SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
EMANUEL MEDICAL CENTER INC
 
Employer identification number

94-2281314
Identifier Return Reference Explanation
  FORM 990, PART VI, SECTION A, LINE 2 JENNIFER LARSON, A MEMBER OF THE EMC BOARD OF DIRECTORS, IS MARRIED TO KIRK LARSON. KIRK LARSON IS A GENERAL CONTRACTOR WHO PERFORMS CONSTRUCTION WORK FOR EMC.
  FORM 990, PART VI, SECTION A, LINE 6 MEMBERS ARE ELECTED AND EX-OFFICIO ARE MEMBERS OF THE BOARD OF BENEVOLENCE OF THE EVANGELICAL COVENANT CHURCH (ECC). A MEMBER IS ANY PERSON WHO, PURSUANT TO A PROVISION OF THE ORGANIZATION'S GOVERNING DOCUMENTS OF APPLICABLE STATE LAW, HAS THE RIGHT TO PARTICIPATE IN THE ORGANIZATION'S GOVERNANCE OR TO RECEIVE DISTRIBUTIONS OF INCOME OR ASSETS FROM THE ORGANIZATION (REGARDLESS OF WHAT A PERSON IS CALLED IN THE GOVERNING DOCUMENTS).
  FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS ELECT THE BOARD OF DIRECTORS.
  FORM 990, PART VI, SECTION B, LINE 11 INFORMATION TO COMPLETE EMC'S FORM 990 IS COMPILED BY EMC ACCOUNTING PERSONNEL. DELOITTE TAX REVEIWS THE INFORMATION PROVIDED AND PREPARES THE FORM 990. THE RETURN IS REVIEWED BY THE CFO AND ALSO PRESENTED TO THE BOARD OF DIRECTORS FINANCE COMMITTEE CHAIRMAN FOR REVIEW BEFORE THE RETURN IS FILED WITH THE IRS AND ALSO A COPY OF THE RETURN IS BEING DISTRIBUTED TO ALL BOARD MEMBERS PRIOR TO FILING.
  FORM 990, PART VI, SECTION B, LINE 12C EMANUEL MEDICAL CENTER, INC HAS AN ADMINISTRATIVE POLICY ON CONFLICT OF INTEREST, IDENTIFYING THE PARAMETERS OF A CONFLICT OF INTEREST AND THE REQUIREMENT TO DISCLOSE ANY SUCH CONFLICT OF INTEREST. EACH JANUARY, THE EMC POLICY IS DISTRIBUTED TO EMC BOARD MEMBERS AND SENIOR VICE PRESIDENTS. THEY ARE ASKED TO SIGN ACKNOWLEDGING RECEIPT OF THE POLICY AND TO DISCLOSE IF THEY HAVE ANY CONFLICT OF INTERESTS. IF SOMEONE IS ABSENT FROM THE MEETING OR FAILS TO RETURN THE ACKNOLWEDGEMENT, THERE IS A FOLLOW-UP WITH THE INDIVIDUAL UNTIL THE SIGNED ACKNOWLEDGEMENT IS PROVIDED.
  FORM 990, PART VI, SECTION B, LINE 15 EMC USES A THIRD PARTY CONSULTANT AND INDUSTRY COMPENSATION SURVEY INFORMATION TO DETERMINE APPROPRIATE COMPENSATION FOR ITS LEADERSHIP. ANNUALLY, THE CONSULTANT REVIEWS SALARIES, INCENTIVE BONUSES, AND BENEFITS TO ASSURE COMPENSATION IS REASONABLE AND WITHIN MARKET PRACTICE FOR OUR INDUSTRY. GUIDELINES FOR ACCEPTABLE COMPENSATION RANGES ARE DETERMINED BY THE EMC BOARD OF DIRECTORS' COMPENSATION COMMITTEE.
  FORM 990, PART VI, SECTION C, LINE 19 EMANUEL MEDICAL CENTER'S FORM 990 CAN BE FOUND ON GUIDESTAR. IN ADDITION, FINANCIAL STATEMENTS ARE FILED WITH THE OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE FOR PUBLIC REVIEW IF REQUESTED.
(COMPENSATION) HOURS FROM RELATED ORG: FORM 990, PART VII- DAVID DWIGHT, PRESIDENT OF COVENANT MINISTRIES OF BENEVOLENCE, DEVOTES 40 HOURS/WEEK ON AVERAGE TO CMB. LARRY ANDERSON, CFO OF COVENANT MINISTRIES OF BENEVOLENCE, DEVOTES 40 HRS/WK ON AVERAGE TO CMB.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2012

Additional Data


Software ID:  
Software Version: