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EISENHOWER MEDICAL CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
EISENHOWER MEDICAL CENTER (EIN 95-6130458)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-10-25
IRS object ID
201212999349300241
Schema version
2010v3.7
Note
A later return for the same period supersedes this one.
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)
Timestamp2012-10-25T14:40:10-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

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 Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN956130458EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1EISENHOWER MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
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)
NameKIM OSBORNEName
TitleVICE PRESIDENT, CFOTitle
Date Signed2012-10-23DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone8585357200Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Amended ReturnXAmendedReturn
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 Receipts453922002GrossReceipts
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 Body36NbrVotingMembersGoverningBody
Nbr Independent Voting Members34NbrIndependentVotingMembers
Total Nbr Employees2906TotalNbrEmployees
Total Nbr Volunteers893TotalNbrVolunteers
Total Gross UBI462483TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year16826403ContributionsGrantsPriorYear
Contributions Grants Current Year36217095ContributionsGrantsCurrentYear
Program Service Revenue Prior Year387620884ProgramServiceRevenuePriorYear
Program Service Revenue CY402139490ProgramServiceRevenueCY
Investment Income Prior Year1548080InvestmentIncomePriorYear
Investment Income Current Year4411848InvestmentIncomeCurrentYear
Other Revenue Prior Year5174698OtherRevenuePriorYear
Other Revenue Current Year4311965OtherRevenueCurrentYear
Total Revenue Prior Year411170065TotalRevenuePriorYear
Total Revenue Current Year447080398TotalRevenueCurrentYear
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 Year183138406SalariesEtcPriorYear
Salaries Etc Current Year193161382SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year3865796TotalFundrsngExpCurrentYear
Other Expense Prior Year221157204OtherExpensePriorYear
Other Expenses Current Year282296938OtherExpensesCurrentYear
Total Expenses Prior Year404295610TotalExpensesPriorYear
Total Expenses Current Year475458320TotalExpensesCurrentYear
Revenues Less Expenses Prior Year6874455RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-28377922RevenuesLessExpensesCY
Total Assets BOY986376565TotalAssetsBOY
Total Assets EOY1025919556TotalAssetsEOY
Total Liabilities BOY496587742TotalLiabilitiesBOY
Total Liabilities EOY534839818TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY489788823NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY491079738NetAssetsOrFundBalancesEOY
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
Expense338239907Expense
Grants0Grants
Revenue408758512Revenue
DescriptionPATIENT CARE SERVICES AT ACCUTE CARE HOSPITAL - SEE SCHEDULE ODescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense75385322Expense
Grants0Grants
Revenue0Revenue
DescriptionCHARITY CARE AND COMMUNITY SERVICES - SEE SCHEDULE ODescription
FieldValueIRS element (for citing)
Total Program Service Expense413625229TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
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 With1096493NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees2906NumberOfEmployees
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 Members36NbrVotingGoverningBodyMembers
Number Independent Voting Members34NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocstrueChangesToOrganizingDocs
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 BodytrueForm990ProvidedToGoverningBody
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
States Where Copy Of Return Is FiledNCStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonKIMBERLY OSBORNE CFONamePerson
Telephone Number7603403911TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line139000 BOB HOPE DRIVEAddressLine1
CityRANCHO MIRAGECity
StateCAState
ZIP Code92270ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (59 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
BETTY FORD DECEASED
BOARD TRUSTEE/DIRECTOR1.0X000
SAMUEL L GINN
BOARD TRUSTEE/DIRECTOR1.0X000
HARRY M GOLDSTEIN
BD TRUSTEE/DIR/CHAIR EMERITUS2.0X000X
ADRIAN GRAFF-RADFORD MD
BOARD TRUSTEE/DIRECTOR1.0X000
ALAN I GREENE
BOARD TRUSTEE/DIRECTOR1.0X000
JOHN F GRUNDHOFER
BOARD TRUSTEE/DIRECTOR1.0X000
BARRY HACKSHAW
BOARD TRUSTEE/DIRECTOR1.0X250000
LARRY G HATFIELD
BOARD TRUSTEE/DIRECTOR1.0X000
ROBERT C HAWK
BOARD TRUSTEE/DIRECTOR1.0X000
JOHN H HERRELL
BOARD TRUSTEE/DIRECTOR1.0X000
DOLORES HOPE DECEASED
FOUNDING CHAIRMAN EMERITUS1.0X000X
LOIS U HORVITZ
BOARD TRUSTEE/DIRECTOR1.0X000
RICHARD L KNOWLTON
BOARD TRUSTEE/DIRECTOR1.0X000
EUTHYM KONTAXIS MD
BOARD TRUSTEE/DIRECTOR1.0X12015000
JOHN M LANE
BOARD TRUSTEE/DIRECTOR1.0X000
JOHN MARION
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 SAMPLE
BOARD TRUSTEE/DIRECTOR1.0X000
STEVEN B SAMPLE
BOARD TRUSTEE/DIRECTOR1.0X000
JOHN SCHWARZLOSE
BOARD DIRECTOR1.0X000
MICHAEL S SHANNON
BOARD TRUSTEE/DIRECTOR1.0X000
ALVIN V SHOEMAKER
CHAIRMAN2.0X000X
QUINTEN VANDERWERF MD
BOARD DIRECTOR1.0X000
LISSA NOEL WAGNER
BOARD TRUSTEE/DIRECTOR1.0X000
MARY WATTENBARGER
BOARD DIRECTOR1.0X000
G AUBREY SERFLING
EMC PRESIDENT/CEO1.0X7624690510050X
KIMBERLY A OSBORNE
CHIEF FINANCIAL OFFICER40.0389337077367X
MARY KROLL
CORPORATE SECRETARY40.063944010700X
MICHAEL P APPLEHANS
GEN COUSEL/CORP INTGRTY OFCR40.0382758065290X
MARY ELLEN FONTANA
VP CANCER CTR/BUS DEV40.0197053035551X
ELIZABETH M GUIGNIER
VP HUMAN RESOURCES40.0278596077023X
LYNN A HART
VP QUALITY & RESOURCE MGMT40.0256638044817X
THOMAS D JOHNSTON
VP EXPRESS CLINICS40.024078008853X
MICHAEL D LANDES
PRESIDENT EMC FOUNDATION40.0441774083745X
MARTIN J MASSIELLO
CHIEF OPERATING OFFICER40.06243440113877X
MARY ANN MCLAUGHLIN
AVP NURSING40.0231876042925X
ANN M MOSTOFI
VP PATIENT CARE/CNO40.0335814049831X
DAVID PEREZ
VP CHIEF INFO OFFICER40.0311773061474X
JOSEPH SCHERGER MD
VP PRIMARY CARE40.0464203084674X
ALI A TOURKAMAN
VP FAC PLANNING/CONSTRUCTION40.0414480067726X
LOUISE A WHITE
VP PATIENT CARE/CNO40.0351949065161X
ALAN WILLIAMSON
VP MEDICAL AFFAIRS40.0251252045417X
STEVEN ARENDT
CHIEF MEDICAL INFO OFFICER40.030841607267X
MAUREEN STROHM
DIRECTOR FAMILY MED RESIDENCY40.0260752021848X
FREDERICK L WESTERGARD
RNFA40.0242889038810X
MIGUEL A PADILLA
RNFA40.0209431032808X
THOMAS M POTTS
PHYSICIST40.0204291034431X
FieldValueIRS element (for citing)
Total Reportable Comp From Org7347469TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation1579645TotalOtherCompensation
Number Individuals GT100 K363NumberIndividualsGT100K
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
HOSPITAL HOUSEKEEPING SYSTEMS
PO BOX 826SAN ANTONIOTX782930826Environmental SVCS1431557
DESERT ORTHOPEDIC CENTER
PO BOX 1730RANCHO MIRAGECA92270MEDICAL ADMIN525482
CARDIOTHORACIC SURGERY ASSOC MDCL G
39000 Bob Hope DriveRANCHO MIRAGECA92270MEDICAL ADMIN471312
INNOVATIVE CONSULTING GROUP
9210 Petersburg RdEVANSVILLEIN47725SOFTWARE CONSULTING324192
ERNST YOUNG LLP
DEPARTMENT 6793LOS ANGELESCA900846793FINANCIAL CONSULTANT323540
FieldValueIRS element (for citing)
Number Of Contractors GT100 K25NumberOfContractorsGT100K
Government Grants15919102GovernmentGrants
All Other Contributions20297993AllOtherContributions
Noncash Contributions1409972NoncashContributions
Total Contributions36217095TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT REVENUE541610392019599392019599
MEDICAL OFFICE BLDG RENTAL52300060105765577129433447
PHARMACY44611040582914058291
MSO REVENUE5416102712227122
MEDICAL RECORDS9000992390223902
FieldValueIRS element (for citing)
Total Program Service Revenue402139490TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3261887TotalRevenueColumn
Related Or Exempt Function Income2307057RelatedOrExemptFunctionIncome
Unrelated Business Revenue1914UnrelatedBusinessRevenue
Exclusion$952,916ExclusionAmount

