RIDEOUT MEMORIAL HOSPITAL: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- RIDEOUT MEMORIAL HOSPITAL (EIN 94-1387866)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-11-10
- IRS object ID
- 202033159349305153
- Schema version
- 2019v5.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-11-10T15:51:44-06:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 910189318 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Moss Adams LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3121 W March Ln Ste 200 | AddressLine1Txt |
| City | Stockton | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 952192367 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 941387866 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Rideout Memorial Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | RIDE | BusinessNameControlTxt |
| Phone | 9164060000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 989 Plumas Street | AddressLine1Txt |
| City | Yuba City | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95991 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Eduardo Gonzalez | PersonNm |
| Person Title | Treasurer | PersonTitleTxt |
| Phone | 9164060000 | PhoneNum |
| Signature | 2020-10-29 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Tracy S Paglia | PreparerPersonNm |
| PTIN | P00366884 | PTIN |
| Phone | 2099556100 | PhoneNum |
| Preparation | 2020-10-29 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 172.9.161.112 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-10-29 | IPDt |
| IP Tm | 02:50:12 | IPTm |
| IP Timezone | PD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 2CA4604677747A1B8287DC7DD1B2F222DAF5CAE3 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Richard Rawson | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 989 Plumas Street | AddressLine1Txt |
| City | Yuba City | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95991 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $413,152,683 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.adventisthealth.org/rideout/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1955 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | Living God's love by inspiring health, wholeness, and hope. | ActivityOrMissionDesc |
| Voting Members Governing Body | 3 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 2 | VotingMembersIndependentCnt |
| Total Employee | 2153 | TotalEmployeeCnt |
| Total Volunteers | 101 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $252,281 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $215,744,691 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $411,706,204 | CYProgramServiceRevenueAmt |
| PY Investment Income | $623,147 | PYInvestmentIncomeAmt |
| CY Investment Income | $830,231 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $363,447 | CYOtherRevenueAmt |
| PY Total Revenue | $216,367,838 | PYTotalRevenueAmt |
| CY Total Revenue | $413,152,163 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $327,174 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $87,081,655 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $182,671,029 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $137,488,371 | PYOtherExpensesAmt |
| CY Other Expenses | $264,735,397 | CYOtherExpensesAmt |
| PY Total Expenses | $224,570,026 | PYTotalExpensesAmt |
| CY Total Expenses | $447,733,600 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$8,202,188 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$34,581,437 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $481,102,809 | TotalAssetsBOYAmt |
| Total Assets EOY | $468,844,298 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $177,551,548 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $199,791,297 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $303,551,261 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $269,053,001 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Living God's love by inspiring health, wholeness, and hope. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $380,986,704 | ExpenseAmt |
| Grant | $327,174 | GrantAmt |
| Revenue | $411,706,204 | RevenueAmt |
| Desc | See Schedule O | Desc |
| Total Program Service Expenses | $380,986,704 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 2153 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 3 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 2 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Jay Lipps VP System Controller | PersonNm |
| Phone | 9164061092 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 619135 | AddressLine1Txt |
| City | Roseville | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95661 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Wing Bill | |||||||||
| Director/Chair | 0.00 | 50.00 | Yes (X) | Yes (X) | $0 | $1,572,254 | $46,583 | ||
| Eller Jeff | |||||||||
| President, NCR | 4.00 | 46.00 | $0 | $1,172,082 | $40,197 | Yes (X) | |||
| Lang Kevin | |||||||||
| Finance Officer, NCR | 4.00 | 46.00 | $0 | $1,038,744 | $0 | Yes (X) | |||
| Jobe Meredith | |||||||||
| Secretary | 0.00 | 50.00 | Yes (X) | $0 | $730,385 | $45,909 | |||
| Rawson Richard | |||||||||
| President | 9.00 | 41.00 | Yes (X) | $0 | $740,386 | $28,958 | |||
| Byrnes John | |||||||||
| Medical Officer, NCR | 4.00 | 46.00 | $0 | $718,300 | $29,813 | Yes (X) | |||
| Sheikh Azad | |||||||||
| Medical Officer | 4.00 | 46.00 | $0 | $593,549 | $52,213 | Yes (X) | |||
| Gordon Cyndy | |||||||||
| Patient Care Executive | 40.00 | 0.00 | $0 | $461,688 | $35,752 | Yes (X) | |||
| Lonto Robert | |||||||||
| Reg HP Dir, NCR | 4.00 | 46.00 | $0 | $388,199 | $58,409 | Yes (X) | |||
| Chibaya Daniel | |||||||||
| Operations Manager | 0.00 | 40.00 | $0 | $380,827 | $54,263 | Yes (X) | |||
| Arrowsmith Monica | |||||||||
| Bus Dev Leader | 0.00 | 40.00 | $0 | $365,299 | $39,248 | Yes (X) | |||
| Gonzalez Eduardo | |||||||||
| Treasurer/Asst Secretary | 9.00 | 41.00 | Yes (X) | $0 | $344,409 | $55,272 | |||
| Gonzales Jerry | |||||||||
| Manager, Pharmacy | 40.00 | 0.00 | $244,039 | $0 | $14,130 | Yes (X) | |||
| Bird Sherryl | |||||||||
| RN | 40.00 | 0.00 | $237,207 | $0 | $14,143 | Yes (X) | |||
| Minton Krista | |||||||||
| Director, Clinical Care | 40.00 | 0.00 | $218,035 | $0 | $14,276 | Yes (X) | |||
| Murphy Margaret | |||||||||
| Director, Cancer Center thru 11/19 | 40.00 | 0.00 | $218,933 | $0 | $4,331 | Yes (X) | |||
| Butts Jennifer | |||||||||
| RN | 40.00 | 0.00 | $216,078 | $0 | $6,481 | Yes (X) | |||
| Reiner Richard | |||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $28,588 | $0 | |||
| Innocent Larry | |||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $18,852 | $0 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,134,292 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $8,553,562 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $539,978 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 575 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (1) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Sodexo Inc and Affiliates | |||||
| PO Box 360170 | Pittsburgh | PA | 15251 | Catering and retail food services | $4,303,450 |
| Regents of the University of California | |||||
| PO Box 989062 | West Sacramento | CA | 95691 | Physician services | $3,288,793 |
| Acute Care Surgery Medical Group Inc | |||||
