2021-08-04T15:40:56-05:00 2020-09-30 910189318 MOSS ADAMS LLP 10960 WILSHIRE BLVD SUITE 1100 LOS ANGELES CA 90024 990 2019-10-01 951643347 REDLANDS COMMUNITY HOSPITAL REDL 9093355500 350 TERRACINA BLVD REDLANDS CA 92373 JAMES HOLMES PRESIDENT/CEO 9093355500 2021-08-04 1 LAUREN A HAVERLOCK P00545829 3104770450 2021-08-04 2019 2022-09-23 18:48:47Z JAMES HOLMES 350 TERRACINA BLVD REDLANDS CA 92373 414652832 0 X WWW.REDLANDSHOSPITAL.ORG X 1927 CA THE HOSPITAL'S MISSION, VISION AND VALUE STATEMENTS ARE INTEGRATED INTO THE HOSPITAL'S POLICY AND PLANNING PROCESSES INCLUDING THE COMMUNITY BENEFIT PLAN. A PART OF THIS PLANNING PROCESS WAS TO INCORPORATE COMMUNITY BENEFITS IN THE HOSPITAL'S STRATEGIC PLANS. OUR MISSION IS TO PROMOTE AN ENVIRONMENT WHERE MEMBERS OF OUR COMMUNITY CAN RECEIVE HIGH QUALITY CARE AND SERVICE SO THEY CAN BE RESTORED TO GOOD HEALTH BY WORKING IN CONCERT WITH PATIENTS, PHYSICIANS, RCH STAFF, ASSOCIATES AND THE COMMUNITY. 18 16 2104 17 0 0 2888552 6573751 365623569 349442524 1606851 1117585 2643651 15518432 372762623 372652292 42100000 12741056 0 0 146219051 155672502 0 0 0 199848421 179826716 388167472 348240274 -15404849 24412018 231858402 258896661 188741736 190851798 43116666 68044863 X OUR MISSION IS TO PROMOTE AN ENVIRONMENT WHERE MEMBERS OF OUR COMMUNITY CAN RECEIVE HIGH QUALITY CARE AND SERVICES SO THEY CAN MAINTAIN AND BE RESTORED TO GOOD HEALTH. 0 0 134170434 0 84462890 SCHEDULE O FOR UNREIMBURSED MEDICAL CARE DESCRIPTIONUNREIMBURSED MEDICAL CARE: THE HOSPITAL IS COMMITTED TO PROVIDING QUALITY MEDICAL CARE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. COST OF CARE FOR PATIENTS THAT MEET THE CHARITY CARE POLICY OF THE HOSPITAL ARE CLASSIFIED AS CHARITY. RCH HAD 2,329 INPATIENT/OUTPATIENT CHARITY ENCOUNTERS, 1,577 MEDICARE DISCHARGES AND 2,578 MEDICAID AND COUNTY INDIGENT DISCHARGES. THE TOTAL ESTIMATED COST OF CHARITY CARE SERVICES AND UNPAID COST OF SERVICES ASSOCIATED WITH MEDICARE, MEDICAID AND COUNTY INDIGENT PROGRAMS AS WELL AS THE ESTIMATED COST ASSOCIATED WITH UNCOLLECTABLE ACCOUNTS WERE $49,708,000. 2153771 0 450168 SCHEDULE O FOR HOSPITAL'S FAMILY CLINIC DESCRIPTIONAN ON-GOING GOAL OF THE HOSPITAL'S FAMILY CLINICS IS TO PROVIDE HIGH-QUALITY, LOW-COST HEALTH CARE SERVICES TO PEOPLE WHO DO NOT OTHERWISE HAVE ACCESS TO HEALTH CARE, WHICH MAY BE DUE TO FINANCIAL, CULTURAL, LIFESTYLE OR PSYCHOLOGICAL BARRIERS. EQUALLY IMPORTANT IS THE DESIRE TO PROVIDE DISEASE SPECIFIC PATIENT/FAMILY EDUCATION, WITH EMPHASIS ON PROMOTING HEALTH AND WELLNESS AND THE SUPPORT NECESSARY TO PROMOTE INDIVIDUALIZED HEALTH CARE DECISION MAKING. THE REDLANDS AND YUCAIPA FAMILY CLINICS AND THE COMMUNITY BASED PERINATAL SERVICES PROGRAM (MATERIAL INFANT HEALTH) SERVE THE COMMUNITIES OF REDLANDS, LOMA LINDA, SAN BERNARDINO, HIGHLAND, YUCAIPA AND MENTONE, SUPPORTING THE HEALTHY START PROGRAMS IN THE REDLANDS UNIFIED SCHOOL DISTRICT IN ADDITION TO PROVIDING AN OPPORTUNITY FOR LOW-INCOME, THE UNINSURED AND UNDERINSURED TO RECEIVE PRIMARY AND PREVENTIVE CARE, EARLY MEDICAL PROBLEM IDENTIFICATION, TREATMENT AND ASSISTANCE WITH THE APPLICATION PROCESS AND OBTAINING OF ELIGIBILITY FOR PUBLIC ASSISTANCE PROGRAMS. GOALS AND ACCOMPLISHMENTS IN 2020: 1) ENHANCED PRIMARY CARE SERVICES, 2) PROVIDED AND FACILITATED COMMUNITY EDUCATIONAL OFFERINGS AND HEALTH CARE SCREENINGS, 3) PROVIDED NO-COST SEASONAL FLU VACCINATIONS TO THE COMMUNITY, 4) EXPANDED AWARENESS OF THE SERVICES PROVIDED BY THE FAMILY CLINICS, 5) SUPPORTED REDLANDS UNIFIED SCHOOL DISTRICT BY PROVIDING EMPLOYEE TB SCREENING. FOR FISCAL YEAR 2020, REDLANDS AND YUCAIPA FAMILY CLINICS HAD 10,445 VISITS AND PERINATAL SERVICES HAD 2,750 VISITS. 118671290 0 152409546 SCHEDULE O FOR DESCRIPTION OF SERVICES THE HOSPITAL PROVIDESFOUNDED IN 1904, REDLANDS COMMUNITY HOSPITAL IS A NON-PROFIT, 229-BED HEALTHCARE FACILITY LOCATED IN THE EAST SAN BERNARDINO VALLEY OF SOUTHERN CALIFORNIA. THE HOSPITAL OFFERS ACUTE HEALTHCARE, DIAGNOSTIC AND HOME HEALTHCARE SERVICES. AS A COMMUNITY HOSPITAL, WE TAKE PRIDE IN OUR PERSONAL CARE AND COMPREHENSIVE, HIGH QUALITY SERVICES. OUR COMMUNITY SERVICE NURSES, EMERGENCY DEPARTMENT, FAMILY CLINICS, PERINATAL SERVICES PROGRAM, AND SEVERAL OTHER DEPARTMENTS THROUGHOUT THE HOSPITAL ARE INVOLVED IN OFFERING A VARIETY OF COMMUNITY SERVICES AND CHARITY CARE. PEOPLE FROM THROUGHOUT OUR LARGE SERVICE AREA DEPEND ON US FOR 24 HOUR EMERGENCY CARE, PROFESSIONAL HEALTHCARE AND A VARIETY OF COMMUNITY SERVICE OUTREACH PROGRAMS. ADDITIONALLY, RCH IN PARTNERSHIP WITH TWO LOCAL MEDICAL GROUPS, CONTRACTS WITH VARIOUS HEALTH PLANS TO PROVIDE FULL-SERVICE HEALTH CARE TO APPROXIMATELY 66,000 COMMUNITY MEMBERS ON A CAPITATED BASIS. 77354177 12741056 112119920 OTHER PROGRAMS: THE COMMUNITY CASE MANAGEMENT PROGRAM ADDRESSES THE NEEDS FOR AT-RISK, UNDERINSURED AND COMPLEX HEALTHCARE ISSUES AS WELL AS EDUCATION ON DISEASE MANAGEMENT AND COMMUNITY RESOURCES. THE PURPOSE OF THE COMMUNITY CASE MANAGEMENT IS TO PROVIDE HIGH-QUALITY SERVICE TO PEOPLE WHO DO NOT KNOW HOW TO NAVIGATE THE HEALTHCARE SYSTEM DUE TO FINANCIAL, CULTURAL, LIFESTYLE, OR PSYCHOLOGICAL BARRIERS. AN EQUALLY IMPORTANT FOCUS IS EMPOWERING THE PATIENT AND FAMILY WITH DISEASE SPECIFIC EDUCATION EMPHASIZING PROMOTION OF HEALTH, WELLNESS AND THE TOOLS NECESSARY TO PROMOTE INDIVIDUALIZED HEALTH CARE DECISIONMAKING. THE GOALS OF THE PROGRAM ARE TO DECREASE THE INCIDENCE OF READMISSION, TO EDUCATE REGARDING DISEASE PROCESS AND MANAGEMENT, TO PROVIDE COMMUNITY RESOURCES, TO FACILITATE THE RELATIONSHIP BETWEEN THE PATIENT AND THEIR HEALTHCARE PROVIDERS AND IMPROVE PATIENT HEALTHCARE OUTCOMES.PASTORAL CARE SERVICE - LAY MINISTRY - GRIEF PROGRAMS ADDRESSES THE SPIRITUAL CONCERNS OF RCH PREOPERATIVE, AS WELL AS OTHER PATIENTS WHO REQUEST PASTORAL SUPPORT. THE CHAPLAIN ALSO SERVES AS A PART OF THE ICU CLINICAL TEAM, PROVIDING PROFESSIONAL SPIRITUAL ASSESSMENT AND SUPPORT FOR PATIENTS AND FAMILIES. THE CHAPLAIN ALSO RESPONDS TO REFERRALS FROM HEALTH CARE PROFESSIONALS THROUGHOUT THE HOSPITAL TO ASSIST WITH ADDRESSING LIFE THREATENING ILLNESSES, END OF LIFE CONCERNS AND ISSUES OF SPIRITUAL DISTRESS. IN ADDITION, PASTORAL CARE SERVICES OFFERS THE OPPORTUNITY TO PERSONS OF ALL FAITH TRADITIONS TO BECOME A PASTORAL CARE VISITOR. THE CHAPLAIN PROVIDES INITIAL TRAINING AND ON-GOING EVALUATION OF PASTORAL CARE VISITORS.OTHER SERVICES INCLUDE PARTICIPATION IN COMMUNITY HEALTH FAIRS, FREE FLU SHOTS, COMMUNITY HEALTH EDUCATION LECTURES, AND FUNDING TOWARD SENIOR CITIZEN HEALTH NEWSLETTERS. 77354177 12741056 112119920 332349672 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 429 0 1 2104 1 0 0 0 0 0 0 0 0 0 0 0 0 X 18 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X MICHELLE MOK 9093355516 350 TERRACINA BLVD REDLANDS CA 923730742 JAMES HOLMES PRESIDENT / CEO 40.00 3.00 X X 1035073 0 42557 MICHELLE MOK CHIEF FINANCIAL OFFICER 40.00 0.00 X 649992 0 9253 HARVEY HANSEN VP/ PROFESSIONAL & GEN. SERVICES 40.00 0.00 X 459076 0 18241 LAUREN SPILSBURY VP/ PATIENT CARE SERVICES 40.00 0.00 X 405907 0 21744 LISA GUZMAN VP/ HUMAN RESOURCES 40.00 0.00 X 303612 0 21880 TODD SEXTON ASSISTANT VICE PRESIDENT 40.00 0.00 X 267517 0 29124 RANDALL BEVILACQUA VP/ BUSINESS DEVELOPMENT 40.00 0.00 X 257281 0 7827 KATE SALVESEN CHAIRMAN 3.00 1.00 X X 0 0 0 RICHARD BEEMER VICE CHAIRMAN 3.00 1.00 X X 0 0 0 STAN WEISSER SECRETARY 3.00 1.00 X X 0 0 0 CAROL SNODGRESS TREASURER 3.00 1.00 X X 0 0 0 WILLIAM HATFIELD DIRECTOR 3.00 1.00 X 0 0 0 YOLANDA CONTREAS DIRECTOR 3.00 1.00 X 0 0 0 LARRY PYLE DIRECTOR 3.00 1.00 X 0 0 0 ROBERT HODGES DIRECTOR 3.00 1.00 X 0 0 0 MARVIN HUDSON DIRECTOR 3.00 1.00 X 0 0 0 PRANAV MEHTA MD CHIEF OF STAFF 3.00 1.00 X 0 0 0 GEETHA K PALADUGU MD DIRECTOR (THRU 12/31/19) 3.00 1.00 X 0 0 0 SAM RACADIO DIRECTOR 3.00 1.00 X 0 0 0 ALVIN UMEDA MD DIRECTOR 3.00 1.00 X 0 0 0 NEAL WARNER DIRECTOR 3.00 1.00 X 0 0 0 LINDA MARTIN MD DIRECTOR 3.00 1.00 X 0 0 0 TED ALEJANDRE DIRECTOR 3.00 1.00 X 0 0 0 KATHERINE MEREDITH DIRECTOR 3.00 1.00 X 0 0 0 SAMEH NASEIB MD DIRECTOR 3.00 1.00 X 0 0 0 3378458 0 150626 355 0 1 0 HAMILTON CONSTRUCTION INC 202 MERCURY CIRCLE POMONA CA 91768 CONSTRUCTION SERVICES 11389278 BEAVER MEDICAL GROUP LP PO BOX 2200 REDLANDS CA 92373 MEDICAL SERVICES 3512199 ARROWHEAD NEUROSURGICAL MED GR 26520 CACTUS AVE RM A2006 MORENO VALLEY CA 92555 MEDICAL SERVICES 1956227 SODEXO INC & AFFILIATES PO BOX 360170 PITTSBURG PA 15251 MAINTENANCE & FOOD SERVICES 1299809 SOUTHCOAST MECHANICAL 2283 EAST VIA BURTON ANAHEIM CA 92806 PLANT MAINTENANCE SERVICES 1223039 64 6567691 6060 6573751 NET PATIENT SERVICES 621400 197032980 197032980 CAPITATION PREMIUM 621400 152409544 152409544 349442524 1009819 1009819 100937 100937 64477 0 64477 64477 64477 41956591 50778 42000540 0 -43949 50778 6829 6829 OTHER REVENUE 900099 14366966 14366966 REBATES AND REFUNDS 900099 1071218 1071218 EDUCATION 900099 15771 15771 15453955 372652292 349442524 0 16636017 12741056 12741056 1353065 1353065 70577 70577 125782621 120513668 5268953 2481635 2367946 113689 16300046 15743254 556792 9684558 9394021 290537 2291824 2291824 210958 210958 62484 62484 1234188 1234188 7262034 5882248 1379786 2130924 2130924 11615270 11615270 311042 311042 267551 267551 1980939 1743226 237713 11635628 8435831 3199797 2338595 1753946 584649 OUTSIDE PROVIDERS 55540105 55540105 MEDICAL SUPPLIES 49342289 49342289 PURCHASED SERVICES 20037671 20037671 QUALITY ASSURANCE FEE 13492410 13492410 72804 72804 348240274 332349672 15890602 0 2885853 31109977 23352551 8460870 14735941 15324640 4007193 4599251 3558415 4379533 345769650 190391690 149495532 155377960 31431511 37709421 2391406 1935009 231858402 258896661 48630015 52458265 96351511 94824191 759393 571414 43000817 42997928 188741736 190851798 X 42867917 68044863 248749 0 43116666 68044863 231858402 258896661 24412018 516179 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 7782 7782 0 PART II-B, LINE 1: 23.32% OF DUES PAID TO THE CALIFORNIA HOSPITAL ASSOCIATION WERE EXPENDED FOR SPECIFIC LOBBYING PURPOSES. 75010 75010 75010 75010 75010 75010 75010 75010 3597786 3597786 227695943 109588266 118107677 94815415 80803424 14011991 19660506 19660506 155377960 LIABILITIES ASSOCIATED WITH CAPITATED PROGRAMS 26980577 OTHER LIABILITIES 394896 ESTIMATED THIRD PARTY SETTLEMENTS 15588613 DUE TO AFFILIATES 33842 42997928 X PART X, LINE 2: RCH AND RHF ARE ORGANIZED AS NOT-FOR-PROFIT ENTITIES UNDER THE GENERAL NONPROFIT CORPORATION LAWS OF THE STATE OF CALIFORNIA. THE ORGANIZATIONS ARE RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAXATION UNDER SECTION 501(C)(3) AND AS PUBLIC CHARITIES (NOT PRIVATE FOUNDATIONS) UNDER SECTIONS 509(A)(1) AND 509(A)(3) OF THE INTERNAL REVENUE CODE, RESPECTIVELY, AND SIMILAR EXEMPTIONS FROM CALIFORNIA FRANCHISE TAXATION HAVE BEEN OBTAINED. ACCORDINGLY, NO PROVISION HAS BEEN RECORDED FOR INCOME TAXES IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE HOSPITAL RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY TAX AUTHORITIES BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. 