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2009 Report to the Community - CA

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NONPROFIT ORG.<br />

U.S. POSTAGE<br />

PAID<br />

PERMIT #451<br />

STOCKTON, <strong>CA</strong><br />

Technology <strong>to</strong> Heal. Compassion for Life.<br />

Emanuel Medical Center (EMC) operates a not-for-profi t community facility licensed for 209<br />

acute care beds, 145 long-term care beds, and 49 residential care beds. As <strong>the</strong> only hospital<br />

in its primary service area, during Fiscal Year (FY) <strong>2009</strong> ending January 31, EMC:<br />

• Provided 46,245 days of acute care<br />

• Served residents with 49,286 days of long-term care<br />

• Supported residents with 9,835 days of assisted living<br />

825 DELBON AVENUE<br />

TURLOCK, <strong>CA</strong> 95382<br />

www.emanuelmedicalcenter.org<br />

Cert no. SCS-COC-001536<br />

Our Mission Statement<br />

To Create a Healthier <strong>Community</strong> through:<br />

• Operating on <strong>the</strong> foundation of Christian values.<br />

• Focusing on health promotion and prevention of disease.<br />

• Providing safe, high-quality and comprehensive health<br />

services for our patients and <strong>the</strong>ir families.<br />

• Maintaining fi scal responsibility <strong>to</strong> allow for maintenance,<br />

growth and development.<br />

200<br />

180<br />

160<br />

• Treated 56,065 patients in our Emergency Room<br />

• Performed 7,412 surgical procedures<br />

and<br />

• Delivered 2,235 babies<br />

154<br />

An Average Day in FY <strong>2009</strong><br />

at Emanuel Medical Center<br />

<strong>Report</strong> <strong>to</strong> <strong>the</strong> <strong>Community</strong><br />

FIS<strong>CA</strong>L YEAR ENDING JANUARY 31, <strong>2009</strong><br />

<strong>Report</strong> <strong>to</strong> <strong>the</strong><br />

<strong>Community</strong><br />

FIS<strong>CA</strong>L YEAR ENDING JANUARY 31, <strong>2009</strong><br />

• Creating a collaborative partnership among community<br />

health resources.<br />

Board of Direc<strong>to</strong>rs <strong>2009</strong> - 2010<br />

Jennifer Larson – Chair<br />

Walter de Bruyn – Vice Chair<br />

Art DeRooy – Treasurer<br />

Marlene Stante – Secretary<br />

Joseph Higgins, M.D., PhD. – Chief, Medical Staff<br />

Paul Carmichael, M.D. – Vice Chief, Medical Staff<br />

Isaac Faraji, M.D. – Secretary, Medical Staff<br />

Jim Ahlem<br />

Bob Field<br />

Wade Fullmer<br />

Jim Pallios<br />

Tom Wilson, M.D.<br />

John Sigsbury – President & CEO<br />

David Dwight – President, Covenant Ministries of Benevolence<br />

PATIENTS SERVED<br />

140<br />

120<br />

100<br />

80<br />

60<br />

40<br />

20<br />

0<br />

EMERGENCY<br />

ROOM<br />

VISITS<br />

135<br />

LONG-TERM<br />

<strong>CA</strong>RE<br />

RESIDENTS<br />

127<br />

ACUTE<br />

INPATIENTS<br />

95<br />

OUTPATIENTS<br />

27<br />

ASSISTED<br />

LIVING<br />

RESIDENTS<br />

13<br />

SURGI<strong>CA</strong>L<br />

<strong>CA</strong>SES<br />

6<br />

BIRTHS


EMC: Providing Comprehensive Health Care<br />

EMC is committed <strong>to</strong> creating a healthier<br />

community by providing patients with <strong>the</strong><br />

most comprehensive care. With <strong>the</strong> opening<br />

of <strong>the</strong> Emanuel Physician Center, family<br />

physicians help minimize missed diagnoses and promote preventative care. EMC also offers<br />

laparoscopic gastric banding, a minimally invasive weight loss surgery that allows patients<br />

<strong>to</strong> gradually lose weight and live a healthier, more active lifestyle. And <strong>the</strong> Stanford Emanuel<br />