| PO Box 1528 | Sacramento | CA | 95812 | Physician services | $2,408,866 |
| Total Renal Care Inc | |||||
| PO Box 781607 | Philadelphia | PA | 19178 | Dialysis services | $1,924,817 |
| Oxford Global Resources LLC | |||||
| PO Box 3256 | Boston | MA | 02241 | Consulting services | $1,600,739 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 57 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $140,823 | GovernmentGrantsAmt |
| All Other Contributions | $111,458 | AllOtherContributionsAmt |
| Total Contributions | $252,281 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient service revenue | 621400 | $409,687,290 | $409,687,290 |
| Dietary service revenue | 621400 | $1,165,943 | $1,165,943 |
| Other program revenue | 621990 | $852,971 | $852,971 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $411,706,204 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $827,730 | TotalRevenueColumnAmt |
| Exclusion | $827,730 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $363,447 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $363,447 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $363,447 | TotalRevenueColumnAmt |
| Exclusion | $363,447 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $3,021 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $520 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,501 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,501 | TotalRevenueColumnAmt |
| Exclusion | $2,501 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $413,152,163 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $411,706,204 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,193,678 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $327,174 | TotalAmt |
| Program Services | $327,174 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $132,293,196 | TotalAmt |
| Program Services | $127,354,515 | ProgramServicesAmt |
| Management And General | $4,938,681 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,089,890 | TotalAmt |
| Program Services | $6,078,233 | ProgramServicesAmt |
| Management And General | $11,657 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,767,186 | TotalAmt |
| Program Services | $34,158,744 | ProgramServicesAmt |
| Management And General | $608,442 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,520,757 | TotalAmt |
| Program Services | $9,300,387 | ProgramServicesAmt |
| Management And General | $220,370 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,251,455 | TotalAmt |
| Management And General | $15,251,455 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $212,660 | TotalAmt |
| Program Services | $18,914 | ProgramServicesAmt |
| Management And General | $193,746 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,900 | TotalAmt |
| Management And General | $19,900 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,105 | TotalAmt |
| Program Services | $21,105 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $98,963,873 | TotalAmt |
| Program Services | $67,553,274 | ProgramServicesAmt |
| Management And General | $31,410,599 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,500 | TotalAmt |
| Program Services | $2,595 | ProgramServicesAmt |
| Management And General | $17,905 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,613,355 | TotalAmt |
| Program Services | $1,345,762 | ProgramServicesAmt |
| Management And General | $267,593 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,891,623 | TotalAmt |
| Program Services | $3,019,573 | ProgramServicesAmt |
| Management And General | $872,050 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,402,534 | TotalAmt |
| Program Services | $17,193,404 | ProgramServicesAmt |
| Management And General | $209,130 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $176,356 | TotalAmt |
| Program Services | $127,419 | ProgramServicesAmt |
| Management And General | $48,937 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,093 | TotalAmt |
| Program Services | $30,510 | ProgramServicesAmt |
| Management And General | $4,583 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,125,877 | TotalAmt |
| Program Services | $4,095,198 | ProgramServicesAmt |
| Management And General | $30,679 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,393,301 | TotalAmt |
| Program Services | $22,066,892 | ProgramServicesAmt |
| Management And General | $326,409 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,456,629 | TotalAmt |
| Program Services | $1,456,629 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Patient care supplies | $56,588,874 | $56,544,539 | $44,335 |
| Hospital Medi-Cal Quali | $25,953,443 | $25,951,343 | $2,100 |
| AHPN elimination | $12,086,076 | $12,086,076 | |
| Leased equipment expens | $2,217,533 | $2,215,379 | $2,154 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,305,210 | TotalAmt |
| Program Services | $2,125,115 | ProgramServicesAmt |
| Management And General | $180,095 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $447,733,600 | TotalAmt |
| Program Services | $380,986,704 | ProgramServicesAmt |
| Management And General | $66,746,896 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,236,874 | BOYAmt |
| EOY | $9,739,753 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,824,593 | BOYAmt |
| EOY | $68,505,948 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,544,416 | BOYAmt |
| EOY | $5,328,667 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,503,045 | BOYAmt |
| EOY | $8,060 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $588,077,047 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $251,443,775 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $340,790,966 | BOYAmt |
| EOY | $336,633,272 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $229,120 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,973,795 | BOYAmt |
| EOY | $48,628,598 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $481,102,809 | BOYAmt |
| EOY | $468,844,298 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,812,861 | BOYAmt |
| EOY | $45,716,787 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,350 | BOYAmt |
| EOY | $3,350 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $2,997,109 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $141,735,337 | BOYAmt |
| EOY | $151,074,051 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $177,551,548 | BOYAmt |
| EOY | $199,791,297 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $303,551,261 | BOYAmt |
| EOY | $268,981,001 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $72,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $303,551,261 | BOYAmt |
| EOY | $269,053,001 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $481,102,809 | BOYAmt |
| EOY | $468,844,298 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$34,581,437 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $11,177 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | $72,000 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $21,105 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $21,105 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | The Hospital is a member of industry associations. A portion of the membership dues is used for lobbying purposes. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $135,652 | BeginningYearBalanceAmt |
