118658113ProgramServices
Management And General6307865ManagementAndGeneral
Fundraising1397822Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total9001299Total
Program Services8444703ProgramServices
Management And General457412ManagementAndGeneral
Fundraising99184Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total38544661Total
Program Services35639075ProgramServices
Management And General2414355ManagementAndGeneral
Fundraising491231Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total10920494Total
Program Services10340309ProgramServices
Management And General480584ManagementAndGeneral
Fundraising99601Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total3299764Total
Program Services2821067ProgramServices
Management And General464326ManagementAndGeneral
Fundraising14371Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total718174Total
Management And General718174ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total238608Total
Management And General238608ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total25354Total
Management And General25354ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total89634Total
Management And General89634ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total63950736Total
Program Services61659802ProgramServices
Management And General1884606ManagementAndGeneral
Fundraising406328Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total1240501Total
Program Services511511ProgramServices
Management And General684789ManagementAndGeneral
Fundraising44201Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total18142993Total
Program Services16189034ProgramServices
Management And General1722273ManagementAndGeneral
Fundraising231686Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total7311689Total
Program Services5483771ProgramServices
Management And General1827918ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total18436388Total
Program Services15560843ProgramServices
Management And General2851742ManagementAndGeneral
Fundraising23803Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total252743Total
Program Services200547ProgramServices
Management And General27764ManagementAndGeneral
Fundraising24432Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total308222Total
Program Services291538ProgramServices
Management And General14836ManagementAndGeneral
Fundraising1848Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total21491347Total
Program Services19121206ProgramServices
Management And General2370141ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total60043134Total
Program Services53421367ProgramServices
Management And General6565138ManagementAndGeneral
Fundraising56629Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total4409928Total
Program Services4262092ProgramServices
Management And General147836ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MEDICAL SUPPLIES662243206616382060084416
CA QUALITY ASSURANCE FEE1732093017320930
RECRUITMENT EXPENSE13861951266936118884375
SETTLEMENT EXPENSE44934122467117973644934

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1491701Total
Program Services842904ProgramServices
Management And General626698ManagementAndGeneral
Fundraising22099Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total476358630Total
Program Services441852811ProgramServices
Management And General31265059ManagementAndGeneral
Fundraising3240760Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY12519BOY
EOY14673EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY58037131BOY
EOY87092598EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY40149661BOY
EOY34373259EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY48652629BOY
EOY60054756EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY3289263BOY
EOY2660754EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY6293834BOY
EOY6337421EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY16105072BOY
EOY12638593EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1063610483LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec410400523LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY703533920BOY
EOY653209960EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY115992991BOY
EOY106355715EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY5168703BOY
EOY4492501EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY28683833BOY
EOY30445799EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1025919556BOY
EOY997676029EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY51813301BOY
EOY70820623EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY13312868BOY
EOY6074055EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY399068055BOY
EOY399118399EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY18904320BOY
EOY18578532EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY51741274BOY
EOY81610085EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY534839818BOY
EOY576201694EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY407597346BOY