1 1 X 1 X 299.000000000000 1 X 1 0 1 1 3463380 3463380 0.00990 77540347 45104553 32435794 0.09310 81003727 45104553 35899174 0.10300 603761 603761 0.00170 2153771 450167 1703604 0.00490 2757532 450167 2307365 0.00660 83761259 45554720 38206539 0.10960 37826 37826 0.00010 37826 37826 0.00010 1 0 31967479 39858821 -7891342 X 1 1 1 1 REDLANDS COMMUNITY HOSPITAL 350 TERRACINA BLVD REDLANDS CA 92373 REDLANDSHOSPITAL.ORG X X X REDLANDS COMMUNITY HOSPITAL 1 0 0 1 X X X X X X X X 19 1 1 0 1 X HTTPS://WWW.REDLANDSHOSPITAL.ORG X X 1 19 1 HTTPS://WWW.REDLANDSHOSPITAL.ORG 0 1 X 299.000000000000 350.000000000000 X X X X X 1 1 X X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X 1 X 0 X 1 X 0 0 REDLANDS COMMUNITY HOSPITAL PART V, SECTION B, LINE 5: VOICES FROM THE COMMUNITY:THE HOSPITALS PARTICIPATING IN THE TWO-COUNTY ASSESSMENT WORKED TO IDENTIFY RELEVANT KEY INFORMANTS AND TOPICAL FOCUS GROUPS TO GATHER MORE INSIGHTFUL DATA AND AID IN DESCRIBING THE COMMUNITY. KEY INFORMANTS AND FOCUS GROUPS WERE PURPOSEFULLY CHOSEN TO REPRESENT MEDICALLY UNDER-SERVED, LOW-INCOME, OR MINORITY POPULATIONS IN OUR COMMUNITY, TO BETTER DIRECT OUR INVESTMENTS AND FORM PARTNERSHIPS. REDLANDS COMMUNITY HOSPITAL HOSTED A FOCUS GROUP ON DECEMBER 12, 2018. THERE WERE 15 HOSPITAL BOARD, VOLUNTEERS, AND FOUNDATION BOARD MEMBERS IN ATTENDANCE.AN ONLINE SURVEY IN ENGLISH AND SPANISH WAS CREATED AND DISTRIBUTED FOR GREATER COMMUNITY INPUT. IT SHOULD BE NOTED THAT THE SURVEY RESULTS ARE NOT BASED ON A STRATIFIED RANDOM SAMPLE OF RESIDENTS THROUGHOUT RIVERSIDE AND SAN BERNARDINO COUNTIES. THE PERSPECTIVES CAPTURED IN THIS DATA SIMPLY REPRESENT THE COMMUNITY MEMBERS WHO AGREED TO PARTICIPATE AND HAVE AN INTEREST IN HEALTH CARE. IN ADDITION, THIS ASSESSMENT RELIES ON SEVERAL NATIONAL AND STATE ENTITIES WITH PUBLICLY AVAILABLE DATA. ALL LIMITATIONS INHERENT IN THESE SOURCES REMAIN PRESENT FOR THIS ASSESSMENT.THE MOST FREQUENTLY MENTIONED HEALTH ISSUES AMONG THE FOCUS GROUPS, KEY INFORMANTS INTERVIEWS, AND SURVEYS INCLUDED MENTAL HEALTH AND ALCOHOL/DRUG SUBSTANCE ABUSE, TRANSPORTATION ESPECIALLY FOR THE SENIOR POPULATION, POVERTY AND FOOD INSECURITY, AFFORDABLE HOUSING AND HOMELESSNESS, EDUCATION AND AWARENESS, CHRONIC DISEASES, ACCESS TO HEALTHCARE, AND PREVENTATIVE HEALTH CARE. REDLANDS COMMUNITY HOSPITAL PART V, SECTION B, LINE 6A: FOR THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT REDLANDS COMMUNITY HOSPITAL (RCH) PARTICIPATED IN THE SECOND REGIONAL PROCESS HOSTED BY HASC. IN COLLABORATION WITH SEVEN HOSPITAL SYSTEMS, RCH WORKED COLLECTIVELY TO DESIGN THE OVERALL 2019 CHNA STRATEGY AND THE COORDINATION OF PRIMARY AND SECONDARY DATA COLLECTION. THE HOSPITALS THAT PARTICIPATED IN THE 2019 REGIONAL CHNA INCLUDED: DESERT REGIONAL MEDICAL CENTER HI-DESERT MEDICAL CENTER INLAND VALLEY MEDICAL CENTER JFK MEMORIAL HOSPITAL RANCHO SPRINGS MEDICAL CENTER REDLANDS COMMUNITY HOSPITAL SAN ANTONIO REGIONAL HOSPITAL MOUNTAINS COMMUNITY HOSPITAL REDLANDS COMMUNITY HOSPITAL PART V, SECTION B, LINE 7D: THE CHNA IS SUBMITTED TO THE OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT (OSHPD) AND THEY MAKE IT AVAILABLE ON THE OSHPD WEBSITE. REDLANDS COMMUNITY HOSPITAL PART V, SECTION B, LINE 11: PRIORITY AREAS OF FOCUS REDLANDS COMMUNITY HOSPITAL CHOSE TO ADDRESS IN THE 2019 CHNA AND CONTINUED TO ADDRESS DURING 2020 ARE 1) ACCESS TO BEHAVIORAL. BEHAVIORAL HEALTH CARE IS A CRITICAL ISSUE THAT REMAINS A PRIORITY FOR THE HOSPITAL, AND MENTAL HEALTH AND ALCOHOL/DRUG SUBSTANCE ABUSE WAS A KEY FINDING WITH THE 2019 REGIONAL NEEDS ASSESSMENT. TO ADDRESS THE BEHAVIORAL HEALTH NEEDS OF THE COMMUNITY, THE HOSPITAL PROVIDES INPATIENT ACUTE PSYCHIATRIC SERVICES AS WELL AS AN OUTPATIENT PROGRAM. 2) ACCESS TO CLINICAL CARE AREAS WERE ALSO IDENTIFIED AS PRIORITY FOCUS AREAS, BEING ACCESS TO PRIMARY CARE AND ACCESS TO PRENATAL CARE.ACCESS TO BEHAVIORAL HEALTH: MENTAL ILLNESSES ARE COMMON IN THE UNITED STATES. ACCORDING TO INFORMATION PROVIDED BY THE NATIONAL INSTITUTE OF MENTAL HEALTH (NIMH), IN 2019, THERE WERE AN ESTIMATED 51.5 MILLION ADULTS IN THE UNITED STATES WITH A FORM OF MENTAL ILLNESS. THIS NUMBER HAS INCREASED FROM 19% OF ALL U.S. ADULTS IN 2017, TO 20.6% IN 2019. (TRANSFORMING THE UNDERSTANDING AND TREATMENT OF MENTAL ILLNESS, 2020). THE HIGH STIGMA AND CULTURAL ATTITUDES ABOUT BEHAVIORAL MEDICINE HAVE A SIGNIFICANT IMPACT ON WHETHER INDIVIDUALS SEEK HELP AND FOLLOW CARE PLANS IN A POPULATION WHERE THE SYMPTOMS ARE SEVERE, RECURRENT, AND FREQUENTLY CO-CONCURRENT WITH THE GROWING EPIDEMIC OF SUBSTANCE ABUSE. THE SHORTAGE OF MENTAL HEALTH PROFESSIONALS, FACILITIES, AND FINANCIAL RESOURCES NATIONWIDE MAKE BEHAVIORAL HEALTH PATIENT CARE A KEY SOCIETAL STRESSOR, AS IT NOT ONLY AFFECTS THE INDIVIDUAL BUT ALSO THE FAMILY UNIT AND THE COMMUNITY-AT-LARGE. INADEQUATE RESOURCES TO CARE FOR THIS PATIENT POPULATION NEGATIVELY AFFECTS LOCAL SERVICES: THE POLICE DEPARTMENT, FIRE DEPARTMENT, AMBULANCE SERVICES, AND EMERGENCY DEPARTMENTS SUFFER STRAIN AND IT COMPROMISES EFFECTIVE TREATMENT AND RECOVERY FOR PATIENTS. DEPENDING ON THE NEEDS OF THE PATIENT, THERE ARE THREE LEVELS OF CARE OFFERED BY THE BEHAVIORAL HEALTH PROGRAM AT REDLANDS COMMUNITY HOSPITAL. THE INPATIENT PROGRAM PROVIDES A RECOVERY-ORIENTED THERAPEUTIC SETTING THAT ALLOWS THE INDIVIDUAL WITH ACUTE SYMPTOMS TO BE IMMERSED IN THE TREATMENT ENVIRONMENT FOCUSED EXCLUSIVELY ON RECOVERY. INPATIENT TREATMENT TYPICALLY CONSISTS OF MEDICATION MANAGEMENT, A COMBINATION OF INDIVIDUAL AND GROUP COUNSELING, SUPPORT GROUPS, AND ADJUNCTIVE THERAPIES. THE PARTIAL HOSPITALIZATION DAY PROGRAM (PHP) IS A DAILY STRUCTURED PROGRAM OF PERSONALIZED GROUP THERAPY THAT CAN SERVE AS AN ALTERNATIVE TO INPATIENT HOSPITALIZATION OR AS A TRANSITION FROM THE HOSPITAL TO A COMMUNITY SETTING WHILE THE PATIENT CONTINUES TO LIVE AT HOME. THIS TREATMENT OPTION IS DESIGNED FOR THOSE WITHOUT ACUTE SYMPTOMS NECESSITATING INPATIENT