| Contributions | $128,479 | ContributionsAmt |
| Grants Or Scholarships | $45,013 | GrantsOrScholarshipsAmt |
| Other Expenditures | $148,414 | OtherExpendituresAmt |
| End Year Balance | $70,704 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributions | $135,652 | ContributionsAmt |
| End Year Balance | $135,652 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 1.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,051,878 | OtherCostOrOtherBasisAmt |
| Book Value | $14,051,878 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $379,966,252 | OtherCostOrOtherBasisAmt |
| Depreciation | $106,110,074 | DepreciationAmt |
| Book Value | $273,856,178 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $17,236,821 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,018,688 | DepreciationAmt |
| Book Value | $11,218,133 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $176,822,096 | OtherCostOrOtherBasisAmt |
| Depreciation | $139,315,013 | DepreciationAmt |
| Book Value | $37,507,083 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $336,633,272 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Receivables from third-party payors | $22,100,340 |
| Receivables from related organizations | $13,983,138 |
| Other receivables | $7,195,403 |
| Other assets | $5,349,717 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $48,628,598 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Payables to related organizations | $142,583,564 |
| Other liabilities | $8,490,487 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $151,074,051 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | Board-designated, temporary and permanently restricted endowment funds are for specified operating and capital projects. The funds are released as project costs are expended. |
| Part X, Line 2: | The principal operations of the System is exempt from taxation pursuant to Internal Revenue Code Section 501(c)(3) and related state provisions. The System recognizes tax benefits from any uncertain tax positions only if it is more-likely-than-not the tax position will be sustained, based solely on its technical merits, with the taxing authority having full knowledge of all relevant information. The System records a liability for unrecognized tax benefits from uncertain tax positions as discrete tax adjustments in the first interim period the more-likely-than-not threshold is not met. The System recognizes deferred tax assets and liabilities for temporary differences between the financial reporting basis and the tax basis of its assets and liabilities along with net operating loss and tax credit carryovers only for tax positions that meet the more-likely-than-not recognition criteria. At December 31, 2019 and 2018, no such assets or liabilities were recorded. The System currently files Form 990 (informational return of organizations exempt from income taxes) and Form 990-T (business income tax return for an exempt organization) in the U.S. federal jurisdiction and the state of California. The System is not subject to income tax examinations prior to 2015 in major tax jurisdictions. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,285,531 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,285,531 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00290 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $154,858,731 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $113,092,341 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $41,766,390 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09330 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $156,144,262 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $113,092,341 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $43,051,921 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09620 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $947,570 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,435 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $944,135 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00210 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $417,716 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $417,716 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,365,286 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,435 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,361,851 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00300 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $157,509,548 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $113,095,776 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $44,413,772 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09920 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,660 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,660 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $453 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $453 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $580,998 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $580,998 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $583,111 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $583,111 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $3,802,294 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $798,102 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $62,538,234 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $104,894,378 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$42,356,144 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Rideout Memorial Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 726 4th Street | AddressLine1Txt |
| City | Marysville | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95901 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | https://www.adventisthealth.org/rideou | WebsiteAddressTxt |
| State License | 230000126 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Rideout Memorial Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Sch H Part VI - Needs Assesment | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | See Sch H Part VI - Needs Assesment | OtherWebsiteURLTxt |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | See Sch H Part VI - Needs Assesment | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | Sch H Part VI-Patient Educ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | Sch H Part VI-Patient Educ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | Sch H Part VI-Patient Educ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Rideout Memorial Hospital | Part V, Section B, Line 5: The 2019 CHNA data collection process can be summarized as follows: 1. Review of prior CHNA reporting efforts;2. Collection of most recently available demographic, socioeconomic and health indicator data; and3. Data gathering from community members. Community input was provided by a broad range of community members using key informant interviews and focus groups. Individuals with the knowledge, information, and expertise relevant to the health needs of the community were consulted. These individuals included representatives from local governmental and public health agencies as well as leaders, representatives, or members of underserved, low-income, and minority populations. Primary data included 13 interviews with 35 community health experts as well as four focus groups conducted with a total of 53 community residents that included seniors, people experiencing homelessness, Hmong community members and Latino community members.Focusing on social determinants of health to identify and organize secondary data, datasets included measures to describe mortality and morbidity and social and economic factors such as income, educational attainment, and employment. Further, the measures also included indicators to describe health behaviors, clinical care (both quality and access), and the physical environment. Data sources include but are not limited to the California Department of Public Health, US Census Bureau, American Community Survey, Robert Wood Johnson Foundation County Health and Roadmaps and the Community Health Vulnerability Index which is a healthcare disparity index based largely on the Community Need Index developed by Barsi and Roth. |