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)
Securities7419431Securities
Other572134Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities6155145Securities
Other686459Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1264286Securities
Other-114325Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1149961TotalRevenueColumn
Exclusion$1,149,961ExclusionAmount

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 FEES90009910237751023775
HOSPITAL SUITES FEES900099945725945725
ALL OTHER REVENUE90009923424652342465
FieldValueIRS element (for citing)
Total Other Revenue4311965TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column447080398TotalRevenueColumn
Related Or Exempt Function Income408297943RelatedOrExemptFunctionIncome
Unrelated Business Revenue462483UnrelatedBusinessRevenue
Exclusion$2,102,877ExclusionAmount

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)
Total6800206Total
Program Services4991550ProgramServices
Management And General1406131ManagementAndGeneral
Fundraising402525Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total125902455Total
Program Services118041293ProgramServices
Management And General6906599ManagementAndGeneral
Fundraising954563Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total11711502Total
Program Services11102996ProgramServices
Management And General433138ManagementAndGeneral
Fundraising175368Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total37484967Total
Program Services33915790ProgramServices
Management And General2917390ManagementAndGeneral
Fundraising651787Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total11262252Total
Program Services10519413ProgramServices
Management And General616256ManagementAndGeneral
Fundraising126583Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total2900951Total
Program Services1598328ProgramServices
Management And General1150023ManagementAndGeneral
Fundraising152600Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total377379Total
Management And General377379ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total197824Total
Management And General197824ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total176558Total
Management And General176558ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total25234Total
Management And General25234ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total57472015Total
Program Services50949181ProgramServices
Management And General6004808ManagementAndGeneral
Fundraising518026Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total1480205Total
Program Services505152ProgramServices
Management And General947365ManagementAndGeneral
Fundraising27688Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total83250218Total
Program Services82794555ProgramServices
Management And General420310ManagementAndGeneral
Fundraising35353Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total21998230Total
Program Services19879616ProgramServices
Management And General2049936ManagementAndGeneral
Fundraising68678Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total258154Total
Program Services183822ProgramServices
Management And General68076ManagementAndGeneral
Fundraising6256Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total234327Total
Program Services193790ProgramServices
Management And General34961ManagementAndGeneral
Fundraising5576Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total13128906Total
Management And General13128906ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total49786711Total
Program Services47590181ProgramServices
Management And General2121603ManagementAndGeneral
Fundraising74927Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total4834408Total
Program Services1059657ProgramServices
Management And General3774751ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
BAD DEBT EXPENSE1829140718291407
ALL OTHER EXPENSES278844111200849815210047665866

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total475458320Total
Program Services413625229ProgramServices
Management And General57967295ManagementAndGeneral
Fundraising3865796Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY8096BOY
EOY12519EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY70171602BOY
EOY58037131EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY48147202BOY
EOY40149661EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY58972463BOY
EOY48652629EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY4723123BOY
EOY3289263EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY6633516BOY
EOY6293834EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY9087075BOY
EOY16105072EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1057625467LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec354091547LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY657857551BOY
EOY703533920EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY103712479BOY
EOY115992991EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY5256534BOY
EOY5168703EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY21806924BOY
EOY28683833EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY986376565BOY
EOY1025919556EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY54954173BOY
EOY51813301EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY5009919BOY
EOY13312868EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY288894174BOY
EOY399068055EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY70942265BOY
EOY18904320EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY76787211BOY
EOY51741274EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY496587742BOY
EOY534839818EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY401844715BOY
EOY407597346EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY72609180BOY
EOY67933721EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY15334928BOY
EOY15548671EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY489788823BOY
EOY491079738EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY986376565BOY
EOY1025919556EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-28377922ReconcilationRevenueExpenses
Reconcilation Other Changes29668837ReconcilationOtherChanges
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$41,558DirectContactLegislatorsAmount
Rallies DemonstrationstrueRalliesDemonstrations
Rallies Demonstrations$135,000RalliesDemonstrationsAmount
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB176558TotalLobbyingExpendituresIIB
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. 23.72% OF THESE DUES IS FOR DIRECT LOBBYING EXPENSES OR $41,558. CASSIDY & ASSOCIATES ASSISTS EISENHOWER MEDICAL CENTER IN LONG RANGE PLANNING FOR ORGANIZATIONAL AND INSTITUTIONAL DEVELOPMENT, IN ESTABLISHING PRIORITIES AMONG ITS FEDERAL FUNDING OBJECTIVES, IN DEVELOPING AND IMPLEMENTING STRATEGIC PLANS AND IN EXPANDING ITS GOVERNMENTAL OUTREACH ACTIVITIES. $135,000.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 Balance16450538BeginningOfYearBalance
Contributions45421Contributions
Investment Earnings Or Losses3306231InvestmentEarningsOrLosses
Other Expenditures641610OtherExpenditures
End Of Year Balance19160580EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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 Balance0.18850BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.81150PermanentEndowmentEOYBalance
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 Basis35111088OtherCostOrOtherBasis
Book Value35111088BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis712218750OtherCostOrOtherBasis
Depreciation168083031Depreciation
Book Value544135719BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis23366090OtherCostOrOtherBasis
Depreciation6454233Depreciation
Book Value16911857BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis270362075OtherCostOrOtherBasis
Depreciation1479554283Depreciation
Book Value90807792BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis16567464OtherCostOrOtherBasis
Book Value16567464BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings703533920TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
PENSION PLAN LONG TERM PAYABLE$27,540,784
LIABILITIES-ANNUITANTS/BENEFICIARY$10,140,106
WORKERS COMP PAYABLE$8,280,000
HPL & GENERAL LIABILITY INSURANCE$3,465,000
DUE TO AFFILIATES$1,926,483
MISCELLANEOUS OTHER$388,901
FieldValueIRS element (for citing)
Total Of Amounts51741274TotalOfAmounts
Total Revenue447080398TotalRevenue
Total Expenses475458320TotalExpenses
Excess Or Deficit For Year-28377922ExcessOrDeficitForYear
Net Unrealized GL On Investments3800207NetUnrealizedGLOnInvestments
Other$25,868,630OtherAmount
Total Adjustments29668837TotalAdjustments
Excess Or Deficit Per FS1290915ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt476838326TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments3800207NetUnrealizedGainsInvestments
Other Revenues25982955OtherRevenues
Revenue Not Rptd F99029783162RevenueNotRptdF990
Revenue Subtotal447055164RevenueSubtotal
Investment Expenses Not Included25234InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt25234RevenueNotRptdOnFinStmt
Total Revenue Per Form990447080398TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt475547411TotExpensesEtcAuditedFinclStmt
Other Expenses Included114325OtherExpensesIncluded
Expenses Not Rptd F990114325ExpensesNotRptdF990
Expenses Subtotal475433086ExpensesSubtotal
Investment Expenses Not Included225234InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt25234ExpensesNotRptdOnFinStmt
Total Expenses Per Form990475458320TotalExpensesPerForm990