ADMISSION. THE INTENSIVE OUTPATIENT ("IOP") PROGRAM PROVIDES A STEP-DOWN TO A PART-TIME INTENSIVE SCHEDULE THAT INCLUDES INDIVIDUAL AND GROUP THERAPY DESIGNED TO ACCOMMODATE INDIVIDUALS WHO MAY HAVE PROFESSIONAL DUTIES OUTSIDE OF THE TREATMENT ENVIRONMENT, SUCH AS SCHOOL, WORK, OR FAMILY LIFE. GROUPS ARE SMALL AND GENERALLY DO NOT EXCEED 10 PEOPLE, ALLOWING FOR SUPPORTIVE TREATMENT IN A SAFE ENVIRONMENT. THE UNREIMBURSED COST OF THE BEHAVIORAL HEALTH PROGRAM IS ACCOUNTED FOR IN THE MEDICAL CARE COST.ACCESS TO CLINICAL CARE TO PROMOTE COMMUNITY HEALTH: THE HOSPITAL OWNS AND OPERATES TWO FAMILY CLINICS: REDLANDS FAMILY CLINIC AND YUCAIPA FAMILY CLINIC. THE GOAL OF THE FAMILY CLINICS IS TO PROVIDE HIGH-QUALITY, LOW COST HEALTH CARE SERVICES TO PEOPLE WHO DO NOT OTHERWISE HAVE ACCESS WHICH MAY BE DUE TO FINANCIAL, CULTURAL, LIFESTYLE, OR PSYCHOLOGICAL BARRIERS. AN EQUALLY IMPORTANT GOAL IS TO PROVIDE DISEASE SPECIFIC PATIENT/FAMILY EDUCATION, WITH EMPHASIS ON PROMOTING HEALTH AND WELLNESS, AND THE SUPPORT NECESSARY TO PROMOTE INDIVIDUALIZED HEALTH CARE DECISION MAKING. OUR ONGOING OBJECTIVES ARE TO: 1) PROVIDE AN OPPORTUNITY FOR LOW INCOME, THE UNINSURED AND UNDERINSURED TO RECEIVE PRIMARY AND PREVENTIVE CARE, EARLY MEDICAL PROBLEM IDENTIFICATION AND TREATMENT AND ACCESS TO HEALTH CARE RESOURCES; 2) REDUCE DISPARITY IN HEALTH CARE SERVICES WITHIN THE COMMUNITY; 3) DEVELOP HEALTH RELATED PROGRAMS AND ENHANCE THE QUALITY OF SERVICES PROVIDED; 4) PROVIDE HEALTH CARE FOR ALL AGES, CHILDREN TO THE ELDERLY; 5) ASSIST WITH THE APPLICATION PROCESS AND OBTAINING ELIGIBILITY FOR PUBLIC ASSISTANCE PROGRAMS; 6) PROVIDE AND PROMOTE COMMUNITY RESOURCES; AND, 7) PROVIDE AND FACILITATE COMMUNITY HEALTH SERVICES SUCH AS FLU SHOTS AND OTHER HEALTH CARE SCREENINGS.COMMUNITY OUTREACH UNREIMBURSED COST FOR CARE PROVIDED BY THE CLINICS WAS $368,537. THE COMPREHENSIVE PERINATAL SERVICES PROGRAM (CPSP) PROVIDES A VARIETY OF SERVICES AND EDUCATION TO WOMEN PRIOR TO DELIVERY AND UP TO SIXTY DAYS AFTER DELIVERY. GOALS OF THE PROGRAM ARE TO DECREASE THE INCIDENCE OF LOW BIRTH WEIGHT IN INFANTS, TO IMPROVE THE OUTCOME OF EVERY PREGNANCY, TO GIVE EVERY BABY A HEALTHY START IN LIFE AND TO LOWER HEALTH CARE COSTS BY PREVENTING CATASTROPHIC AND CHRONIC ILLNESS IN INFANTS AND CHILDREN. THE COMPREHENSIVE PERINATAL SERVICES PROGRAM IS A MEDICAL SPONSORED PROGRAM FOR WOMEN WHO ARE PREGNANT AND ARE ENROLLED IN STRAIGHT MEDI-CAL OR A MEDI-CAL MANAGED CARE PLAN. THE DIABETES AND PREGNANCY EDUCATION PROGRAM PROVIDES EDUCATION, EVALUATION AND INTERVENTION FOR PREGNANT WOMEN WITH DIABETES OR FOR WOMEN WITH DIABETES PLANNING TO BECOME PREGNANT. THE GOAL OF THE PROGRAM IS TO IMPROVE PREGNANCY OUTCOMES FOR WOMEN AND TO REDUCE FETAL DEATHS AND NEONATAL AND MATERNAL COMPLICATIONS. SERVICES INCLUDE AN INITIAL EVALUATION AND FOLLOW-UP BY A REGISTERED NURSE AND DIETICIAN. THE BREASTFEEDING PROGRAM PROVIDES BREASTFEEDING EDUCATION AND SUPPORT FOR GROUPS, AND INDIVIDUAL ONE-ON-ONE EDUCATION. THE CHILDBIRTH PREPARATION COURSES PREPARE THE PREGNANT WOMEN AND FAMILY FOR CHILDBIRTH. CLASSES ARE DESIGNED TO PROVIDE PRACTICAL AND USEFUL TOOLS IN PREPARATION OF CHILDBIRTH. COMMUNITY OUTREACH UNREIMBURSED COST FOR CARE PROVIDED BY THE CLINIC WAS $409,778. AFTER EVALUATING ACCESS DEMAND AND CAPACITY OF PATIENT FLOW THROUGH THE HOSPITAL'S EMERGENCY DEPARTMENT, THE HOSPITAL HAS EXPANDED THE EMERGENCY DEPARTMENT. REDLANDS COMMUNITY HOSPITAL PART V, SECTION B, LINE 13B: RCH USES THE FEDERAL POVERTY GUIDELINES (FPG), WITH FPG FAMILY INCOME LIMIT FOR ELIGIBILITY FOR FREE CARE OF 299% AND FPG FAMILY INCOME LIMIT FOR DISCOUNTED CARE OF 350%. REDLANDS COMMUNITY HOSPITAL PART V, SECTION B, LINE 18E: REDLANDS COMMUNITY HOSPITAL MAKES NUMEROUS EFFORTS TO DETERMINE THE INDIVIDUAL'S ELIGIBILITY UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. REDLANDS COMMUNITY HOSPITAL DID NOT TAKE ANY EXTRAORDINARY MEASURES AND MAKES A REASONABLE EFFORT TO DETERMINE THE INDIVIDUAL'S ELIGIBILITY. PART V, LINE 16A, FAP WEBSITE: HTTPS://WWW.REDLANDSHOSPITAL.ORG/PATIENTS-VISITORS/FOR-PATIENTS/INSURANCE-BILLING/FINANCIAL-ASSISTANCE/ PART V, LINE 16B, FAP APPLICATION WEBSITE: HTTPS://WWW.REDLANDSHOSPITAL.ORG/PATIENTS-VISITORS/FOR-PATIENTS/INSURANCE-BILLING/FINANCIAL-ASSISTANCE/ PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: HTTPS://WWW.REDLANDSHOSPITAL.ORG/PATIENTS-VISITORS/FOR-PATIENTS/INSURANCE-BILLING/FINANCIAL-ASSISTANCE/ PART I, LINE 7: COST-TO-CHARGE RATIOS WERE USED IN DETERMINING COST. IN ADDITION, FOR MEDICARE RELATED COST, THE STEP-DOWN METHOD OF COST FINDING WAS USED. FOR THIS METHOD, ALL COSTS OF NON-REVENUE PRODUCING CENTERS ARE ALLOCATED TO ALL CENTERS WHICH THEY SERVE, REGARDLESS OF WHETHER OR NOT THESE CENTERS PRODUCE REVENUE. PART II, COMMUNITY BUILDING ACTIVITIES: WHILE THE COVID-19 PANDEMIC NECESSITATED SUSPENDING MANY COMMUNITY BUILDING ACTIVITIES THIS YEAR IN ORDER TO ENSURE THE PROTECTION OF EMPLOYEES AND COMMUNITY MEMBERS, HOSPITAL EMPLOYEES DID SPEND APPROXIMATELY 776 HOURS ORGANIZING NUMEROUS COMMUNITY HEALTH FAIRS, BLOOD DRIVES AND BENEFIT EVENTS THAT SUPPORT ILL AND INDIGENT MEMBERS OF THE COMMUNITY. IN ADDITION, THEY PROVIDED THE COMMUNITY WITH VIRTUAL GRIEF SUPPORT EVENTS AND NUMEROUS DRIVE THROUGH SENIOR CENTER HEALTH FAIRS AND SOCIAL DISTANCING EVENTS. PART III, LINE 4: PRIOR TO ADOPTION OF TOPIC 606 IN 2019, NET PATIENT SERVICE REVENUE IS REDUCED BY THE PROVISION FOR BAD DEBTS AND ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. THESE AMOUNTS ARE BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED COLLECTIONS FOR EACH MAJOR PAYOR SOURCE, CONSIDRING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. THE