| Rideout Memorial Hospital | Part V, Section B, Line 6a: Hospitals that participated in the 2019 CHNA process included Sutter Surgical Hospital North Valley. |
| Rideout Memorial Hospital | Part V, Section B, Line 11: Our 2016 CHNA identified three priority areas for our community health investments from 2017-2019 which are Wellness (diabetes and obesity prevention), Access to Care (including mental health) and Youth Development. The results from the CHNA have guided the following interventions on how we could best provide for our community and the most vulnerable among us. Priority Need - Access to Primary Care Health Services and Prescription Drugs Interventions: 1. Street Nursing Program: Adventist Health and Rideout initiated a street nursing program in response to the growing population experiencing homelessness. According to the 2017 Point-in-Time Count, 760 total individuals were identified as experiencing homelessness in the region. This number includes adults and children of varying ages and races/ethnicities. We believe there were well over 1,000 people living in tents or in cars near our river's edge at this time. In January 2019, AHRO officially started the Street Nursing Program. The Street Nursing Team consists of a RN Street Nurse and a Patient Care Coordinator. This team provides medical screenings and case management services to the homeless population two days a week at the local Coordinated Entry Sites. In 2019, Adventist Health and Rideout was awarded a grant for $100,000 to purchase and outfit a vehicle to serve as a mobile clinic, supplementing the Street Nursing Program. AHRO was also awarded a grant from Vituity in December 2019 to provide tele-health services to patients. The telehealth platform allows physicians in the Emergency Room to video conference the patient in the field to determine the appropriate treatment for that patient. In some cases, the physician recommends that that patient comes to the ED for treatment that cannot be completed by the street nurse. Street Nursing Outreach in 2019: 400 unique patients served, 1,400 patient encounters/visits. Additional program details show that out of the 400 patients served, 114 patients received disease management education, 147 patients were connected to community resources, 133 follow-up primary care appointments were made, 67 patients were referred for insurance coverage applications and 10 tele-health visits with AHRO ED Providers2. Meds-to-Beds: Adventist Health and Rideout is among many hospitals nationwide that has a "Meds-to-Beds" program, in which prescription drugs are given directly to patients just before they are sent home from the hospital or emergency room. This program serves as more than just a convenience; for some patients, this is the only way they will obtain necessary medications for chronic medical conditions and other required treatments. AHRO is not allowed to bill for medications that will be used at home; these drugs must come from an outpatient pharmacy. In order to bridge this gap, AHRO partnered with the Medicine Shoppe Pharmacy for both discharge counseling and dispensing medications. In situations where the patient is unable to pay for the critical medications, Adventist Health and Rideout will pay for the medications. Number of community members served: 194 Patients, 613 medication prescriptions filled. Priority Need - Access to Affordable, Health food: Interventions:1. Food Insecurity Program: In California, one in ten people are food insecure. Due to the demographics and low socio-economic status of the Yuba-Sutter population, we frequently see food insecure patients at Adventist Health and Rideout. To address this need, AHRO initiated a food insecurity program, which begins with a screening process for all inpatients. Patients are screened for food insecurity upon admission by AHRO case managers. If a patient is identified with food insecurity, a referral is submitted to the Yuba-Sutter Food Bank where the volunteers gather a three-day supply of food for each patient. This food is boxed and ready for the patient upon discharge from the hospital. In 2019, Adventist Health and Rideout identified 514 patients as food insecure. Additionally, 280 patients (54%) were identified as homeless, 258 patients were given referrals to the food bank to pick up food, 206 patients were provided community resources for food, 16 patients were set up with Meals on Wheels. In addition, our commitment to this partnership with the Yuba-Sutter Food Bank includes volunteering at the Food Bank warehouse once a month and sponsoring food drives. In 2019, Adventist Health and Rideout employees volunteered 406.5 hours at the Food Bank. Priority Health Need - Access to Mental, Behavioral and Substance Abuse Services: Interventions:1. Behavioral Health Collaborative: The volume of behavioral health patients in the Adventist Health and Rideout Emergency Department has steadily increased in recent years due to the lack of funding for behavioral health services and lack of facilities/providers in our rural area. In 2017, AHRO's Emergency Department saw 1,898 patients with behavioral health complaints. The county was closing its involuntary psychiatric services, which would further impact the volumes of behavioral health patients in the Emergency Department. In order to deliver the highest quality of care for behavioral health patients in the Emergency Department, Adventist Health and Rideout partnered with county resources and agreed to imbed county-paid crisis counselors in the Emergency Department 24 hours a day. Using tele-psychiatry services and clear clinical pathways the team worked together to see 100 percent of the patients with a behavioral health diagnosis. Medications are started or resumed, safety plans designed, and follow up appointments are arranged by the team. As a team, the county and hospital have created a process to provide high quality care to the psychiatric patient in the ED. The Behavioral Health Collaborative saw 2,148 behavioral health patient visits in 2019. By working together, we have safely discharged back into our community approximately 50% of the patients seen. This ability to discharge patient's home is made possible through the creation of a robust safety program and discharge plans by our county worker's and tele-psychiatry services. Every patient receives true psychiatric care while they are in the ED and this includes the same type of assessment, medication recommendations, and discharge and safety plans performed by behavioral health experts. Number of community members Served: 2,227.2. ED Bridge Program: In order to address the growing opioid problem in the area, Adventist Health and Rideout and Vituity applied for and was awarded a $175,000 grant from the California Bridge Program. Funding was received in 2019 for ED staff training, physician X-waiver credentialing, and used to hire a Substance Use Navigator, who helps identify people with opioid use disorder in the emergency room. Patients are able to immediately receive treatment for their withdrawal symptoms in the ED with the medication buprenorphine (suboxone), and then the Substance Use Navigator links them from the ED into continued outpatient treatment in the community clinics. Through this grant, we were able to support 32 ED providers to do the extensive X-Waiver training program to build a MAT program from the ground up. The Bridge Program started in May 2019. Number of community members Served: 400. 3. Sexual Assault Response Team (SART): Adventist Health and Rideout aided the Rideout Emergency Department Sexual Assault Response Team (SART) by providing equipment and training to help women and children of sexual assault crimes. In 2019, the SART team met with the District Attorney, Local Police Departments, Victim Advocates, and Casa De Esperanza. The team also conducted trainings with staff at Casa De Esperanza. Number of Community Members Served: 50.Priority Need - Access to Specialty Services. Interventions: 1. Specialty Clinics - Adventist Health and Rideout has opened, enhanced or added new specialty care physicians to our clinics. These new physicians now provide patient care at Rideout Interventional Cardiology Clinic, California Heart Center, Rideout Women's Health Clinic, Rideout Vascular Clinic, Rideout Orthopedics Clinic, Rideout Primary Care Clinic, Rideout Urology Clinic, Rideout General and Bariatric Surgery Clinic. |
| Part V, Section B, Line 11: | Priority Need - Access to Health Education and Health Literacy. Interventions: 1. Childbirth & Breastfeeding Preparation Classes: Registered Nurses from the Labor and Delivery Unit teach what to expect when you are in labor. This class also helps with breastfeeding instruction. Number of community members served: 211.2. Breastfeeding Support Group: Registered Nurses and Lactation Specialists from the Labor and Delivery Unit support new mothers and babies with breastfeeding, self-care and physical wellbeing. Classes are held weekly. Number of community members served: 682.3. Rideout Healthy Kids: We offer our free Adventist Health and Rideout Healthy Kids School Assemblies for K-8th grade students in Yuba, Sutter and Colusa counties. This program provides health education to elementary and middle school children in an interactive musical theater performance. Since Spring 2014, Adventist Health and Rideout Healthy Kids has performed every fall and spring in 11 tours, over 200 performances for over 68,000 students, faculty, staff and community members at public and private schools, community health fairs and other events, service clubs, banquets and many other community activities, bringing the message of good health, wellness and encouragement to audiences young and old. Number of community members served: 5,160.4. Every 15 Minutes: Adventist Health and Rideout helped with the Every 15 Minutes Program at local high schools. This two-day program is designed to bring awareness to the consequences of drinking and texting while driving. AHRO had six volunteers, for a total of 180 hours. Number of community members served: approximately 400 students.5. Impact Teen Drivers Program: Adventist Health and Rideout's Trauma Department helped with the Impact Teen Drivers Program at local high schools. This program is designed to educate teens on safe driving. Number of community members served: 1,375 students.6. Fall Prevention Education: Adventist Health and Rideout's Trauma Department provided fall prevention education and assisted living training for staff, patients and families. The Trauma Department also educated hospital staff and guests on fall prevention. Number of community members served: approximately 757. "Stop the Bleed and "Save a Life" Education: Adventist Health and Rideout's Trauma Department helped with the "Stop the Bleed" program at local high schools. Stop the Bleed teaches students how to control bleeding and save a life. Students learned tourniquet application, wound packing and holding pressure to stop traumatic bleeding. Number of community members served: 303.8. Heart Disease Education: Adventist Health and Rideout participated in the Early Heart Attack Educational Program and sponsored a Women's Heart Health Lunch and Learn in 2019. These events taught the community the early signed of a heart attack and CPR. They also were designed to educate and raise awareness of heart disease and prevention. Number of community members served: 180.9. Smoking Cessation Education: Adventist Health and Rideout provides a free smoking cessation program for the community. This program teaches the "Freedom from Smoking Course" from the American Lung Association. Number of community members served: 20.10. Cancer Support Group: Adventist Health and Rideout offers multiple programs for Cancer patients and survivors. Included in the offerings are a weekly support group for individuals and caregivers. These weekly sessions help those in need of emotional support, loss of life transition, and other stressors. AHRO also offers a "Chemotherapy and You" weekly class designed to help prepare patients and caregivers for treatment. This class also educates on side effects, management, and central line access. AHRO offers a peer navigation program and a wig bank program, which connects patients who lose their hair with wigs through the American Cancer Society. Number of community members served: 456.11. COPD Support Group: The Better Breathers Club is a support group for those living with COPD. The group meets monthly and covers educational topics including oxygen, sleep apnea, nutritional needs, exercise and medications. Number of community members served: 28.12. Weight Management Support Group: The AHRO Bariatric Surgery Support Group is offered at no charge to people who have had or are planning to have bariatric surgery. The group facilitates networking and education and meets once a month. Number of community members served: 45.13. Teen Leadership Council (TLC): Local high school students from eight surrounding high schools are recruited to attend the TLC, a 12-month program designed to engage young adults who have demonstrated outstanding leadership skills and a strong desire to make a difference in our community and healthcare. Number of community members served: 30.14. Community Education Fairs and Events: In addition to the specific classes and education opportunities above, Adventist Health and Rideout participated in a number of community events where staff volunteered to provide education to the community. These events include but are not limited to: Have a Heart for Kids 5K Run, Relay for Life, Summer Stroll, Sutter County Health & Wellness Fair, Senior Resource Fair and Walk to End Alzheimer's. Number of community members served: 6,470Priority Need - Access to Transportation and Mobility. Interventions: 1. Transportation after Discharge: Adventist Health and Rideout contracts with SB+ to provide transportation services to patients upon hospital discharge, transportation to and from primary care and oncology appointments. This service is provided at no cost to the patients. In addition to the contract with SB+, the Adventist Health and Rideout Foundation assists cancer center patients, senior care and other patients with transportation needs and more by providing provisions such as gas cards, bus passes and food cards to help indigent or low-income patients with their travel needs. A new passenger van was donated to Adventist Health and Rideout by the Geweke Caring for Women Foundation. The van is now available to offer patients free transportation to and from the hospital and the cancer center. Number of community members served: approximately 100. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 35 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (35 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - AHPN Chico - Oncology | ||||