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 2ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES, CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING A MINIMUM RECOGNITION THRESHOLD THAT A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. ASC 740 ALSO PROVIDES GUIDANCE ON DERECOGNITION, MEASUREMENT, CLASSIFICATION, INTEREST AND PENALTIES, DISCLOSURE, AND TRANSITION. THE GUIDANCE IS APPLICABLE TO PASS-THROUGH ENTITIES AND TAX-EXEMPT ORGANIZATIONS. NO SIGNIFICANT TAX LIABILITY OR TAX BENEFITS, INTEREST OR PENALTIES WAS ACCRUED AT JUNE 30, 2011 OR 2010.
SCHEDULE D, PART XI, LINE 8PENSION RELATED CHANGES: $25,372,084 CHANGE IN VALUE OF CHARITABLE REMAINDER TRUSTS: $ 3,227,654 PLEDGE WRITE OFFS: ($ 3,221,535) K-1 FLOW THROUGH INCOME $ 490,427 ------------ TOTAL $25,868,630
SCHEDULE D, PART XII, LINE 2DPENSION RELATED CHANGES: $25,372,084 CHANGE IN VALUE OF CHARITABLE REMAINDER TRUSTS: $ 3,227,654 PLEDGE WRITE OFFS: ($ 3,221,535) K-1 FLOW THROUGH INCOME $ 490,427 LOSS ON DISPOSAL OF ASSETS $ 114,325 ------------ TOTAL $25,982,955
SCHEDULE D, PART XIII, LINE 2DLOSS ON DISPOSAL OF ASSETS $ 114,325

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 AvailablefalseReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense4681411TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense4681411NetCommunityBenefitExpense
Percent Of Total Expense0.01010PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense40321481TotalCommunityBenefitExpense
Direct Offsetting Revenue16820821DirectOffsettingRevenue
Net Community Benefit Expense23500660NetCommunityBenefitExpense
Percent Of Total Expense0.05050PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense45002892TotalCommunityBenefitExpense
Direct Offsetting Revenue16820821DirectOffsettingRevenue
Net Community Benefit Expense28182071NetCommunityBenefitExpense
Percent Of Total Expense0.06050PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense2839889TotalCommunityBenefitExpense
Direct Offsetting Revenue441227DirectOffsettingRevenue
Net Community Benefit Expense2398662NetCommunityBenefitExpense
Percent Of Total Expense0.00520PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense3351938TotalCommunityBenefitExpense
Direct Offsetting Revenue1015748DirectOffsettingRevenue
Net Community Benefit Expense2336190NetCommunityBenefitExpense
Percent Of Total Expense0.00500PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense839417TotalCommunityBenefitExpense
Direct Offsetting Revenue543703DirectOffsettingRevenue
Net Community Benefit Expense295714NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense391952TotalCommunityBenefitExpense
Direct Offsetting Revenue70392DirectOffsettingRevenue
Net Community Benefit Expense321560NetCommunityBenefitExpense
Percent Of Total Expense0.00070PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense348514TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense348514NetCommunityBenefitExpense
Percent Of Total Expense0.00070PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense7771710TotalCommunityBenefitExpense
Direct Offsetting Revenue2071070DirectOffsettingRevenue
Net Community Benefit Expense5700640NetCommunityBenefitExpense
Percent Of Total Expense0.01220PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense52774602TotalCommunityBenefitExpense
Direct Offsetting Revenue18891891DirectOffsettingRevenue
Net Community Benefit Expense33882711NetCommunityBenefitExpense
Percent Of Total Expense0.07280PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense1408TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense1408NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense26299TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense26299NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense2059TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense2059NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense29766TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense29766NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$3,109,539BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare154631466AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare221074565CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-66443099MedicareSurplusOrShortfall

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 IMAGING0.507950.49205
CENTER LLC
MIRAGE ENDOSCOPY
ENDOSCOPY SERVICES0.391980.60802
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

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities21NumberOfOtherFacilities