ORGANIZATION ADOPTED TOPIC 606 DURING FYE SEPTEMBER 30, 2019 FINANCIAL STATEMENT REPORTING. PART III, LINE 8: INDIVIDUALS 65 YEARS AND OLDER ARE THE FASTEST GROWING AGE GROUP IN REDLANDS COMMUNITY HOSPITAL'S PRIMARY SERVICE AREA, WITH PROJECTED GROWTH ESTIMATED AT 16.6% OVER THE NEXT 5 YEARS. PROVIDING NECESSARY HEALTHCARE SERVICES TO THIS GROWING POPULATION OF MEDICARE BENEFICIARIES IS ESSENTIAL TO PROMOTING THE HEALTH OF THE COMMUNITY AS A WHOLE. HOSPICE REVENUE OF $2,329,529 IS FROM THE PS&R REPORT. REVENUE DERIVED FROM FEE REIMBURSED MEDICARE SERVICES, NOT INCLUDED IN THE COST REPORT, WAS $154,180 AND THE ASSOCIATED COST OF THESE SERVICES WAS $347,462 CREATING A SHORTFALL OF ($193,282). IN ADDITION, REVENUE FROM SERVICES PROVIDED TO NON-RCH CAPITATED SENIOR HMO PATIENTS WAS $41,850,371 WITH ASSOCIATED COSTS OF $69,413,328 FOR A SHORTFALL OF $27,562,957.THE STEP-DOWN METHOD OF COST FINDING WAS USED. ALL COSTS OF NON-REVENUE PRODUCING CENTERS ARE ALLOCATED TO ALL CENTERS WHICH THEY SERVE, REGARDLESS OF WHETHER OR NOT THESE CENTERS PRODUCE REVENUE. THE MEDICARE COST REPORT USES PATIENT DAYS TO APPORTION ROUTINE, SPECIAL CARE, SKILLED NURSING FACILITY AND PSYCHIATRIC NURSING COSTS TO THE MEDICARE PROGRAM. ANCILLARY COSTS ARE APPORTIONED USING GROSS CHARGES. HOME HEALTH AND HOSPICE COSTS ARE APPORTIONED USING PATIENT VISITS AND UNDUPLICATED DAYS. PART III, LINE 9B: IF A PATIENT DEMONSTRATES THAT THEY HAVE INCOME LEVELS AT OR BELOW 350% OF THE FEDERAL POVERTY LIMIT, THEY WOULD BE SCREENED FOR CHARITY CARE AND TAKEN OUT OF THE COLLECTION PROCESS PROVIDED THEY COMPLETED OUR CHARITY CARE APPLICATION AND SUBMITTED THE REQUIRED VERIFICATION AND DOCUMENTATION TO SUPPORT THEIR CLAIM. PART VI, LINE 2: NEEDS ASSESSMENT: SEE RESPONSE TO COMMUNITY NEEDS ASSESSMENT, PART V, SECTION B, LINE 3 PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: ALL SELF PAY PATIENTS RECEIVE INFORMATION REGARDING OUR FINANCIAL ASSISTANCE AND DISCOUNT POLICIES AT THE TIME OF TREATMENT AT OUR FACILITY. THEY ARE ALSO PROVIDED WITH INFORMATION REGARDING ANY POSSIBLE FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAM THAT THEY MAY BE ELIGIBLE FOR AT THE TIME OF ADMISSION. ADDITIONALLY THEY RECEIVE DUPLICATES OF THIS INFORMATION AT THE TIME OF 1ST BILLING. SIGNS REGARDING OUR POLICY ARE PLACED THROUGHOUT THE FACILITY IN AN ATTEMPT TO INFORM PATIENTS AND THEIR FAMILIES ABOUT OUR ASSISTANCE PROGRAMS. PART VI, LINE 4: COMMUNITY INFORMATION: LOCATED IN THE MOST DENSELY POPULATED AREA OF SAN BERNARDINO COUNTY, COMMUNITIES IDENTIFIED AS BEING IN THE PRIMARY SERVICE AREA OF THE HOSPITAL ARE BANNING, BEAUMONT, CALIMESA, HIGHLAND, LOMA LINDA, MENTONE, REDLANDS AND YUCAIPA. THE SECONDARY SERVICE AREA IS COMPRISED OF THE CITIES OF COLTON, CRESTLINE, FONTANA, GRAND TERRACE, RIALTO, SAN BERNARDINO, AND SEVERAL MOUNTAIN COMMUNITIES. THE HISPANIC POPULATION CONTINUES TO BE THE FASTEST GROWING POPULATION IN OUR PRIMARY SERVICE AREA. THE HISPANIC POPULATION IN OUR PRIMARY SERVICE AREA WAS REPORTED AS 36.9% IN 2017 AND IS PROJECTED TO INCREASE TO 39.8% IN 2022. THE PERCENTAGE OF THE POPULATION OVER THE AGE OF 45 IN THE PRIMARY SERVICE AREA IS ESTIMATED TO INCREASE 6.9% OVER THE NEXT FIVE YEARS, WITH THE LARGEST GROWTH ESTIMATED AT 16.6% FOR INDIVIDUALS 65 YEARS AND OLDER. THIS GROWTH WILL REQUIRE SUSTAINED HEALTHCARE SERVICES AND AVAILABILITY. THE POPULATION GROWTH IN OUR PRIMARY SERVICE AREA IS EXPECTED TO GROW BY 4.8% OVER THE NEXT FIVE YEARS. THE PRIMARY SERVICE AREA MEDIAN AND AVERAGE HOUSEHOLD INCOMES ARE EXPECTED TO CONTINUE TO BE BELOW THOSE OF THE STATE THROUGH 2022. THE HISPANIC BIRTH RATE IN SAN BERNARDINO COUNTY IS THE LARGEST AMONGST ALL ETHNIC GROUPS, MAKING UP 58% OF ALL BIRTHS (SAN BERNARDINO COUNTY 2016 COMMUNITY INDICATORS REPORT). ACCORDING TO THE SAME REPORT, IN 2014,HISPANIC AND AFRICAN AMERICAN WOMEN IN SAN BERNARDINO COUNTY RECEIVED AN INCREASE IN PRENATAL CARE DURING THEIR FIRST THREE MONTHS OF PREGNANCY AS COMPARED TO 2010. ACCESS TO AND RECEIVING PRENATAL CARE CAN IMPROVE BIRTH OUTCOMES AND DECREASE NEGATIVE OUTCOMES OF PREGNANCY. ACCORDING TO THE CDC, IN THE UNITED STATES, THE INCIDENCE OF CERVICAL CANCER FOR HISPANIC WOMEN IS THE HIGHEST INCIDENCE AMONGST ALL ETHNICITIES. FOR ALL OF THESE REASONS, WOMEN'S HEALTH PROGRAMS ARE IMPERATIVE TO PREVENT MORBIDITY AND MORTALITY RELATED TO NEGATIVE OUTCOMES OF PREGNANCY AND BREAST AND CERVICAL CANCER. PRENATAL SCREENING AND EDUCATION IS A VALUABLE RESOURCE AND SHOULD BE AVAILABLE TO THE COMMUNITY-AT-LARGE. PART VI, LINE 5: ON JANUARY 21, 2020 THE CENTERS FOR DISEASE AND PREVENTION (CDC) ANNOUNCED THAT THE UNITED STATES HAD THEIR FIRST CASE OF THE CORONAVIRUS (HTTPS://WWW.CDC.GOV/MEDIA/RELEASES/2020/P0121-NOVEL-CORONAVIRUS-TRAVEL-CASE.HTML, JANUARY 6, 2021). THE CDC INDICATED THIS WAS A TRAVEL-RELATED CASE AS THE INDIVIDUAL RECENTLY RETURNED FROM WUHAN, CHINA. WITH THIS NOTICE AND SHORTLY THEREAFTER, SAFETY MEASURES WERE PUT IN PLACE TO PROTECT INDIVIDUALS FROM THE CONTAGION.REDLANDS COMMUNITY HOSPITAL, IN FOLLOWING THE GUIDANCE FROM LOCAL, STATE, AND FEDERAL AGENCIES, TOOK THE NECESSARY STEPS TO PROTECT PATIENTS, THE COMMUNITY, AND HEALTH CARE WORKERS. TO THIS END, THE HOSPITAL SUSPENDED MANY PROGRAMS AND SERVICES TO FOCUS ON THE CARE AND TREATMENT OF PATIENTS AND TO PROTECT THE HEALTH CARE WORKFORCE. THE VOLUNTEER SERVICES PROGRAM WAS SCALED BACK, AND VISITORS TO THE HOSPITAL WERE LIMITED. MANY OF THE COMMUNITY OUTREACH EFFORTS WERE DECREASED, HOWEVER ACTIVITIES E.G., HEALTH FAIRS, COMMUNITY EDUCATION, AND HEALTH SCREENINGS, WERE PERFORMED AS NOTED THROUGHOUT THE COMMUNITY BENEFIT