EOY356250212EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY67933721BOY
EOY49580465EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY15548671BOY
EOY15643658EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY491079738BOY
EOY421474335EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1025919556BOY
EOY997676029EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-42977381ReconcilationRevenueExpenses
Reconcilation Other Changes-26628022ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$25,354DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB25354TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLOBBYING ACTIVITIESIdentifier
Return ReferenceSCHEDULE C, PART II-BReturnReference
ExplanationEISENHOWER MEDICAL CENTER PAID HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA CONSOLIDATED DUES TO COVER MEMBERSHIP IN THE HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA (HASC), CALIFORNIA HOSPITAL ASSOCIATION (CHA), AND CALIFORNIA HOSPITAL ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS (CAHHS). THESE DUES INCLUDE STATE AND FEDERAL REPRESENTATION AND ADVOCACY, LOCAL AND REGIONAL ADVOCACY, STATEWIDE PUBLIC ADVOCACY PROGRAM AND DUES-BASED PROGRAMS AND SERVICES. 13.82% OF THESE DUES IS FOR DIRECT LOBBYING EXPENSES OR $25,354.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance19160580BeginningOfYearBalance
Contributions32934Contributions
Investment Earnings Or Losses672698InvestmentEarningsOrLosses
Other Expenditures631642OtherExpenditures
End Of Year Balance19234570EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance16450538BeginningOfYearBalance
Contributions45421Contributions
Investment Earnings Or Losses3306231InvestmentEarningsOrLosses
Other Expenditures641610OtherExpenditures
End Of Year Balance19160580EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance15559365BeginningOfYearBalance
Contributions108837Contributions
Investment Earnings Or Losses1403024InvestmentEarningsOrLosses
Other Expenditures620688OtherExpenditures
End Of Year Balance16450538EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance16385406BeginningOfYearBalance
Contributions34514Contributions
Investment Earnings Or Losses-777584InvestmentEarningsOrLosses
Other Expenditures82971OtherExpenditures
End Of Year Balance15559365EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.18670BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.81330PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis35111087OtherCostOrOtherBasis
Book Value35111087BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis728010534OtherCostOrOtherBasis
Depreciation200163976Depreciation
Book Value527846558BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis25054890OtherCostOrOtherBasis
Depreciation8836826Depreciation
Book Value16218064BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis271762512OtherCostOrOtherBasis
Depreciation201399721Depreciation
Book Value70362791BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3671460OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value3671460BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings653209960TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
PENSION PLAN LONG TERM PAYABLE$53,332,698
LIAB. TO ANNUITANTS/BENEFICIARY$13,089,936
WORKERS COMP PAYABLE$8,417,000
HPL & General Liability Insurance$4,776,140
Due to Affiliates$1,591,291
Miscellaneous Other$403,020
FieldValueIRS element (for citing)
Total Of Amounts81610085TotalOfAmounts
Total Revenue433381249TotalRevenue
Total Expenses476358630TotalExpenses
Excess Or Deficit For Year-42977381ExcessOrDeficitForYear
Net Unrealized GL On Investments-336588NetUnrealizedGLOnInvestments
Other-$28,756,594OtherAmount
Total Adjustments-29093182TotalAdjustments
Excess Or Deficit Per FS-72070563ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt411119383TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-336588NetUnrealizedGainsInvestments
Other Revenues-28756597OtherRevenues
Revenue Not Rptd F990-29093185RevenueNotRptdF990
Revenue Subtotal440212568RevenueSubtotal
Investment Expenses Not Included89634InvestmentExpensesNotIncluded
Other Revenues Not Included-6920953OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-6831319RevenueNotRptdOnFinStmt
Total Revenue Per Form990433381249TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt483189946TotExpensesEtcAuditedFinclStmt
Other Expenses Included6920950OtherExpensesIncluded
Expenses Not Rptd F9906920950ExpensesNotRptdF990
Expenses Subtotal476268996ExpensesSubtotal
Investment Expenses Not Included289634InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt89634ExpensesNotRptdOnFinStmt
Total Expenses Per Form990476358630TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ENDOWMENT FUNDSSchedule D, Part V, LINE 4THE INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS IS TO MAINTAIN THE PRINCIPLE DONATED AND USE THE EARNINGS FROM EACH DONATION FOR THE PURPOSE DESIGNATED IN THE ORIGINAL ENDOWMENT.
FIN 48 FOOTNOTESchedule D, Part X, Line 2ASC 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 JUNE 30, 2012 OR 2011.
SCHEDULE D, PART XI, LINE 8PENSION RELATED CHANGES ($24,262,108) CHANGE IN NPV OF PLEDGES ($ 1,031,546) CHANGE IN VALUE OF CHARITABLE REMAINDER TRUSTS ($ 3,462,943) ROUNDING $ 3 ------------- TOTAL ($28,756,594)
SCHEDULE D, PART XII, LINE 2DPENSION RELATED CHANGES ($24,262,108) CHANGE IN NPV OF PLEDGES ($ 1,031,546) CHANGE IN VALUE OF CHARITABLE REMAINDER TRUSTS ($ 3,462,943) ------------- TOTAL ($28,756,597) SCHEDULE D, PART XII, LINE 4B LOSS ON DISPOSAL OF CIP ($ 6,920,953)
SCHEDULE D, PART XIII, LINE 2DLOSS ON DISPOSAL OF CIP ($ 6,920,953) ROUNDING $ 3 ------------ TOTAL ($ 6,920,950)

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent350XPcent350
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CarefalseAmountsBudgetedForCharityCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense3377779TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense3377779NetCommunityBenefitExpense
Percent Of Total Expense0.00700PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense37420764TotalCommunityBenefitExpense
Direct Offsetting Revenue18384153DirectOffsettingRevenue
Net Community Benefit Expense19036611NetCommunityBenefitExpense
Percent Of Total Expense0.03930PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense955010TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense955010NetCommunityBenefitExpense
Percent Of Total Expense0.00200PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense41753553TotalCommunityBenefitExpense
Direct Offsetting Revenue18384153DirectOffsettingRevenue
Net Community Benefit Expense23369400NetCommunityBenefitExpense
Percent Of Total Expense0.04830PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense4082076TotalCommunityBenefitExpense
Direct Offsetting Revenue109140DirectOffsettingRevenue
Net Community Benefit Expense3972936NetCommunityBenefitExpense
Percent Of Total Expense0.00820PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense4103880TotalCommunityBenefitExpense
Direct Offsetting Revenue995572DirectOffsettingRevenue
Net Community Benefit Expense3108308NetCommunityBenefitExpense
Percent Of Total Expense0.00640PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1070960TotalCommunityBenefitExpense
Direct Offsetting Revenue354500DirectOffsettingRevenue
Net Community Benefit Expense716460NetCommunityBenefitExpense
Percent Of Total Expense0.00150PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense467310TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense467310NetCommunityBenefitExpense
Percent Of Total Expense0.00100PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense700013TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense700013NetCommunityBenefitExpense
Percent Of Total Expense0.00140PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense10424239TotalCommunityBenefitExpense
Direct Offsetting Revenue1459212DirectOffsettingRevenue
Net Community Benefit Expense8965027NetCommunityBenefitExpense
Percent Of Total Expense0.01850PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense52177792TotalCommunityBenefitExpense
Direct Offsetting Revenue19843365DirectOffsettingRevenue
Net Community Benefit Expense32334427NetCommunityBenefitExpense
Percent Of Total Expense0.06680PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense7722TotalCommunityBuildingExpense
Net Community Building Expense7722NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense24626TotalCommunityBuildingExpense
Net Community Building Expense24626NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense32348TotalCommunityBuildingExpense
Net Community Building Expense32348NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$21,812,750BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare160625271AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare215379473CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-54754202MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (4 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
EISENHOWER IMAGING