| 95 Declaration Drive 1 | Chico | CA | 95973 | Hematology/Oncology |
| 2 - Rideout Women's Imaging Center | ||||
| 945 Shasta Street | Yuba City | CA | 95991 | Radiology |
| 3 - AHPN Yuba City - Occupational Medicine | ||||
| 1531 Plumas Court B | Yuba City | CA | 95991 | Occupational Medicine |
| 4 - Rideout Yuba City - Primary Care UCD | ||||
| 1215 Plumas Street 800 | Yuba City | CA | 95991 | Family Medicine |
| 5 - Rideout Yuba City - Family Practice | ||||
| 1233 Plumas Street A | Yuba City | CA | 95991 | Family Medicine |
| 6 - Rideout Yuba City - Orthopedics | ||||
| 370 Del Norte Avenue 201 | Yuba City | CA | 95991 | Orthopedic Surgery |
| 7 - AHPN Yuba City - General Surgery | ||||
| 481 Plumas Blvd 202 | Yuba City | CA | 95991 | Surgery: General |
| 8 - Rideout Yuba City - Women's Health | ||||
| 1007 Live Oak Blvd B2 | Yuba City | CA | 95991 | OB/GYN |
| 9 - Rideout Yuba City - GeneralBariatric Surg | ||||
| 481 Plumas Blvd 202 | Yuba City | CA | 95991 | Surgery: General |
| 10 - Rideout Yuba City - Town Center Primary Ca | ||||
| 481 Plumas Blvd 104 | Yuba City | CA | 95991 | Family Medicine |
| 11 - Rideout Yuba City - Urology | ||||
| 370 Del Norte Avenue 201 | Yuba City | CA | 95991 | Multispecialty |
| 12 - Rideout Marysville - Vascular | ||||
| 414 G Street 221 | Marysville | CA | 95901 | Surgery: Vascular |
| 13 - AHPN Yuba City - Womens Health | ||||
| 1007 Live Oak Blvd B2 | Yuba City | CA | 95991 | OB/GYN |
| 14 - Rideout Marysville - Interventional Cardio | ||||
| 414 G Street 210 | Marysville | CA | 95901 | Cardiology |
| 15 - AHPN Yuba City - Adult Medicine | ||||
| 1233 Plumas Street A | Yuba City | CA | 95991 | Family Medicine |
| 16 - AHPN Marysville - 2nd Floor Interventional | ||||
| 414 G Street 210 | Marysville | CA | 95901 | Cardiology |
| 17 - AHPN Yuba City - Urology | ||||
| 370 Del Norte Avenue 201 | Yuba City | CA | 95991 | Urology |
| 18 - AHPN Yuba City - Family Medicine | ||||
| 1215 Plumas Street 800 | Yuba City | CA | 95991 | Family Medicine |
| 19 - AHPN Yuba City - Orthopedics | ||||
| 370 Del Norte Avenue 201 | Yuba City | CA | 95991 | Orthopedic Surgery |
| 20 - Rideout Marysville - Cardiothoracic | ||||
| 401 I Street | Marysville | CA | 95901 | Surgery: Cardiovascular |
| 21 - AHPN Yuba City - Town Center Primary Care | ||||
| 481 Plumas Blvd 104 | Yuba City | CA | 95991 | Family Medicine |
| 22 - Rideout Drug Testing Services | ||||
| 1531 Plumas Street | Yuba City | CA | 95991 | Occupational Medicine |
| 23 - AHPN Marysville - Vascular | ||||
| 414 G Street 112 | Marysville | CA | 95901 | Surgery: Vascular |
| 24 - Rideout Marysville - Heart Clinic | ||||
| 414 G Street 108 | Marysville | CA | 95901 | Cardiology |
| 25 - Rideout Marysville - General Cardiology | ||||
| 414 G Street 208 | Marysville | CA | 95901 | Cardiology |
| 26 - Rideout Yuba City - ENT | ||||
| 370 Del Norte Avenue 203 | Yuba City | CA | 95991 | Otorhinolaryngology |
| 27 - AHPN Yuba City - CA Heart Center | ||||
| 481 Plumas Street 201 | Yuba City | CA | 95991 | Cardiology |
| 28 - AHPN Marysville - Internal Medicine | ||||
| 414 G Street 240 | Marysville | CA | 95901 | Internal Medicine |
| 29 - AHPN Marysville - Cardiology | ||||
| 414 G Street 208 | Marysville | CA | 95901 | Cardiology |
| 30 - AHPN Marysville - 1st Floor Interventional | ||||
| 414 G Street 108 | Marysville | CA | 95901 | Cardiology |
| 31 - AHPN Marysville - Cardiothoracic | ||||
| 401 I Street | Marysville | CA | 95901 | Surgery: Cardiovascular |
| 32 - AHPN Yuba City - ENT | ||||
| 370 Del Norte Avenue 203 | Yuba City | CA | 95991 | Otorhinolaryngology |
| 33 - AHPN Marysville - 2nd Floor ll Interventio | ||||
| 414 G Street 221 | Marysville | CA | 95901 | Cardiology |
| 34 - Rideout Women and Children Clinic | ||||
| 1215 Plumas Street 1200 | Yuba City | CA | 95991 | OB/GYN |
| 35 - AHPN Yuba City - Pediatrics | ||||
| 481 Plumas Street 101 | Yuba City | CA | 95991 | Pediatrics |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 7: | The costs were determined by using a cost-to-charge ratio. The cost-to-charge computation is based on Hospital specific data included in the system-wide combined audited financial statements. The formula used for computation equals financial statement data as follows:Total expenses - (Provision for bad debts + Other revenue + Interest income)/Gross patient chargesThe Hospital is located in a medically underserved area and participates in a quality assurance fee program with the State of California to fund certain Medi-Cal coverage expansions. The state redistributes funds to hospitals that provide patient care to a higher proportion of indigent and medically underprivileged patients, who otherwise would most likely not have access to physicians and other medical services. The community benefit analysis includes receipts from this redistribution that are used to assist in partially offsetting the significant costs associated with providing patient care to this population group. The program may or may not continue in the future based on the State of California's regulations and policies and the approval of the federal government. |
| Part II, Community Building Activities: | The hospital is involved in numerous community building activities which promote the health of the communities it serves. Numerous community concerns are addressed, including health improvement, education, poverty, workforce development and access to care. We also encourage our employees to serve on community collaboration boards, health advocacy programs, and physical improvement projects to promote the health of the communities we serve. In addition, we work with neighborhood programs, including schools, work sites and safety net providers to promote health and wellness and prevent disease. These activities are not included elsewhere on Schedule H. |
| Part III, Line 2: | Uncollected patient accounts are analyzed using written patient financial services policies that apply standard procedures for all patient accounts. The result of the analysis is what is recognized as bad debt expense. For example, all self-pay patients receive a discount. If the discounted account is unpaid after collection efforts, the unpaid balance is classified as bad debt. The cost-to-charge ratio described for Part I, Line 7 is multiplied times the Hospital's bad debt expense. The resulting figure has been reported as bad debts at cost on Part III, Line 2. |
| Part III, Line 3: | The portion of the bad debts attributed to charity care as reported on Part III, Line 3 was calculated by an independent third-party consulting firm. This is an estimate of additional charity care that would have been granted if patients had cooperated by furnishing family financial information. A statistically valid sampling of patient accounts written-off was evaluated. The evaluation used various factors to determine which patients would have been eligible for charity care. Had the Hospital obtained sufficient information from all patients who qualified for financial assistance, these additional accounts would have been recorded as charity care instead of bad debt. |
| Part III, Line 4: | The system-wide audited combined financial statements do not contain a footnote describing bad debt expense. |
| Part III, Line 8: | The Medicare cost report apportions the Hospital's costs on the basis of inpatient days and ancillary and outpatient charges to establish the costing methodology. Healthcare delivery by hospitals is a complex, highly regulated business in the United States. Healthcare unit cost inflation is driven by compliance with ever-expanding regulatory requirements, shortages of highly skilled labor and evolving medical and information technology. The health care "market basket" is unrelated to that of the average individual consumer.Since the 1997 Balanced Budget Act, Medicare annual payment updates have fallen behind actual healthcare cost inflation to the point that Medicare payments too many U.S. hospitals are well below the cost of providing care. These unreimbursed costs are a community benefit for seniors and others in the community as these individuals are continuing to receive care without which many would become dependent on other governmental resources such as Medicaid. The benefit to the community for healthier uninsured and underinsured patients who are eligible for partial and full charity care. Medicare is a safety net for seniors and others. Without Medicare coverage, many individuals would undoubtedly qualify for charity care. In addition to the mismatch between Medicare payment increases and healthcare cost inflation, the highly complex Medicare payment systems and formulas produce disparate payment levels from one hospital to another for the same service. These disparate payment levels create disparate results within groups of hospitals. Reconciliation of Medicare Revenue from the hospital's Medicare Cost Report to GL:*Medicare Cost Report Revenue 62,538,234Prior Year Settlements 5,179,848Cost Report Reimbursable Bad Debts 475,523Estimates and Accrual Variances 7,827,892Other 20,987,351Total Medicare Revenue 97,008,848*Note: The Medicare Cost Report revenue does not include the bad debt reimbursement. The Cost Report revenue does include the patient co-pay and deductible amounts. Adding the bad debt reimbursement would have duplicated the revenue already accounted for in the co-pay and deductible amounts. |
| Part III, Line 9b: | When a patient has requested screening for charity care, the hospital must immediately cease collection activity and place the account in a charity pending status. If 100% charity is approved, the entire account balance is written off to charity care. If the patient has a sliding scale liability based on the federal poverty guidelines, they are billed only for that liability. If the patient fails to pay their after-charity liability, they are assigned to a collection agency with an identifier that indicates to the agency that the patient is "low income and the following criteria must be followed by the agency:1. They may not report the patient to a credit bureau2. They may not file a lawsuit to recover the outstanding liability3. They may not charge interest |
| Part VI, Line 2: | The hospital's 2019 CHNA and the 2020 Community Health Plan (CHP) Update for fiscal year 2019 and the 2020 Implementation Strategy are posted on the hospital's website at:https://www.adventisthealth.org/rideout/community-relations/community-benefit/ The two most recent Community Health Needs Assessments and the most recent Community Health Plan Update are also available on the Adventist Health Corporate website at:https://www.adventisthealth.org/about-us/community-benefit/In addition to the CHNA, our hospital engages in a process of continuous quality improvement, focusing on questions such as: are our interventions making a difference in improving health outcomes; are we providing the appropriate resources in the appropriate locations; and how are we using technology to track our health improvements and provide relevant feedback at the local level? Building a healthy community requires multiple stakeholders working together with a common purpose. With that in mind, our hospital leadership serves on a variety of community boards and committees focused on addressing community-specific needs, allowing for ongoing responsiveness to the health care needs of the community and collaboration with local agencies and organizations, enabling maximum effectiveness through collective impact. |
| Part VI, Line 3: | The plain language summary of the Financial Assistance Policy (FAP) is posted along with the complete FAP policy and FAP Application on the hospital's website at:https://www.adventisthealth.org/documents/financial-assistance/ENG_PFS-112_Financial-Assistance-Policy.pdf.These documents are available in multiple languages.At the time of registration, patients who are uninsured and underinsured are provided information about government healthcare programs. Patients are also orally informed of their right to request charity assistance. Signs are displayed in the patient business office, patient registration areas and the emergency room in multiple languages informing patients of this right as well. The hospital also provides a brochure during the registration process that explains the hospital billing and collection procedures, and how to request financial assistance. In addition, every billing statement sent to patients contains information on how to request financial assistance. |
| Part VI, Line 4: | The definition of the community served was the primary service area jointly shared by Rideout Memorial Health and SSHNV. This area was defined by five ZIP Codes: 95901, 95953, 95961, 95991, and 95993. This service area was designated because the majority of patients served by both RMH and SSHNV resided in these ZIP Codes. RMH is located in Marysville, CA, and SSHNV is located in Yuba City, CA. Separated by the Feather River, these cities are located adjacent to one another and are part of the Yuba City Metropolitan Statistical Area as designated by the US Office of Management and Budget. The service area is home to over 147,000 community residents, and encompassed portions of both Sutter and Yuba Counties. The rural community is rich in diversity along a number of dimensions.Population characteristics for Sutter County include a median age of 35.6, a poverty rate of 17.5%, a 13.2% uninsured rate, a 52.0% minority rate, a 13.5% disability rate and 37% of residents living with high housing costs. Sutter County has a median income of $52,943.Population characteristics for Yuba County include a median age of 32.2, a poverty rate of 20.8%, a 12.2% uninsured rate, a 43.0% minority rate, a 16.9% disability rate and 41% of residents living with high housing costs. Yuba County has a median income of $48,739. |