PLAN.COMMUNITY CASE MANAGEMENT PROGRAM:THE PURPOSE OF THE COMMUNITY CASE MANAGEMENT PROGRAM IS TO PROVIDE HIGH QUALITY SERVICE FOR A POPULATION UNFAMILIAR WITH HOW TO NAVIGATE THE HEALTHCARE SYSTEM DUE TO FINANCIAL, CULTURAL, PSYCHOLOGICAL OR LIFESTYLE BARRIERS. THE PROCESS BEGINS WITH A THOROUGH ASSESSMENT WHICH INCLUDES ASSESSING FAMILY DYNAMICS AND SOCIAL RESOURCES WHICH MAY BE A LACKING AND HINDERING FACTOR IN THE PATIENT'S OVERALL WELLNESS. THE GOALS OF THE PROGRAM ARE TO DECREASE THE INCIDENCE OF EMERGENCY ROOM VISITS AND HOSPITAL RE-ADMISSIONS, TO EDUCATE REGARDING DISEASE SPECIFIC PROCESSES AND MANAGEMENT, TO PROVIDE COMMUNITY RESOURCES, TO FACILITATE THE RELATIONSHIP BETWEEN THE PATIENT AND HIS/HER HEALTH CARE PROVIDERS AND TO IMPROVE PATIENT OUTCOMES. INTERVENTIONS ARE UNIQUE TO INDIVIDUAL PATIENT NEEDS WITH THE COMMON GOAL BEING THAT THE PATIENT WILL ACHIEVE AN OPTIMUM LEVEL OF FUNCTION AND WILL BE ABLE TO IDENTIFY AND UTILIZE AVAILABLE RESOURCES TO PROMOTE POSITIVE HEALTH MAINTENANCE.PARTICIPANTS OF THE PROGRAM ARE IDENTIFIED THROUGH MULTIPLE POINTS OF ENTRY EITHER BY THE HOSPITALIST AND/OR CASE MANAGER ON THE INPATIENT SIDE, OR BY THE PRIMARY CARE PHYSICIAN AND/OR EPIC'S AMBULATORY CASE MANAGEMENT TEAM. CRITERIA INCLUDE, BUT ARE NOT LIMITED TO MULTIPLE HOSPITALIZATIONS, MULTIPLE CO-MORBIDITIES, NEW LIFE-THREATENING DIAGNOSIS, NON-COMPLIANT PATTERNS, ASSISTANCE WITH COORDINATION OF CARE AND LIMITED UNDERSTANDING OF MEDICAL NEEDS. SERVICES INCLUDE AN IN-HOME ASSESSMENT OF NEEDS, DEVELOPMENT OF A PLAN OF CARE SPECIFYING GOALS WITH IMPLEMENTATION AND COLLABORATION WITH TEAM MEMBERS, AND EDUCATION OF PATIENT/FAMILY TO ENABLE SUCCESSFUL MANAGEMENT OF CARE. THE REDLANDS COMMUNITY HOSPITAL CONTRIBUTION (UN-REIMBURSED COST) FOR THIS PROGRAM IN 2020 INCLUDING NURSING SALARY, TAXES, BENEFITS OF 26%, AND MILEAGE REIMBURSEMENT WAS $178,289. CLINCAL CHAPLIN:PASTORAL SERVICES AT REDLANDS COMMUNITY HOSPITAL SUPPORTS A FULL-TIME CHAPLAIN AND A PER DIEM CHAPLAIN. THE CHAPLAINS WERE VERY BUSY PROVIDING CARE FOR PATIENTS, FAMILIES, AND STAFF THROUGHOUT THE YEAR DUE TO THE COVID-19 PANDEMIC. THE CLINICAL CHAPLAIN PERFORMED MULTIPLE SERVICES WHICH CONTRIBUTED TO THE SPIRITUAL WELL-BEING OF INDIVIDUALS WITHIN THE HOSPITAL SETTING.IN ADDITION TO PATIENTS AND FAMILIES, HOSPITAL STAFF WERE AFFECTED BY THE ON-GOING COVID-19 PANDEMIC. THE CHAPLAIN WAS AVAILABLE AND ADDRESSED THE SPIRITUAL CONCERNS OF THE STAFF WHO REQUESTED PASTORAL SUPPORT. DURING THE SAME TIME PERIOD THE HOSPITAL EXPERIENCED TWO UNEXPECTED AND TRAGIC EMPLOYEE DEATHS. THIS TOO AFFECTED STAFF. THE CHAPLAIN AIDED STAFF SO THEY COULD GET THROUGH THEIR SCHEDULED WORK SHIFTS AND PROVIDED SPIRITUAL SUPPORT. THE CHAPLAIN SERVES ON THE INTENSIVE CARE UNIT, EMERGENCY, AND BEHAVIORAL HEALTH DEPARTMENTS CLINICAL TEAM, PROVIDING PROFESSIONAL SPIRITUAL ASSESSMENT AND SUPPORT FOR PATIENTS AND FAMILIES. THE CHAPLAIN RESPONDS TO REFERRALS FROM HEALTH CARE PROFESSIONALS THROUGHOUT THE HOSPITAL TO ASSIST WITH ADDRESSING LIFE THREATENING ILLNESSES, RELIGIOUS RITUALS AFFECTING CARE AND RECOVERY, END OF LIFE CONCERNS AND ISSUES OF SPIRITUAL DISTRESS. DUE TO THE PANDEMIC, THE CHAPLAIN DID NOT HAVE THE ASSISTANCE OF COMMUNITY OR VOLUNTEER SPIRITUAL CARE PROVIDERS IN THE GREATER REDLANDS AREA TO HELP FACILITATE SPIRITUAL CARE. WITH THIS LACK OF SUPPORT, THE CHAPLAIN CONTINUED TO DO AS MUCH AS POSSIBLE TO MEET THE NEEDS OF PATIENTS AND STAFF. THE CHAPLAIN IS A MEMBER OF THE REDLANDS AREA INTERFAITH COUNCIL. SINCE THE FAITH COMMUNITIES COULD NOT GATHER FOR MOST OF THIS YEAR, THE INTERFAITH COUNCIL WAS NOT ACTIVE. UNREIMBURSED COSTS TO REDLANDS COMMUNITY HOSPITAL FOR THE PASTORAL CARE PROGRAM DURING 2020 WAS $52,136.HOMELESS PATIENT DISCHARGE PLANNING INITIATIVE:REDLANDS COMMUNITY HOSPITAL PROVIDES DISCHARGE PLANNING SERVICES FOR HOMELESS PATIENTS SEEKING MEDICAL AND PSYCHIATRIC TREATMENT. SERVICES PROVIDED INCLUDED MEDICAL EXAMINATIONS AND SCREENINGS, MEALS, TRANSPORTATION, CLOTHING, AND PRESCRIPTIONS FREE OF COST. THE GOAL OF THIS INITIATIVE IS TO IMPROVE HEALTH CARE FOR THE HOMELESS POPULATION BY PROVIDING DIRECT CARE AND LINKAGE TO FOLLOW-UP SERVICES WITHIN THE COMMUNITY. DURING 2020, REDLANDS COMMUNITY HOSPITAL IDENTIFIED AND OFFERED SERVICES TO OVER 808 HOMELESS INDIVIDUALS WHO PRESENTED TO THE HOSPITAL FOR SERVICES. THE HOSPITAL UTILIZED A MULTIDISCIPLINARY APPROACH TO MEET THE NEEDS OF THE PATIENTS WHICH INCLUDED PHYSICIANS, REGISTERED NURSES, CASE MANAGERS, SOCIAL WORKERS, DIETARY SERVICES, AND PATIENT REGISTRATION STAFF. THERE WAS ALSO A LOT OF COLLABORATION WITH COMMUNITY AGENCIES AND THE CITY OF REDLANDS POLICE AND FIRE DEPARTMENTS. THE HOSPITAL WORKED CLOSELY WITH THE REDLANDS COMMUNITY HOSPITAL FOUNDATION TO ASSIST WITH FUNDING WEATHER-APPROPRIATE CLOTHING, SHELTER, AS WELL AS TRANSPORTATION ASSISTANCE. THESE SERVICES WERE NOT REIMBURSABLE FROM PAYORS. REDLANDS COMMUNITY HOSPITAL HAD UN-REIMBURSABLE COST OF $2,368 FOR PROVIDING DISCHARGE SERVICES FOR THE HOMELESS.ADDITIONAL COMMUNITY BENEFIT ACTIVITIES, 2020:REDLANDS COMMUNITY HOSPITAL IS CONTINUALLY INVOLVED IN A VARIETY OF ACTIVITIES AND PROGRAMS THAT BENEFIT THE COMMUNITY.HEALTH FAIRS AND HEALTH SCREENINGS:REDLANDS COMMUNITY HOSPITAL PARTICIPATED IN A WIDE VARIETY OF COMMUNITY EVENTS AND PROVIDED HEALTH RELATED SERVICES FOR THE COMMUNITY AT SENIOR CENTERS, CHURCHES, LARGE EMPLOYERS, CHILDREN EVENTS, EMERGENCY PREPAREDNESS FAIRS, COMMUNITY EVENTS, HIGH SCHOOLS AND THE YMCA. AN ARRAY OF HEALTH EDUCATION AND HEALTH SERVICES WERE OFFERED TO THE PUBLIC. COMMUNITY HEALTH FAIRS:DURING 2020, THE HOSPITAL PARTICIPATED IN 16 COMMUNITY HEALTH