Other Facilities OtherFacilities (21 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
EISENHOWER URGENT CARE AND PRIMARY CARE
45580 SEELEY DRIVELA QUINTACA92253OUTPATIENT CLINIC
EISENHOWER URGENT CARE
72780 COUNTRY CLUB DRIVE SUITE B-2RANCHO MIRAGECA92270OUTPATIENT CLINIC
EISENHOWER OCCUPATIONAL HEALTH CLINIC
78822 HWY 111LA QUINTACA92253OUTPATIENT CLINIC
EISENHOWER URGENT CARE
151 SOUTH SUNRISE WAYPALM SPRINGSCA92262OUTPATIENT CLINIC
EISENHOWER PRIMARY CARE AT ARGYROS
45290 SEELEY DRIVELA QUINTACA92253OUTPATIENT CLINIC
EISENHOWER OCCUPATIONAL HEALTH CLINIC
67780 EAST PALM CANYONCATHEDRAL CITYCA92234OUTPATIENT CLINIC
EISENHOWER DESERT ORTHO CENTER- ARGYROS
45290 SEELEY DRIVE 2ND FLOORLA QUINTACA92253OUTPATIENT CLINIC
EISENHOWER PRIMARY CARE
72780 COUNTRY CLUB DRIVE SUITE B-2RANCHO MIRAGECA92270OUTPATIENT CLINIC
EISENHOWER PRIMARY CARE
4791 EAST PALM CANYON DRIVEPALM SPRINGSCA92262OUTPATIENT CLINIC
EISENHOWER PRIMARY CARE
78120 WILDCAT DRIVEPALM DESERTCA92210OUTPATIENT CLINIC
EISENHOWER NEUROSCIENCE INSTITUTE
72780 COUNTRY CLUB DRIVE SUITE 104RANCHO MIRAGECA92270OUTPATIENT CLINIC
EISENHOWER PRIMARY CARE
72780 COUNTRY CLUB DRIVE SUITE 305RANCHO MIRAGECA92270OUTPATIENT CLINIC
BREAST CENTER
72780 COUNTRY CLUB DRIVE SUITE A-1RANCHO MIRAGECA92270DIAGNOSTIC CLINIC
EISENHOWER EXPRESS CLINIC
78822 HWY 111LA QUINTACA92253OUTPATIENT CLINIC
EISENHOWER INDUSTRIAL REHABILITATION
78822 HWY 111LA QUINTACA92253REHABILITATION
EISENHOWER LAB SERViCES
72780 COUNTRY CLUB DRIVE SUITE B-2RANCHO MIRAGECA92270DIAGNOSTIC CLINIC
EISENHOWER LABRADIOLOGY AT DEL WEBB
78120 WILDCAT DRIVEPALM DESERTCA92210DIAGNOSTIC CLINIC
EMC OUTPATIENT SERVICES LABTECHNIQUES
4791 EAST PALM CANYON DRIVEPALM SPRINGSCA92262DIAGNOSTIC CLINIC
EMC OUTPATIENT SERVICES LABTECHNIQUES
151 SOUTH SUNRISE WAYPALM SPRINGSCA92262DIAGNOSTIC CLINIC
EISENHOWER SCHNITZERNOVAK BREAST CENTER
151 SOUTH SUNRISE WAYPALM SPRINGSCA92262DIAGNOSTIC CLINIC
EISENHOWER PRIMARY CARE
151 SOUTH SUNRISE WAYPALM SPRINGSCA92262OUTPATIENT CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
SCHEDULE H, PART I, LINE 7, COLUMN FBAD DEBT EXPENSE THAT WAS SUBTRACTED FROM TOTAL EXPENSES IN ORDER TO DETERMINE THE PERCENTAGE IN COLUMN (F) IS $18,291,407 PER AUDITED FINANCIAL STATEMENTS.
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 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 4THERE IS NO FOOTNOTE IN EMC'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE. THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 2 IS THE COST-TO-CHARGE RATIO PER THE COST REPORT. THE AMOUNT REPORTED ON LINE 3 IS 0. WE 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 THE SAME 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 COLLECTION 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 VSECTION B IS OPTIONAL FOR 2010. EMC HAS OPTED NOT TO COMPLETE IT.
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 2007 HEALTH ASSESSMENT RESOURCE CENTER (HARC) SURVEY ESTIMATES, APPROXIMATELY 36% OF THE COMMUNITY'S ADULT POPULATION (18 AND OLDER) ARE AGE 65 YEARS AND OLDER. BASED ON FINDINGS FROM THE HARC NEEDS ASSESSMENTS, APPROXIMATELY 23.8% OF SENIORS (55+) REQUIRE ASSISTANCE FOR INDEPENDENT ACTIVITIES OF DAILY LIVING. ADDITIONAL SURVEY RESULTS IDENTIFIED THE ESTIMATED TOTAL NUMBER PEOPLE ENROLLED IN MEDICARE, MEDI-CAL OR VETERANS ASSISTANCE PROGRAMS IN THE COMMUNITY IS 160,375 PERSONS. ABOUT 36,400 SENIORS (65+) IN THE SURVEY AREA DO NOT HAVE MEDICARE SUPPLEMENTAL INSURANCE. BASED UPON THE SAME REPORT, AN ESTIMATED 21.9% OF SENIOR SURVEY RESPONDENTS, OR 32,500 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 PaymentstrueAnyNonFixedPayments
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
59999701042500582220456754053296012725190381910
KIMBERLY A OSBORNE
2999980900000-6610665000108670466704000
MICHAEL P APPLEHANS
3100030750000-22450447700205200448048000
MARY ELLEN FONTANA
1677140300000-661027431081200232604000
ELIZABETH M GUIGNIER
2229970600000-44010524170246060355619000
LYNN A HART
1902990670000-6610324820123350301455000
THOMAS D JOHNSTON
4972900019105100088530249633000
MICHAEL D LANDES
32749601000000142780511050326400525519000
MARTIN J MASSIELLO
400005016500005933901019270119500738221000
MARY ANN MCLAUGHLIN
1829570500000-10810317720111530274801000
ANN M MOSTOFI
24999507500001081902900002083103856450139420
DAVID PEREZ
2399900720000-2170407170207570373247000
JOSEPH SCHERGER MD
3499810750000392220661600185140548877000
ALI A TOURKAMAN
239990012200005249004546102226504822060535600
LOUISE A WHITE
260000090000019490446550205060417110000
ALAN WILLIAMSON
2000040550000-37520275850178320296669000
STEVEN ARENDT
19616003842407383200072670315683000
MAUREEN STROHM
24019000020562046150172330282600000
FREDERICK L WESTERGARD
246012000-31230197350190750281699000
MIGUEL A PADILLA
211962000-25310170090157990242239000
THOMAS M POTTS
208936000-46450160330183980238722000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
TERMS AND CONDITIONS OF SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANSCHEDULE J, LINE 4BEMC 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 - $38,192 ALI TOURKAMAN - $53,560 ANN MOSTOFI - $13,942
NON FIXED PAYMENTSSCHEDULE J, LINE 7IF THE OVERALL ORGANIZATION MEETS ITS BUDGET OPERATING INCOME TARGET, THE EXECUTIVE LEADERSHIP TEAM AND DIRECTORS WILL BE ELIGIBLE TO RECEIVE INCENTIVE COMPENSATION BASED ON THE FOLLOWING CRITERIA IF APPLICABLE: MEETING OVERALL PATIENT SATISFACTION GOAL ON A HOSPITAL-WIDE BASIS, MEETING VOLUME ADJUSTED BUDGET AT THE DEPARTMENT LEVEL, MEETING GALLUP EMPLOYEE ENGAGEMENT/SATISFACTION GOALS, MAINTAINING COMPLIANCE WITH REGULATORY/JOINT COMMISSION REQUIREMENTS AND PHYSICIAN SATISFACTION GOALS. THE INCENTIVE COMPENSATION PAID IN CALENDAR 2010 RELATES TO FISCAL YEAR PERFORMANCE FOR THE YEAR ENDED JUNE 30, 2010.