MEDICAL IMAGING0.508000.49200
CENTER LLC
MIRAGE ENDOSCOPY
ENDOSCOPY SERVICES0.392000.60800
CENTER LLC
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1EISENHOWER MEDICAL CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line139000 BOB HOPE DRIVEAddressLine1
CityRANCHO MIRAGECity
StateCAState
ZIP Code92270ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1EISENHOWER MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent350.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Other PublicityXOtherPublicity
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Medicare RateXMedicareRate
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities18NumberOfOtherFacilities

Other Facilities OtherFacilities (18 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
EISENHOWER URGENT CARE AND PRIMARY CARE
45280 SEELEY DRIVELA QUINTACA92253OUTPATIENT CLINIC
EISENHOWER INDUSTRIAL REHABILITATION
78822 HWY 11LA QUINTACA92253REHABILITATION
EISENHOWER INDUSTRIAL REHABILITATION
4771-F EAST PALM CANYON DRIVEPALM SPRINGSCA92262REHABILITATION
EISENHOWER PRIMARY CARE
4791 EAST PALM CANYON DRIVEPALM SPRINGSCA92262OUTPATIENT CLINIC
EISENHOWER PRIMARY CARE
72780 COUNTRY CLUB DRIVE SUITE B-2RANCHO MIRAGECA92270OUTPATIENT CLINIC
EISENHOWER PRIMARY CARE AT ARGYROS
45280 SEELEY DRIVELA QUINTACA92253OUTPATIENT CLINIC
EISENHOWER URGENT CARE
151 SOUTH SUNRISE WAYPALM SPRINGSCA92262OUTPATIENT CLINIC
EISENHOWER URGENT CARE
72780 COUNTRY CLUB DRIVE SUITE B-2RANCHO MIRAGECA92270OUTPATIENT CLINIC
EISENHOWER DESERT ORTHO CENTER- ARGYROS
45280 SEELEY DRIVE 2ND FLOORLA QUINTACA92253OUTPATIENT CLINIC
EISENHOWER NEUROSCIENCE INSTITUTE
72780 COUNTRY CLUB DRIVE SUITE 104RANCHO MIRAGECA92270OUTPATIENT CLINIC
EISENHOWER SCHNITZERNOVAK BREAST CENTER
151 SOUTH SUNRISE WAYPALM SPRINGSCA92262DIAGNOSTIC CLINIC
EISENHOWER LAB SERVICES
72780 COUNTRY CLUB DRIVE SUITE B-2RANCHO MIRAGECA92270DIAGNOSTIC CLINIC
EMC OUTPATIENT SERVICES LABTECHNIQUES
4791 EAST PALM CANYON DRIVEPALM SPRINGSCA92262DIAGNOSTIC CLINIC
EMC OUTPATIENT SERVICES LABTECHNIQUES
151 SOUTH SUNRISE WAYPALM SPRIGNSCA92262DIAGNOSTIC CLINIC
EISENHOWER PRIMARY CARE
72780 COUNTRY CLUB DRIVE SUITE 305RANCHO MIRAGECA92270OUTPATIENT CLINIC
EISENHOWER PRIMARY CARE
78120 WILDCAT DRIVEPALM DESERTCA92210OUTPATIENT CLINIC
BREAST CENTER
72780 COUNTRY CLUB DRIVE SUITE A-1RANCHO MIRAGECA92270DIAGNOSTIC CLINIC
EISENHOWER LABRADIOLOGY AT DEL WEBB
78120 WILDCAT DRIVEPALM DESERTCA92210DIAGNOSTIC CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
SCHEDULE H, PART I, LINE 7THE COSTING METHODOLOGY USED TO CALCULATE FINANCIAL ASSISTANCE AND MEDICAID IS THE ALLOWABLE COST-TO-CHARGE RATIO PER THE COST REPORT. THE COST OF THE COMMUNITY BENEFITS WAS CALCULATED USING SALARIES OF EMPLOYEES, DIRECT AND INDIRECT EXPENSES. WORKSHEET 2 WAS NOT USED. SCHEDULE H, PART I, LINE 7G THERE WAS AN IMMATERIAL AMOUNT OF COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS INCLUDED ON THIS LINE.
SCHEDULE H, PART IITHE COMMUNITY BUILDING ACTIVITIES, AS REPORTED IN PART II, INCLUDE ACTIVITIES SUCH AS CAREER DAYS AT LOCAL HIGH SCHOOLS AND "SHADOWING" PROGRAMS, WHEREBY STUDENTS CAN SHADOW A HEALTH CARE PROFESSIONAL TO GET A FIRST HAND VIEW OF WHAT A HEALTH CARE PROFESSIONAL DOES ON A DAILY BASIS. THE MORE EXPOSURE STUDENTS HAVE TO HEALTH CARE CAREERS, THE GREATER THE CHANCE TO RECRUIT FROM WITHIN THE COMMUNITY TO SERVICE THE COMMUNITY.
SCHEDULE H, PART III, LINE 4WE DO NOT INCLUDE OTHER BAD DEBT AMOUNTS IN COMMUNITY BENEFITS.
SCHEDULE H, PART III, LINE 8100% OF THE COST OF THE MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. MEDICARE IS A SUBSTANTIAL PROPORTION 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. THE COSTING METHODOLOGY FOR THE AMOUNT REPORTED ON LINE 6 IS THE ALLOWABLE COST-TO-CHARGE RATIO PER THE COST REPORT.
SCHEDULE H, PART III, LINE 9BFOR 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.
SCHEDULE H, PART V, SECTION B, LINE 13A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS ATTACHED TO BILLING INVOICES.