FAIRS PROVIDING EDUCATION ON THE HOSPITAL'S PROGRAMS AND SERVICES: HIGHLAND SENIOR CENTER CALIMESA STREET FAIR JOCELYN SENIOR CENTER REDLANDS SENIOR COMMUNITY CENTER SUN LAKES SENIOR LIVING COMMUNITY CITY OF BEAUMONT STATE OF THE CITY YUCAIPA HEALTH FAIR MISSION COMMONS HEALTH FAIR (REDLANDS SENIOR HOUSING FACILITY) YUCAIPA SENIOR CENTER HEALTH FAIR CITY OF YUCAIPA HEALTH FAIR NOON KIWANIS RUN THROUGH REDLANDS BLOSSOM GROVE SENIOR HEALTH FAIR REDLANDS BELIEVE WALK THE LAKES ASSISTED LIVING AND MEMORY CARE HEALTH FAIRFREE IMMUNIZATION PROGRAMS:THE HOSPITAL PROVIDED FREE IMMUNIZATIONS AT VARIOUS TIMES DURING THE YEAR WITH THE ASSISTANCE FROM MARKETING AND PUBLIC RELATIONS STAFF, AND THE FAMILY CLINIC'S MEDICAL AND NURSING STAFF.FLU SHOTS WERE ADMINISTERED IN 2020 AS FOLLOWS: TO REDLANDS COMMUNITY HOSPITAL EMPLOYEES, PATIENTS, AND COMMUNITY LEADERS. FLU SHOTS AND OTHER IMMUNIZATIONS WERE OFFERED TO UNDERPRIVILEGED INDIVIDUALS AT HOMELESS SHELTERS, THE SALVATION ARMY, AND CHURCHES. FREE SEASONAL/H1N1 FLU EDUCATIONAL FLYERS, POSTERS AND BROCHURES WERE DISTRIBUTED TO THE PUBLIC; EDUCATIONAL INFORMATION AND PUBLIC SCREENING LOCATIONS WERE ADVERTISED IN LOCAL NEWSPAPERS AND THE HOSPITAL WEBSITE.SENIOR CITIZEN ACTIVITIES: IN CONJUNCTION WITH THE JOCELYN SENIOR CENTER, THE HOSPITAL FUNDED SEVERAL SENIOR CITIZEN NEWSLETTERS THAT WERE MAILED TO SENIORS THROUGHOUT VARIOUS COMMUNITIES. THE HOSPITAL SPONSORED HEALTH INFORMATION BULLETIN BOARDS LOCATED AT THREE SENIOR CENTERS IN THE AREA. MARKETING/PUBLIC RELATIONS AND OTHER HOSPITAL DEPARTMENTS PRESENTED HEALTH PROGRAMS TO SENIOR GROUPS. EDUCATION TOPICS INCLUDED HEART DISEASE, HIGH BLOOD PRESSURE (HYPERTENSION), AND DIABETES PREVENTION AND TREATMENT. THE HOSPITAL SPONSORED SPECIAL PROGRAMS, OFFERING LUNCH OR DINNER, AND A PRESENTATION BY HOSPITAL STAFF ON VARYING HEALTH TOPICS, FOR SENIORS AT VARIOUS SENIOR CENTERS E.G., REDLANDS COMMUNITY SENIOR CENTER. THE HOSPITAL OFFERED A VARIETY OF HEALTH SCREENINGS SUCH AS EYE VISION TESTING AND BLOOD PRESSURE SCREENINGS. PART VI, LINE 7, REPORTS FILED WITH STATES CA PART VI, LINE 5 CONTINUATION: CHARITY CARE AND EMERGENCY DEPARTMENT SERVICES:NO INDIVIDUAL WITH URGENT HEALTH CARE NEEDS IS TURNED AWAY FROM THE HOSPITAL'S EMERGENCY DEPARTMENT DUE TO AN INABILITY TO PAY. ADMITTING CLERKS SEEK TO OBTAIN HEALTH INSURANCE INFORMATION OR MEDI-CAL COVERAGE. AFTER ALL AVENUES OF FINANCIAL PAYMENT ARE EXHAUSTED, CHARITY CARE IS PROVIDED.COMMUNITY OUTREACH/CO-SPONSORED OR SUPPORTED EVENTS: - BLOOD DRIVES- SPONSORED A MONTHLY BLOOD DRIVE EVENT IN COLLABORATION WITH LIFESTREAM BLOOD BANK - RUN THROUGH REDLANDS EVENT PROVIDED FIRST AID TREATMENT AND WATER STATIONS TO PARTICIPANTS OF THE EVENT. - YMCA CHILDREN'S HEALTH EDUCATION- INCLUDING PARTICIPATION IN THEIR ANNUAL KIDS CARE FAIR - STROKE SUPPORT GROUP- PROVIDED A MEETING PLACE MONTHLY FOR STROKE SURVIVORS - THE BELIEVE WALK EVENT - INCLUDING PARTICIPATION IN THEIR ANNUAL KIDS CARE FAIR - EMERGENCY MEDICAL SERVICES APPRECIATION DAY - EMERGENCY RESPONSE PERSONNEL, INCLUDING PERSONNEL FROM THEREDLANDS POLICE DEPARTMENT, REDLANDS FIRE DEPARTMENT, AND AMERICAN MEDICAL RESPONSE - COMMUNITY OUTREACH (FAMILY SERVICE ASSOCIATION) - THROUGHOUT THE YEAR, REDLANDS COMMUNITY HOSPITAL CONTINUED TO SERVE THE NEEDY WITHIN THE COMMUNITY BY: - HOSPITAL-WIDE FOOD AND TOY DRIVES - THANKSGIVING BASKET FOOD DRIVECOMMUNITY HEALTH EDUCATION LECTURES:THROUGHOUT THE YEAR, THE HOSPITAL ORGANIZED AND SUPPORTED COMMUNITY HEALTH EDUCATION AWARENESS PROGRAMS,INCLUDING: GRIEF RECOVERY CLASSES ADULT CPR CLASSES IN SAN BERNARDINO AND RIVERSIDE COUNTY INFANT CPR FOR NEW PARENTS STROKE SUPPORT GROUP VARIOUS HEALTH-RELATED TOPICS SUCH AS:- HANDLING THE HOLIDAYS - GRIEF SEMINAR- THE SPINE AND JOINT DISEASE EDUCATIONAL SEMINARS- HEART HEALTH EDUCATION- ALTERNATIVE PAIN METHOD SEMINARS- DIABETES EDUCATION COMMUNITY LECTURE- BREAST CANCER AWARENESS- WOMEN'S HEALTH LECTURE- INFECTION PREVENTION COMMUNITY LECTURE- SIGNS AND SYMPTOMS FOR STOKE HEATH LECTURES- ADVANCED TREATMENT FOR GYNECOLOGICAL DISEASES COMMUNITY LECTUREHOSPITAL STAFF SPOKE AT VARIOUS COMMUNITY MEETINGS ON TOPICS RANGING FROM HEALTHCARE, TO EXPANDING HOSPITAL FACILITIES TO MEET THE GROWING DEMAND FOR HEALTH-RELATED SERVICES.VOLUNTEER SERVICES:THE VOLUNTEER PROGRAM ADDS ANOTHER DIMENSION OF CARE WITHIN THE HOSPITAL SETTING AND ULTIMATELY THE COMMUNITY. THE PROGRAM HAS FAR-REACHING AFFECTS BOTH WITHIN AND OUTSIDE THE HOSPITAL'S WALLS. INTERNALLY, THE VOLUNTEERS TOUCH THE LIVES OF THE PATIENTS AND THEIR FAMILIES PROVIDING COMFORT AND SUPPORT; THEY RELIEVE STAFF OF VOLUNTEER APPROPRIATE DUTIES AND PROVIDE THEMSELVES A MECHANISM TO FEEL USEFUL AND GIVE TO THEIR COMMUNITY. AS ONE EXAMPLE OF THEIR COMMUNITY SERVICE, VOLUNTEERS ASSISTED PATIENTS IN VOTING IN NATIONAL AND REGIONAL ELECTIONS. THIS INVOLVED IDENTIFYING PATIENTS HOSPITALIZED ON ELECTION DAY WHO HAVE NOT YET VOTED, COORDINATING A BALLOT PREPARED THROUGH THE REGISTRAR OF VOTERS, AND THE DELIVERY OF COMPLETED BALLOTS TO AN APPROVED DROP-OFF SITE. THIS VALUABLE SERVICE ENSURED PATIENTS HAD THE OPPORTUNITY TO PARTICIPATE IN THIS VERY IMPORTANT PROCESS. EXTERNALLY, VOLUNTEERS WERE ACTIVE COMMUNITY MEMBERS WHO REPRESENTED THE HOSPITAL BY SUPPORTING COMMUNITY FUNCTIONS AND DEVELOPING PROGRAM PARTNERSHIPS. EARLY IN 2020, CHALLENGES WERE CREATED DUE TO THE COVID-19 PANDEMIC AND INCLUDED THE SUSPENSION OF THE VOLUNTEER PROGRAM WITHIN THE HOSPITAL. AS A RESULT, VOLUNTEERS SUPPORTED HOSPITAL RELATED PROJECTS AND SERVICES IN NEW AND CREATIVE WAYS, INCLUDING: - SEWING MORE THAN 5,000 PERSONAL USE FACEMASKS FOR STAFF AND FAMILY MEMBERS - CUTTING OVER 