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 Vfalsefalsefalse
CITY OF RANCHO MIRAGE JOINT POWERS FIN AUTH
33047134175212YAF82007-08-14261211954SEE PART Vfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
1101018688034406230947852075430769052152011truefalsetruetrue
26386544311196965432549351459873662010truetruetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsetruefalsefalsetrue0.000000.000000.00000true
falsetruefalsefalsetrue0.016000.000000.01600true

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
truefalsefalsefalsefalse
truefalsefalsefalsefalse

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF PURPOSESCHEDULE K, PART I, COLUMN FA - CONSTRUCTION OF HOSPITAL AND REFUND A PORTION OF TAXABLE LOAN B - CONSTRUCTION OF HOSPITAL AND REFUNDING
PART II, COLUMN A & B, LINE 3THE DIFFERENCE BETWEEN THE TOTAL PROCEEDS AND ISSUE PRICE FOR THE 2010 AND 2007 ISSUES, IS INVESTMENT INCOME OF $7,894.90 FOR THE 2010 BONDS AND $2,653,488.10 OF INVESTMENT INCOME FOR THE 2007 BONDS.

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 Transaction14787031AmountOfTransaction
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 Contributions4NumberOfContributions
Noncash Contribs Rptd F99056450NoncashContribsRptdF990
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 Contributions21NumberOfContributions
Noncash Contribs Rptd F9901338029NoncashContribsRptdF990
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