Radiation Oncology Center provides <strong>the</strong> most advanced cancer treatment options available —<br />

along with a supportive, caring environment for cancer patients.<br />

These are just a few of <strong>the</strong> ways Emanuel Medical Center is improving <strong>the</strong> community, one<br />

patient at a time.<br />

Our Medical Home<br />

Addressing <strong>Community</strong> Needs<br />

In response <strong>to</strong> <strong>the</strong> community need<br />

for more primary care physicians<br />

in Turlock and nearby areas, EMC<br />

opened <strong>the</strong> Emanuel Physician<br />

Center. The center provides patients<br />

with a place that coordinates all care and treatment — a medical home that offers family<br />

practice and preventative medicine services for all ages, all under one roof. A second location<br />

is opening soon, providing greater access <strong>to</strong> primary health care services <strong>to</strong> hundreds of local<br />

residents in need of a physician.<br />

Our <strong>Community</strong> Support<br />

Raising Awareness, Providing Care<br />

This past year, Emanuel Medical Center focused its community service in three vital areas:<br />

Basic Access <strong>to</strong> Care<br />

Without EMC, during FY <strong>2009</strong>:<br />

• Residents or <strong>the</strong>ir visi<strong>to</strong>rs would have left <strong>the</strong> community 56,000 times for<br />

emergency treatment.<br />

• More than 2,000 babies would not have been born at a local hospital.<br />

• 500 people would have made nursing home arrangements outside of <strong>the</strong> community<br />

and away from <strong>the</strong>ir family.<br />

Increased Physician Availability<br />

EMC is addressing <strong>the</strong> service area’s severe physician shortage. During FY <strong>2009</strong>, <strong>the</strong> following<br />

eight new physicians were added <strong>to</strong> our local medical staff:<br />

• Two family practice physicians who will provide medical homes <strong>to</strong> residents without<br />

a family doc<strong>to</strong>r.<br />

• A gastroenterologist, two orthopedic<br />

surgeons and a neurologist.<br />

• Two OB/GYNs who will provide<br />

essential prenatal, delivery and<br />

postpartum services.<br />

EMC’s increased efforts <strong>to</strong> bring outstanding<br />

new physicians <strong>to</strong> <strong>the</strong> community have been<br />

successful. In <strong>to</strong>tal, 37 new physicians have<br />

joined an established medical practice or<br />

opened a new offi ce in Turlock over <strong>the</strong> past<br />

fi ve years.<br />

<strong>Community</strong> Education<br />

A key aspect of <strong>the</strong> new cancer services<br />

we recently brought <strong>to</strong> Turlock is expanding<br />

education and screening services. This past<br />

year, EMC hosted:<br />

• Prostate and Colon Cancer <strong>Community</strong> Screening Event: 99 residents were screened<br />

by nine physicians and 12 staff volunteers.<br />

• <strong>Community</strong> Women’s Health Conference: The day-long conference featuring seven<br />

physicians provided education and materials on <strong>to</strong>pics ranging from new techniques in<br />

breast surgical cases <strong>to</strong> <strong>the</strong> effi ciency of <strong>the</strong> cervical cancer vaccine. It also included a<br />

physician panel discussion about women’s cancer-related health matters.<br />

Our Women’s Center<br />

New Location, New Technology<br />

In <strong>2009</strong>, EMC relocated <strong>the</strong> Ruby E. Bergman<br />

Women’s Center <strong>to</strong> <strong>the</strong> second fl oor of <strong>the</strong><br />

Emanuel Medical Plaza. In <strong>the</strong> new 6,000<br />

square-foot space, patients now have access<br />

<strong>to</strong> <strong>the</strong> latest in digital mammography and<br />

soon <strong>the</strong> fi rst dedicated breast MRI technology in <strong>the</strong> region. The Women’s Center also offers<br />

pre-operative wire localizations, digital high-resolution targeted breast ultrasounds, and core<br />

and vacuum-assisted breast and stereotactic biopsies.<br />

Our Children<br />

Pediatrics Partnership<br />

In affi liation with doc<strong>to</strong>rs from Children’s Hospital<br />

Central California and <strong>the</strong> physicians of <strong>the</strong><br />

Specialty Medical Group Central California,<br />

EMC is home <strong>to</strong> a Pediatric Inpatient Hospitalist<br />

program. This program offers around-<strong>the</strong>-clock<br />

care at EMC for its young patients. Pediatricians<br />

manage <strong>the</strong> pediatric inpatient unit and neonatal intensive care unit, all while working closely<br />

with EMC physicians.<br />

Our Volunteers<br />

Compassion for Life<br />

From community newcomers <strong>to</strong> longtime<br />

locals, EMC volunteers share a common<br />

desire — <strong>to</strong> improve <strong>the</strong>ir local hospital and<br />