10,000 PIECES OF MATERIAL FOR USE WITH CLEANING AGENTS - SEWING 100 SURGICAL BONNETS FOR PERSONAL USE - SEWING AND ASSEMBLY OF OVER 6,000 N-95 COMFORT LINERS FOR STAFF TO USE - PROVIDING PERSONAL NOTES AND GREETINGS CARDS FOR HOSPITAL PATIENTS AND ISOLATED COMMUNITY MEMBERS - PERFORMED OUTREACH TO ISOLATED INDIVIDUALS - PROVIDED FOOD AND GROCERY DELIVERY TO ISOLATED INDIVIDUALS - SEWING OF QUILTS FOR NICU ISOLETTES AND HOSPICE PATIENTS - DONATION OF NEEDED MEDICAL SUPPLIES 1 REDLANDS COMMUNITY HOSPITAL FOUNDATION 350 TERRACINA BLVD REDLANDS CA 92373 953368018 501(C)(3) 741056 CAPITAL INVESTMENT REDLANDS HEALTH FOUNDATION 350 TERRACINA BLVD REDLANDS CA 92373 330900937 501(C)(3) 12000000 CAPITAL INVESTMENT 2 0 PART I, LINE 2: AS PART OF THE OVERALL OPERATION OF THE RELATED ORGANIZATIONS, REDLANDS COMMUNITY HOSPITAL KEEPS CAREFUL TRACK OF THE USE OF FUNDS WHICH INCLUDE THE USE OF FUNDS GRANTED TO REDLANDS HEALTH FOUNDATION, A RELATED ORGANIZATION. X 1 1 X X X 0 0 0 0 0 0 0 1 0 JAMES HOLMES PRESIDENT / CEO 712909 0 300082 0 22082 0 10500 0 32057 0 1077630 0 0 0 MICHELLE MOK CHIEF FINANCIAL OFFICER 504001 0 131701 0 14290 0 7000 0 2253 0 659245 0 0 0 HARVEY HANSEN VP/ PROFESSIONAL & GEN. SERVICES 357366 0 99500 0 2210 0 10500 0 7741 0 477317 0 0 0 LAUREN SPILSBURY VP/ PATIENT CARE SERVICES 301330 0 88330 0 16247 0 10500 0 11244 0 427651 0 0 0 LISA GUZMAN VP/ HUMAN RESOURCES 228963 0 73653 0 996 0 6419 0 15461 0 325492 0 0 0 TODD SEXTON ASSISTANT VICE PRESIDENT 246412 0 20558 0 547 0 10153 0 18971 0 296641 0 0 0 RANDALL BEVILACQUA VP/ BUSINESS DEVELOPMENT 255834 0 0 0 1447 0 0 0 7827 0 265108 0 0 0 PART I, LINE 1A TAX INDEMNIFICATION AND/OR GROSS-UP PAYMENTS ARE PROVIDED TO CEO FOR LIFE INSURANCE PREMIUMS AND AUTOMOBILE ALLOWANCE AND ARE INCLUDED IN TAXABLE COMPENSATION. PART I, LINE 7 EXECUTIVE INCENTIVE COMPENSATION AWARDS ARE DETERMINED AS A PERCENTAGE OF THE EXECUTIVE'S ANNUAL BASE SALARY, EITHER 35% (PRESIDENT/CEO) OR 20% (VICE PRESIDENTS). THIS BASE AMOUNT IS THEN SUBJECT TO FOUR PERFORMANCE MEASURES WEIGHTED AS FOLLOWS: 25% FOR ORGANIZATIONAL PERFORMANCE CONSISTING OF FINANCIAL PERFORMANCE AND STRATEGIC PLAN PERFORMANCE OF THE ORGANIZATION, AND 75% FOR INDIVIDUAL PERFORMANCE CONSITING OF INDIVIDUAL STRATEGIC OBJECTIVES AND QUALITY PERFORMANCE THRESHOLDS. A CALIF STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY 680164610 13080SPM0 2016-11-10 99999207 SEE PART VI 0 0 0 A 3075000 101545524 27996 1490609 55270133 44756787 1 0 0 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 1 0 0 0 0 0 1 A 1 SCHEDULE K, PART I, ISSUE C, PART I, COLUMN (F): THE SERIES 2016 BONDS CURRENTLY REFUNDED THE BORROWER'S SERIES 2013 BONDS WHICH WERE ISSUED ON APRIL 1, 2013 AND FUNDED THE FACILITY EXPANSION PROJECT SCHEDULE K, PART I, COLUMN (E) AND PART II, LINE 3: DIFFERENCE BETWEEN PART I, COLUMN (E) AND PART II, LINE 3 IS DUE TO INTEREST EARNINGS ON BOND PROCEEDS. SCHEDULE K, PART III, LINE 7: AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS REPORTED IN PART III, LINE 6, IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. KELLY NORTH FAMILY MEMBER OF RICHARD BEEMER, VICE CHAIRMAN 70577 COMPENSATION 0 INLANDPSYCH REDLANDS INC CHIEF OF STAFF ELECT/MEDICAL DIRECTOR 253912 INLANDPSYCH REDLANDS, INC. RECEIVES A 1099 FROM THE ORGANIZATION AND GEETHA K. PALADUGU, MD, IS THE DIRECTOR OF INLANDPSYCH REDLANDS, INC. 0 FORM 990, PART VI, SECTION B, LINE 11B AFTER REVIEW BY THE CFO AND PRESIDENT/CEO, THE CFO PRESENTED THE DRAFT IRS FORM 990 TO THE REDLANDS COMMUNITY HOSPITAL AUDIT COMMITTEE FOR THEIR REVIEW. SUBSEQUENTLY, COPIES WERE MADE AVAILABLE TO THE BOARD OF DIRECTORS AT THEIR MONTHLY BOARD MEETING, PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C GENERAL COUNSEL REVIEWS ANNUAL TRUSTEE DISCLOSURES AND COMPILES A RESPONSE FOR MANAGEMENT OF ANY POTENTIAL CONFLICTS. IN THE CASE OF A POTENTIAL OR ACTUAL CONFLICT, THE TRUSTEE WOULD RECUSE HIMSELF FROM MANAGEMENT DECISIONS RELATED TO THAT CONFLICT. DISCLOSURE IS A CONTINUOUS DUTY. FORM 990, PART VI, SECTION B, LINE 15 RCH USES AN INDEPENDENT CONSULTANT ON AN ANNUAL BASIS TO REVIEW TOTAL COMPENSATION, PAY AND BENEFITS, FOR THE CEO AND CFO. THE CONSULTANT MAKES RECOMMENDATIONS TO THE EXECUTIVE COMMITTEE OF THE GOVERNING BOARD, AND THEY HAVE FINAL APPROVAL. THE HUMAN RESOURCES DEPARTMENT PARTICIPATES IN AN ANNUAL INDEPENDENT SALARY SURVEY. MARKET DATA IS COMPARED TO THE RCH SALARY RANGE, PRIMARILY BASED ON THE SIZE OF THE FACILITY. ACTUAL COMPENSATION IS DETERMINED BASED ON THE INDIVIDUAL'S EXPERIENCE AND PERFORMANCE WITHIN THE SALARY RANGE ESTABLISHED. THIS IS DETERMINED BASED ON HUMAN RESOURCE POLICY. FORM 990, PART VI, SECTION C, LINE 19 THE AUDITED FINANCIAL STATEMENTS, GOVERNING/ORGANIZING DOCUMENTS, AND CONFLICT OF INTEREST POLICY ARE ALL AVAILABLE UPON REQUEST. REDLANDS HEALTH FOUNDATION 350 TERRACINA BLVD REDLANDS CA 92373 330900937 SUPPORT THE HOSPITAL CA 501(C)(3) 12-I REDLANDS COMMUNITY HOSPITAL 1 RHS CORP 350 TERRACINA BLVD REDLANDS CA 92373 330130773 HOSPITAL SUPPORT CORP CA 501(C)(3) 12-III-FI N/A 0 REDLANDS COMMUNITY HOSPITAL FOUNDATION 350 TERRACINA BLVD REDLANDS CA 92373 953368018 FUNDRAISING FOUNDATION CA 501(C)(3) 12-III-FI RHS CORP 0 REDLANDS COMMUNITY HOSPITAL AUXILIARY 350 TERRACINA BLVD REDLANDS CA 92373 956096710 SUPPORT THE HOSPITAL CA 501(C)(3) 12-III-FI N/A 0 REDLANDS HEALTH SERVICES 350 TERRACINA BLVD REDLANDS CA 92373 330128593 PATIENT CARE SERVICE CA N/A C 0 REDLANDS SURGICAL SERVICES 350 TERRACINA BLVD REDLANDS CA 92373 330433979 PATIENT CARE SERVICE CA N/A C 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 1 REDLANDS HEALTH FOUNDATION B 12000000 CASH VALUE