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionEQUIPMENTDescription
Number Of Contributions3NumberOfContributions
Noncash Contribs Rptd F99015493NoncashContribsRptdF990
Method Of Determining RevenuesOPINIONS OF EXPERTSMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Number Of8283 Received6NumberOf8283Received
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
AMENDED RETURNFORM 990, BOX BEISENHOWER MEDICAL CENTER (EMC) DISCOVERED THE ORIGINAL FILED RETURN INCORRECTLY REPORTED COMPENSATION FOR CERTAIN INDIVIDIUALS SHOWN ON FORM 990, PART VII AND SCHEDULE J. ACCORDINGLY, EMC IS AMENDING THIS RETURN TO REFLECT SUCH CHANGES.
PROGRAM SERVICE ACCOMPLISHMENTSFORM 990, PART III, LINE 4IN AUGUST 2010, EISENHOWER MEDICAL CENTER IS HONORED WITH A 2010 DISTINGUISHED ACHIEVEMENT AWARD FOR ITS USE OF MCKESSON'S ENTERPRISE INTELLIGENCE SOLUTIONS TO IMPROVE PATIENT CARE. EISENHOWER'S ACCOMPLISHMENTS INCLUDE REDUCING THE OVERUSE OF ANTIBIOTICS AND ENSURING CONSISTENT PRESCRIBING ACROSS THE HOSPITAL. IN OCTOBER 2010, EISENHOWER MEDICAL CENTER INSTALLS SIEMENS HEALTHCARE'S ACUSON S2000, THE MOST ADVANCED WHOLE-BREAST, THREE DIMENSIONAL ULTRASOUND TECHNOLOGY AVAILABLE. IN OCTOBER 2010, EISENHOWER SCHNITZER/NOVACK BREAST CENTER IS DESIGNATED A BREAST IMAGING CENTER OF EXCELLENCE BY THE AMERICAN COLLEGE OF RADIOLOGY (ACR), AND IS FIRST IN THE COACHELLA VALLEY TO EARN THIS PRESTIGIOUS DESIGNATION. IN JANUARY 2011, EISENHOWER CELEBRATES THE OPENING OF TWO NEW HEALTH CENTERS IN PALM SPRINGS. EISENHOWER HEALTH CENTER AT RIMROCK PROVIDES PRIMARY CARE SERVICES TO THE COMMUNITY. EISENHOWER HEALTH CENTER AT SUNRISE PROVIDES PRIMARY CARE, BREAST CENTER SERVICES, AN URGENT CARE, IMAGING AND LAB SERVICES. ON FEBRUARY 5, 2011, EISENHOWER SMILOW HEART CENTER AND THE AMERICAN HEART ASSOCIATION PRESENT THE EIGHTH ANNUAL COMMUNITY HEART CONFERENCE AT THE ANNENBERG CENTER FOR HEALTH SCIENCES AT EISENHOWER. IN MARCH 2011, EISENHOWER MEDICAL CENTER BECAME ONE OF ONLY 29 COMPANIES IN THE WORLD TO RECEIVE THE GALLUP GREAT WORKPLACE AWARD. GALLUP, THE WORLD'S BEST KNOWN AND MOST RESPECTED BEHAVIORAL SCIENCE AUTHORITY, SURVEYED NEARLY 15 MILLION EMPLOYEES FROM AROUND THE WORLD FROM COMPANIES IN ALL FACETS OF BUSINESS FROM HEALTH CARE TO HOSPITALITY, RETAIL TO MANUFACTURING, AND BANKS TO INSURANCE. ON MARCH 12, 2011, EISENHOWER HOSTS THE 16TH 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. DENISE FAUSTMAN, MD, PHD, ASSOCIATE PROFESSOR, HARVARD MEDICAL SCHOOL, DELIVERS THE KEYNOTE PRESENTATION END STAGE DIABETES - FROM MICE TO HUMAN TRIALS. ON APRIL 9, 2011 THE HIV PROVIDER NETWORK, WHICH INCLUDES EISENHOWER MEDICAL CENTER, HOLDS THE FIRST ANNUAL HIV CONFERENCE IN THE COACHELLA VALLEY AT THE ANNENBERG CENTER FOR HEALTH SCIENCES AT EISENHOWER. IN MAY 2011, EISENHOWER WOUND CARE CENTER RECEIVES THE ROBERT A. WARRINER III, MD, CENTER OF EXCELLENCE AWARD FOR ACHIEVING PATIENT SATISFACTION RATES OF MORE THAN 90 PERCENT AND AN 89 PERCENT HEALING RATE IN 30 MEDIAN DAYS, AMONG OTHER QUALITY STANDARDS. THE CENTER WAS AWARDED THIS PRESTIGIOUS HONOR BY DIVERSIFIED CLINICAL SERVICES (DCS), INC., THE NATION'S LEADING WOUND CARE MANAGEMENT COMPANY. IN MAY 2011, EISENHOWER MEDICAL CENTER IS NAMED A BLUE DISTINCTION CENTER FOR KNEE AND HIP REPLACEMENT BY BLUE SHIELD OF CALIFORNIA FOR DEMONSTRATING BETTER OVERALL QUALITY OF CARE AND PATIENT RESULTS IN KNEE AND HIP REPLACEMENT.