NEEDS ASSESSMENTEMC UTILIZES THE FINDINGS OF THE HEALTH ASSESSMENT RESOURCE CENTER AND THE DESERT HEALTHCARE DISTRICT TO DETERMINE THE NEEDS OF THE COMMUNITY.SCHEDULE H, PART VI, LINE 2
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEEMC 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 3
COMMUNITY INFORMATIONCOMMUNITY 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 COMMUNITY CAN BE FURTHER DEFINED AS URBAN. BASED ON 2010 HEALTH ASSESSMENT RESOURCE CENTER (HARC) SURVEY ESTIMATES, APPROXIMATELY 40.6% OF THE COMMUNITY'S ADULT POPULATION (18 AND OLDER) ARE AGE 65 YEARS AND OLDER. BASED ON FINDINGS FROM THE HARC NEEDS ASSESSMENTS, APPROXIMATELY 6.2% OF SENIORS (55+) REQUIRE ASSISTANCE FOR INDEPENDENT ACTIVITIES OF DAILY LIVING. ADDITIONAL SURVEY RESULTS IDENTIFIED THE ESTIMATED TOTAL NUMBER OF PEOPLE ENROLLED IN MEDICARE, MEDI-CAL OR VETERANS ASSISTANCE PROGRAMS IN THE COMMUNITY IS 149,400 OR 47% OF THE POPULATION. ABOUT 36,300 SENIORS (65+) IN THE SURVEY AREA DO NOT HAVE MEDICARE SUPPLEMENTAL INSURANCE. BASED UPON THE SAME REPORT, AN ESTIMATED 19.2% OF SENIOR SURVEY RESPONDENTS, OR 18,600 SENIOR RESIDENTS, IN THE EISENHOWER MEDICAL CENTER SERVICE AREA HAVE ANNUAL INCOMES THAT PLACE THEM AT OR BELOW 250% OF THE POVERTY GUIDELINE.SCHEDULE H, PART VI, LINE 4
PROMOTION OF COMMUNITY HEALTHTHE MAJORITY OF 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 PRIVILEGES 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 5
STATE FILING OF COMMUNITY BENEFIT REPORTCALIFORNIASCHEDULE H, PART VI, LINE 7

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (21 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
G AUBREY SERFLING
59999700029495501892240439580112813401476810
KIMBERLY A OSBORNE
2988580000030525081120337495000
MICHAEL P APPLEHANS
3100030005434302674301717704082660439200
STEVEN ARENDT
2543060000024172073530285831000
MARY ELLEN FONTANA
15514300017626102791508000036731901769630
ELIZABETH M GUIGNIER
21442000036590329750198390270893000
LYNN A HART
20713500065360158890128140242374000
MICHAEL D LANDES
326526000274700417670254590421222000
MARTIN J MASSIELLO
4000050002801047450087240458980000
MARY ANN MCLAUGHLIN
18295700075090140420112660215774000
ANN M MOSTOFI
252362000693220240410150420360767000
DAVID PEREZ
23906700072480227470299590299021000
JOSEPH SCHERGER MD
349981000263630356490167560428749000
ALI A TOURKAMAN
2399900006295901841902002603413940608080
LOUISE A WHITE
24084500062370179120150250280019000
ALAN WILLIAMSON
200004000586620935001230302803190514950
ROY T YOUNG MD
240131000387280251750122380316272000
MAUREEN STROHM MD
239990000209080212730120080294179000
FREDERICK L WESTERGARD
2511440000019545014090284779000
MIGUEL A PADILLA
21789100000170140107850245690000
THOMAS M POTTS
20413500000160360102550230426000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierTERMS AND CONDITIONS OF SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANIdentifier
Return ReferenceSchedule J, Part I, LINE 4BReturnReference
ExplanationEMC 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 - $147,681 ALI TOURKAMAN - $60,808 ANN MOSTOFI - $51,633 ALAN WILLIAMSON - $51,495 MARY ELLEN FONTANA - $176,963Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
CALIFORNIA MUNICIPAL FINANCE AUTHORITY
20156346613048TGP22010-08-11110101868SEE PART VIfalsefalsefalse
CITY OF RANCHO MIRAGE JOINT POWERS FIN AUTH
33047134175212YAF82007-08-14261211954SEE PART VIfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
00110109763802643800207543000769131102309478502011truefalsetruetrue
0026386544300786019313254935001486408543717824302010truetruetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsetruefalsefalse0.000000.000000.00000true
falsetruefalsefalse0.016000.000000.01600true

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
0
falsefalsefalsefalse0falsefalse
0
falsefalsefalsefalse0falsefalse
FieldValueIRS element (for citing)
Fed Tax Requirements ComplianceXFedTaxRequirementsCompliance

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierSEE SCHEDULE O FOR SCHEDULE K INFORMATIONIdentifier
Return Reference0ReturnReference

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonEISENHOWER MEDICAL ASSOCIATIONNamePerson
FieldValueIRS element (for citing)
RelationshipOWNER/KEY EMPL WILLIAMSONRelationship
Amount Of Transaction20006416AmountOfTransaction
Description Of TransactionVENDOR FOR PHYSICIAN SVCSDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F99014000NoncashContribsRptdF990
Method Of Determining Revenuesopinions of expertsMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications
Clothing And Household GoodsClothingAndHouseholdGoods
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions14NumberOfContributions
Noncash Contribs Rptd F990868627NoncashContribsRptdF990
Method Of Determining Revenuescost/selling priceMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierSCHEDULE M, PART IIdentifier
ExplanationEISENHOWER MEDICAL CENTER IS REPORTING THE NUMBER OF ITEMS CONTRIBUTED.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (15 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PROGRAM SERVICE ACCOMPLISHMENTSFORM 990, PART III, LINE 4AKEY ACHIEVEMENTS (FISCAL YEAR 2012) ON JULY 1, 2011, THE EISENHOWER INPATIENT REHABILITATION CENTER OPENS, OFFERING INTENSIVE THERAPY FOR STROKE PATIENTS, ORTHOPEDICS PATIENTS AND OTHERS WITH DEBILITATING MEDICAL CONDITIONS REQUIRING PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY. IN JULY 2011, EISENHOWER MEDICAL CENTER IS RANKED #4 IN GYNECOLOGY IN U.S. NEWS MEDIA & WORLD REPORT'S 2011-12 BEST HOSPITALS RANKINGS. IN OCTOBER 2011, EISENHOWER RECEIVES A FULL, THREE-YEAR ACCREDITATION BY THE ACCREDITATION COUNCIL OF GRADUATE MEDICAL EDUCATION, MAKING EISENHOWER THE FIRST IN THE VALLEY TO BECOME A TEACHING HOSPITAL. IN FALL 2011, EISENHOWER OPENS A 10,000-SQUARE-FOOT GASTROINTESTINAL LABORATORY IN THE DOLORES HOPE OUTPATIENT CARE CENTER. IN JANUARY 2012, EISENHOWER EMPLOYEES SUPPORT THE HUMANA CHALLENGE WALK-IT PROGRAM BY COLLECTIVELY WALKING NEARLY 40 MILLION STEPS IN 10 DAYS TO SUPPORT THE MESSAGE OF FITNESS AND GOOD HEALTH. ON JANUARY 10, 2012, EISENHOWER CELEBRATES THE NAMING OF THE JOEL M. HIRSCHBERG CENTER FOR INTERNAL MEDICINE AT THE UIHLEIN BUILDING ON THE MAIN HOSPITAL CAMPUS. IN FEBRUARY 2012, EISENHOWER MEDICAL CENTER HOSTS THE 9TH ANNUAL COMMUNITY HEART CONFERENCE AT THE ANNENBERG CENTER FOR HEALTH SCIENCES. ON MARCH 10, 2012, EISENHOWER HOSTS THE SECOND ANNUAL HIV CONFERENCE WITH THE HIV PROVIDER NETWORK AT THE ANNENBERG CENTER FOR HEALTH SCIENCES AT EISENHOWER. ON MARCH 17, 2012, EISENHOWER HOSTS THE 17TH 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. IN JUNE 2012, EISENHOWER MEDICAL CENTER'S HEALTHY LIVING MAGAZINE RECEIVES THE GOLD AWARD IN THE CATEGORY OF PUBLICATIONS/EXTERNAL MAGAZINE BY THE HEALTHCARE PUBLICATIONS & MARKETING ASSOCIATION (HPRMA) AT ITS ANNUAL GOLDEN ADVOCATE AWARD CEREMONY. THE GOLDEN ADVOCATE AWARDS MEASURE HEALTH CARE MARKETING AND PUBLIC RELATIONS COMMUNICATIONS EXCELLENCE AMONG SOUTHERN CALIFORNIA HEALTH CARE PROFESSIONALS. IN JUNE 2012, EISENHOWER INPATIENT REHABILITATION CENTER EARNS A THREE-YEAR ACCREDITATION FROM THE COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES (CARF). EISENHOWER MEDICAL CENTER IS FIRST HOSPITAL IN RIVERSIDE COUNTY WITH THE PRESTIGIOUS CARF ACCREDITATION, WHICH IS EARNED LESS THAN ONE YEAR AFTER OPENING THE CENTER. ON JUNE 27, 2012, EISENHOWER MARKS WORLD SPIROMETRY DAY WITH FREE LUNG CAPACITY TESTS FOR MEMBERS OF THE COMMUNITY.