<strong>to</strong>wn by donating <strong>the</strong>ir time and talents.<br />

Volunteer Hours<br />

Volunteers graciously donate <strong>the</strong>ir time<br />

<strong>to</strong> a variety of EMC services, including<br />

Emanuel Regional Cancer Services and<br />

Hospice of Emanuel. More than 800<br />

volunteers contributed more than 67,000<br />

hours of service.<br />

Donations<br />

Each year, EMC is blessed with generous support from former patients and <strong>the</strong>ir families, local<br />

businesses, national corporations, and <strong>the</strong> community at large. EMC’s Volunteer Auxiliary<br />

donated $100,000 <strong>to</strong> Legacy Circle of Emanuel and $15,000 in scholarships <strong>to</strong> students in<br />

<strong>the</strong> health care fi eld. In <strong>to</strong>tal, Emanuel donors contributed $2.7 million <strong>to</strong> <strong>the</strong> hospital this<br />

past year — an all-time record for <strong>the</strong> organization.<br />

And for that, EMC salutes its generous volunteers and donors.<br />

Economic Valuation of All <strong>Community</strong> Benefits<br />

Emanuel Medical Center Gives Back <strong>to</strong> <strong>the</strong> <strong>Community</strong><br />

Last year, Emanuel Medical Center provided residents of <strong>the</strong> greater Turlock area with countless<br />

community benefi ts, all <strong>to</strong>taling $67,292,000. Some of <strong>the</strong>se benefi ts include:<br />

Adult Hospitalist Program: This program provides physician services <strong>to</strong> inpatients who cannot<br />

afford or fi nd a doc<strong>to</strong>r. The FY <strong>2009</strong> cost for our Adult Hospitalist Program was $540,000.<br />

Physician Shortage Support: Emanuel incurred $1,481,000 in FY <strong>2009</strong> expense in order <strong>to</strong><br />

help address <strong>the</strong> critical lack of physicians in our community’s physician shortage areas.<br />

Continuing Medical Education (CME): Emanuel Medical Center hosts CME courses for its<br />

medical staff. Last year, 23 classes were offered at an approximate cost of $433 each for a <strong>to</strong>tal<br />

cost of $10,000.<br />

Tuition Assistance: In FY <strong>2009</strong>, Emanuel awarded 88 employee tuition assistance grants<br />

<strong>to</strong>taling $33,000.<br />

On-<strong>the</strong>-Job Training: Emanuel supports several clinical students while at school and in training.<br />

During <strong>the</strong> summer, EMC opens its doors <strong>to</strong> many of <strong>the</strong>se externs <strong>to</strong> learn hands-on nursing<br />

skills. The FY <strong>2009</strong> cost for <strong>the</strong> hospital-sponsored student program was $456,000.<br />

Emanuel Physician Center: The FY <strong>2009</strong> cost of increasing primary care access <strong>to</strong> those in<br />

need was $282,000.<br />

Technology <strong>to</strong> Heal.<br />

Compassion for Life.<br />

Emanuel Medical Center<br />

FIS<strong>CA</strong>L YEAR ENDING JANUARY 31, <strong>2009</strong><br />

(in thousands)<br />

Revenue<br />

Net Amount Received from Patient Care Services* $ 132,729<br />

O<strong>the</strong>r Operating Revenue 17,460<br />

Unrestricted Contributions 150<br />

Total Revenue $ 150,339<br />

*Reduced for charity & o<strong>the</strong>r uncompensated care charges<br />

Expenses<br />

Operating Expenses $ 45,479<br />

Salaries & Benefi ts 92,887<br />

Depreciation 8,046<br />

Interest Expense 3,554<br />

Total Expenses $ 149,966<br />

Funds Available <strong>to</strong> be Reinvested in <strong>the</strong> <strong>Community</strong><br />

Income from Operations $ 373<br />

Taxes Paid<br />

Employer’s Share of Payroll Taxes $ 5,267<br />

Sales & Use Tax-direct 956<br />

Property Taxes 214<br />

Business & Occupation Taxes & Licenses 272<br />

Total Taxes $ 6,709<br />

<strong>Community</strong> Benefit<br />

Charity Care $ 10,463<br />

Medi-Cal & Medicare Programs 24,037<br />

Benefi ts <strong>to</strong> Vulnerable Populations 27,525<br />

Benefi ts <strong>to</strong> Broader <strong>Community</strong> 5,267<br />

Total <strong>Community</strong> Benefit $ 67,292

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