DESCRIPTION OF RELATIONSHIPSFORM 990, PART VI, LINE 2KATHRYN B. SAMPLE AND STEVEN B. SAMPLE HAVE A FAMILY RELATIONSHIP. SUSAN FORD BALES AND MRS. GERALD (BETTY) FORD (DECEASED), BOTH BOARD OF TRUSTEES HAVE A FAMILY RELATIONSHIP.
DESCRIPTION OF SIGNIFICANT CHANGES TO ORGANIZING OR ENABLING DOCUMENTFORM 990, PART VI, LINE 4AMENDMENT MADE TO THE BYLAWS TO INCREASE THE AUTHORIZED NUMBER OF ELECTED DIRECTORS FROM TWENTY-FIVE TO THIRTY.
DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERSFORM 990, PART VI, LINE 6THE BOARD OF TRUSTEES ARE MEMBERS OF EISENHOWER MEDICAL CENTER.
DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTSFORM 990, PART VI, LINE 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, LINE 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, LINE 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 FOR THEIR REVIEW PRIOR TO FILING.
DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTERESTFORM 990, PART VI, LINE 12CANNUALLY RELATED PARTIES, INCLUDING OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES ARE SURVEYED FOR TRANSACTIONS THAT COULD GIVE RISE TO CONFLICTS. WRITTEN QUESTIONNAIRES 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, LINES 15A AND 15BEISENHOWER MEDICAL CENTER ENGAGES AN INDEPENDENT CONSULTING FIRM TO PROVIDE TO THE BOARD'S COMPENSATION COMMITTEE BENCHMARKED SURVEY DATA FOR OFFICERS AND KEY EMPLOYEES IN THE ORGANIZATION. THE COMPENSATION COMMITTEE UTILIZES THE SURVEY DATA TO DETERMINE IF ANNUAL INCREASES WILL BE GIVEN AND IN WHAT AMOUNTS. HUMAN RESOURCES IS RESPONSIBLE FOR PROCESSING THE INCREASES. SURVEYS ARE DONE ON AN ANNUAL BASIS.
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 VIIALVIN SHOEMAKER, CHAIRMAN AND BOARD DIRECTOR OF EISENHOWER MEDICAL HOSPITAL (EMC), ALSO SERVES AS DIRECOR (EX-OFFICIO) OF ANNENBERG CENTER FOR HEALTH SCIENCES (ACHS). HE DEVOTES 2 HOURS PER WEEK TO EMC AND 1 HOUR PER WEEK TO ACHS. G. AUBREY SERFLING, PRESIDENT AND CEO OF EMC, IS ALSO THE BOARD DIRECTOR (EX-OFFICIO) OF ACHS, BSCC AND EISENHOWER HEALTH SERVICES (EHS). HE DEVOTES 40 HOURS PER WEEK TO HIS POSITION AT EMC AND 1 HOUR PER WEEK TO ACHS, BSCC AND EHS. KIMBERLY OSBORNE, CHIEF FINANCIAL OFFICER OF EMC, IS ALSO THE BOARD DIRECTOR AND TREASURER AT EHS. SHE DEVOTES 40 HOURS PER WEEK TO HER 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 HOURS PER WEEK TO ACHS AND EHS. MARTIN MASSIELLO, CHIEF OPERATING OFFICER OF EMC, IS ALSO THE BOARD DIRECTOR AND PRESIDENT OF EHS. HE DEVOTES 40 HOURS PER WEEK TO HIS POSITION AT EMC AND 1 HOUR PER WEEK AT EHS.
PAYMENT FOR SERVICES OTHER THAN BOARD SERVICESFORM 990, PART VIIEUTHYM KONTAXIS, MD RECEIVED A TOTAL OF $120,150 AS A STIPEND FOR EMERGENCY ROOM ADMINISTRATIVE SERVICES.
CHANGES IN NET ASSETS/FUND BALANCESFORM 990, PART XI, LINE 5PENSION RELATED CHANGES: $25,372,084 UNREALIZED GAIN ON INVESTMENTS: $ 3,800,207 CHANGE IN VALUE OF CHARITABLE REMAINDER TRUSTS: $ 3,227,654 PLEDGE WRITE OFFS: ($ 3,221,535) K-1 FLOW THROUGH INCOME $ 490,427 ------------ TOTAL $29,668,837