DESCRIPTION OF RELATIONSHIPSFORM 990, PART VI, QUESTION 2KATHRYN B. SAMPLE AND STEVEN B. SAMPLE, BOTH ON THE BOARD TRUSTEES, ARE MARRIED.
DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERSFORM 990, PART VI, QUESTION 6THE BOARD OF TRUSTEES ARE MEMBERS OF EISENHOWER MEDICAL CENTER.
DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTSFORM 990, PART VI, QUESTION 7ATRUSTEES HAVE THE RIGHT TO ELECT THE GOVERNING BODY MEMBERS OF THE EISENHOWER MEDICAL CENTER BOARD OF DIRECTORS.
DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTSFORM 990, PART VI, QUESTION 7BMEMBERS 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.
DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990FORM 990, PART VI, QUESTION 11BTHE 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.
DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTERESTFORM 990, PART VI, QUESTION 12CANNUALLY 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.
OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUNFORM 990, PART VI, QUESTIONS 15A AND 15BEISENHOWER 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 2012. THIS PROCESS WAS CONTEMPORANEOUSLY SUBSTANTIATED IN THE MEETING MINUTES OF THE COMPENSATION COMMITTEE.
AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLICFORM 990, PART VI, LINE 19EISENHOWER 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.
HOURS DEVOTED TO RELATED ORGANIZATIONSFORM 990, PART VIIG. AUBREY SERFLING, PRESIDENT AND CEO OF EMC, IS ALSO THE BOARD DIRECTOR (EX-OFFICIO) OF EISENHOWER HEALTH SERVICES (EHS). HE DEVOTES 1 HOUR PER WEEK TO EHS. HE ALSO DEVOTES 1 HOUR PER WEEK TO ANNENBERG CENTER FOR HEALTH SCIENCES AND THE BARBARA SINATRA CHILDREN'S CENTER, IN ADDITION TO THE 50 HOURS PER WEEK HE DEVOTES TO EMC. KIMBERLY OSBORNE, CHIEF FINANCIAL OFFICER OF EMC, IS ALSO THE BOARD DIRECTOR AND TREASURER AT EHS. SHE DEVOTES 50 HOURS PER WEEK TO THE POSITION AT EMC AND 1 HOUR PER WEEK AT EHS. MARY KROLL IS THE CORPORATE SECRETARY OF EMC, ACHS, BSCC AND EHS. SHE DEVOTES 40 HOURS PER WEEK TO HER POSITION AT EMC, 2 HOURS PER WEEK AT BSCC AND 1 HOUR PER WEEK TO ACHS AND EHS. MARTIN MASSIELLO, CHIEF OPERATING OFFICER OF EMC, IS ALSO THE BOARD DIRECTOR AND PRESIDENT OF EHS. HE DEVOTES 50 HOURS PER WEEK TO HIS POSITION AT EMC AND 1 HOUR PER WEEK AT EHS. HELENE V. GALEN, BOARD TRUSTEE/DIRECTOR OF EISENHOWER MEDICAL CENTER, DEVOTES 2 HOUR PER WEEK TO THE BARBARA SINATRA CHILDREN'S CENTER AS THE PRESIDENT. WILLIAM N. OSTERMAN, BOARD TRUSTEE/DIRECTOR OF EISENHOWER MEDICAL CENTER, DEVOTES 2 HOUR PER WEEK TO THE BARBARA SINATRA CHILDREN'S CENTER AS THE SECRETARY.
PAYMENT FOR SERVICES OTHER THAN BOARD SERVICESFORM 990, PART VIISHAHIN ETEBAR, MD RECEIVED A TOTAL OF $101,600 AS A STIPEND FOR NEUROLOGY SERVICES. EUTHYM KONTAXIS, MD RECEIVED A TOTAL OF $120,275 AS A STIPEND FOR EMERGENCY ROOM ADMINISTRATIVE SERVICES. QUINTEN VANDERWERF, MD RECEIVED A TOTAL OF $57,800 AS A STIPEND FOR EMERGENCY ROOM ON-CALL SERVICES.