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 Income2408001TotalIncome
EOY Assets23864368EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
EISENHOWER HEALTH SERVICES
39000 BOB HOPE DRIVERANCHO MIRAGECA92270330617193SUPPORT SVCSCA501(C)(3)11, IEMC
ANNENBERG CENTER FOR HEALTH SERVICES
39000 BOB HOPE DRIVERANCHO MIRAGECA92270953382683HEALTH CARECA501(C)(3)11, IEMC
BARBARA SINATRA CHILDREN'S CENTER
39000 BOB HOPE DRIVERANCHO MIRAGECA92270330136550CHILD SVCSCA501(C)(3)7EMC

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1EISENHOWER IMAGING CENTERBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line139000 BOB HOPE DRIVEAddressLine1
CityRANCHO MIRAGECity
StateCAState
ZIP Code92270ZIPCode
FieldValueIRS element (for citing)
EIN680554124EIN
Primary ActivityMEDICAL IMAGINGPrimaryActivity
Legal Domicile StateCALegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeType
Share Of Total Income1018942ShareOfTotalIncome
Share Of EOY Assets2081835ShareOfEOYAssets
Disproportionate AllocationsfalseDisproportionateAllocations
Code V$0CodeVAmount
General Or Managing PartnertrueGeneralOrManagingPartner
Percentage Ownership0.50795PercentageOwnership

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 (9 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
ANNENBERG CENTER FOR HEALTH SCIENCES
P20770053
ANNENBERG CENTER FOR HEALTH SCIENCES
J1055207
ANNENBERG CENTER FOR HEALTH SCIENCES
Q2699709
BARBARA SINATRA CHILDREN'S CENTER
P445702
BARBARA SINATRA CHILDREN'S CENTER
R2036481
EISENHOWER IMAGING CENTER
P369368
EISENHOWER IMAGING CENTER
A842104
EISENHOWER HEALTH SERVICES
0
CHARITABLE REMAINDER TRUST (21)
0

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