CHANGES IN NET ASSETS/FUND BALANCESFORM 990, PART XI, LINE 5PENSION RELATED CHANGES ($24,262,108) CHANGE IN NPV OF PLEDGES ($ 1,031,546) CHANGE IN VALUE OF CHARITABLE REMAINDER TRUSTS ($ 3,462,943) TRANSFER FROM ACHS $ 2,465,160 UNREALIZED LOSS ON INVESTMENTS ($ 336,588) ROUNDING $ 3 ------------- TOTAL ($26,628,022)
TAX EXEMPT BONDSDESCRIPTION OF PURPOSESCHEDULE K, PART I, COLUMN F A - CONSTRUCTION OF HOSPITAL AND REFUND A PORTION OF TAXABLE LOAN B - CONSTRUCTION OF HOSPITAL AND REFUNDING BOND ISSUES DATED 2/19/1997 and 5/27/2004.
TOTAL PROCEEDS OF ISSUESCHEDULE K, PART II, COLUMN A & B, LINE 3THE DIFFERENCE BETWEEN THE TOTAL PROCEEDS AND ISSUE PRICE IS INVESTMENT INCOME OF 7,895 FOR THE 2010 BONDS AND 2,653,488 FOR THE 2007 BONDS.
OTHER SPENT PROCEEDSSCHEDULE K, PART II, LINE 11THE AMOUNT OF OTHER SPENT PROCEEDS RELATES TO CURRENT REFUNDING PROCEEDS OF THE ISSUES: A: REPAYMENT OF TAXABLE LOC B: REFUNDED 1997 ISSUE

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1EISENHOWER PROPERTIES LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line139000 BOB HOPE DRIVEAddressLine1
CityRANCHO MIRAGECity
StateCAState
ZIP Code92270ZIPCode
FieldValueIRS element (for citing)
EIN201971850EIN
Primary ActivitiesPROP. RENTALPrimaryActivities
Legal Domicile StateCALegalDomicileState
Total Income2362831TotalIncome
EOY Assets23729774EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1EMCBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
EISENHOWER HEALTH SERVICES
39000 BOB HOPE DRIVERANCHO MIRAGECA92270330617193SUPPORT SVCSCA501(C)(3)11, IEMCtrue
ANNENBERG CENTER FOR HEALTH SERVICES
39000 BOB HOPE DRIVERANCHO MIRAGECA92270953382683HEALTH CARECA501(C)(3)11, IEMCtrue
BARBARA SINATRA CHILDREN'S CENTER
39000 BOB HOPE DRIVERANCHO MIRAGECA92270330136550CHILD SVCSCA501(C)(3)7EMCtrue

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1EISENHOWER IMAGING CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Primary ActivityMEDICAL IMAGINGPrimaryActivity
Legal Domicile StateCALegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1EMCBusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeType
Share Of Total Income1695781ShareOfTotalIncome
Share Of EOY Assets2219651ShareOfEOYAssets
Disproportionate AllocationsfalseDisproportionateAllocations
Code V$0CodeVAmount
General Or Managing PartnertrueGeneralOrManagingPartner
Percentage Ownership0.50800PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1CHARITABLE REMAINDER TRUST (21)BusinessNameLine1
FieldValueIRS element (for citing)
Primary ActivityHOSPITAL SUPPORTPrimaryActivity
Legal Domicile StateCALegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityTRUSTTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (8 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
ANNENBERG CENTER FOR HEALTH SCIENCES
P12964453ACCRUAL METHOD
ANNENBERG CENTER FOR HEALTH SCIENCES
J297817ACCRUAL METHOD
ANNENBERG CENTER FOR HEALTH SCIENCES
Q2069841ACCRUAL METHOD
ANNENBERG CENTER FOR HEALTH SCIENCES
R2465160ACCRUAL METHOD
BARBARA SINATRA CHILDREN'S CENTER
P872969ACCRUAL METHOD
BARBARA SINATRA CHILDREN'S CENTER
R1665677ACCRUAL METHOD
EISENHOWER IMAGING CENTER
P818856ACCRUAL METHOD
EISENHOWER IMAGING CENTER
A-IV280679ACCRUAL METHOD

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierIDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIPIdentifier
Return ReferenceSCHEDULE R, PART IIIReturnReference
ExplanationEISENHOWER IMAGING CENTER EIN: 68-0554124 ADDRESS: 39000 BOB HOPE DRIVE RANCHO MIRAGE, CA 92270Explanation