| Part VI, Line 5: | Our hospital's mission is, "Living God's love by inspiring health, wholeness and hope." Our community benefit work is rooted deep within our mission and merely an extension of our mission and service. We have also incorporated our community benefit work to be an integral component of improving the "triple aim." The "Triple Aim" concept broadly known and accepted within health care includes:1) Improve the experience of care for our residents.2) Improve the health of populations.3) Reduce the per capita costs of health care.Our strategic investments in our community are focused on a more planned, proactive approach to community health. The basic issue of good stewardship is making optimal use of limited charitable funds. Defaulting to charity care in our emergency rooms for the most vulnerable is not consistent with our mission. An upstream and more proactive and strategic allocation of resources enables us to help low income populations avoid preventable pain and suffering; in turn allowing the reallocation of funds to serve an increasing number of people experiencing health disparities.Hospitals and health systems are facing continuous challenges during this historic shift in our health system. Given today's state of health, where cost and heartache is soaring, now more than ever, we believe we can do something to change this. These challenges include a paradigm shift in how hospitals and health systems are positioning themselves and their strategies for success in a new payment environment. This will impact everyone in a community and will require shared responsibility among all stakeholders. As hospitals move toward population health management, community health interventions are a key element in achieving the overall goals of reducing the overall cost of health care, improving the health of the population, and improving access to affordable health services for the community both in outpatient and community settings. The key factor in improving quality and efficiency of the care hospitals provide is to include the larger community they serve as a part of their overall strategy. Population health is not just the overall health of a population, but also includes the distribution of health. Overall health could be quite high if the majority of the population is relatively healthy even though a minority of the population is much less healthy. Ideally such differences would be eliminated or at least substantially reduced.Community health can serve as a strategic platform to improve the health outcomes of a defined group of people, concentrating on three correlated stages:1) The distribution of specific health statuses and outcomes within a population; 2) Factors that cause the present outcomes distribution; and 3) Interventions that may modify the factors to improve health outcomes.Improving population health requires effective initiatives to: 1) Increase the prevalence of evidence-based preventive health services and preventive health behaviors, 2) Improve care quality and patient safety, and 3) Advance care coordination across the health care continuum. We will work together with our community to ensure the community health improvements are identified and then targeted for programs to influence behaviors to obtain improved health within the whole community. |
| Part VI, Line 6: | The hospital is a member of Adventist Health, a health care system which provides healthcare services in diverse markets within the Western United States. A member hospital may share some services with other member hospitals in its geographic area, such as clinical, management and support services. Using today's technology, hospitals outside the geographic area can provide support through remote services such as telepharmacy and robotics surgery. The Corporate Office provides important shared administrative support for member hospitals' rural health clinics and home care agencies, quality of care, other clinical needs, financing and risk management, and shared clinical and financial information technology. As many experienced and new physicians search for alternatives to independent practice, there is also corporate administrative support for hospital affiliated medical groups that engage physicians through employment or other contracts. This provides stability and growth of qualified physicians across many specialties, which is very important to make healthcare services available and to maintain and improve health within the communities served by all member hospitals. |
| Part VI, Line 7, Reports Filed With States | CA |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CA Health Fund & Trust | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1215 K Street Suite 800 | AddressLine1Txt |
| City | Sacramento | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95814 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 941498697 | RecipientEIN |
| IRC Section | 501(c)(3) | IRCSectionDesc |
| Cash Grant | $325,671 | CashGrantAmt |
| Purpose Of Grant | Hlth srvs un/underinsured pt | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | Grantees are provided support based on the program for which they are soliciting funds. Our expectation is that the monies will be used accordingly, and reporting from the recipient is not required. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Wing Bill | ||||||||||||||
| Director/Chair | $0 | $1,200,390 | $0 | $318,717 | $0 | $53,147 | $0 | $16,782 | $0 | $29,801 | $0 | $1,618,837 | $0 | $0 |
| Eller Jeff | ||||||||||||||
| President, NCR | $0 | $868,316 | $0 | $193,574 | $0 | $110,192 | $0 | $16,782 | $0 | $23,415 | $0 | $1,212,279 | $0 | $0 |
| Lang Kevin | ||||||||||||||
| Finance Officer, NCR | $0 | $0 | $0 | $0 | $0 | $1,038,744 | $0 | $0 | $0 | $0 | $0 | $1,038,744 | $0 | $0 |
| Jobe Meredith | ||||||||||||||
| Secretary | $0 | $524,870 | $0 | $65,461 | $0 | $140,054 | $0 | $16,782 | $0 | $29,127 | $0 | $776,294 | $0 | $0 |
| Rawson Richard | ||||||||||||||
| President | $0 | $546,538 | $0 | $90,538 | $0 | $103,310 | $0 | $0 | $0 | $28,958 | $0 | $769,344 | $0 | $0 |
| Byrnes John | ||||||||||||||
| Medical Officer, NCR | $0 | $493,269 | $0 | $77,663 | $0 | $147,368 | $0 | $1,523 | $0 | $28,290 | $0 | $748,113 | $0 | $0 |
| Sheikh Azad | ||||||||||||||
| Medical Officer | $0 | $423,077 | $0 | $81,450 | $0 | $89,022 | $0 | $16,109 | $0 | $36,104 | $0 | $645,762 | $0 | $0 |
| Gordon Cyndy | ||||||||||||||
| Patient Care Executive | $0 | $333,173 | $0 | $64,142 | $0 | $64,373 | $0 | $13,330 | $0 | $22,422 | $0 | $497,440 | $0 | $0 |
| Lonto Robert | ||||||||||||||
| Reg HP Dir, NCR | $0 | $273,824 | $0 | $52,858 | $0 | $61,517 | $0 | $16,764 | $0 | $41,645 | $0 | $446,608 | $0 | $0 |
| Chibaya Daniel | ||||||||||||||
| Operations Manager | $0 | $285,577 | $0 | $54,979 | $0 | $40,271 | $0 | $11,389 | $0 | $42,874 | $0 | $435,090 | $0 | $0 |
| Arrowsmith Monica | ||||||||||||||
| Bus Dev Leader | $0 | $269,712 | $0 | $51,924 | $0 | $43,663 | $0 | $11,369 | $0 | $27,879 | $0 | $404,547 | $0 | $0 |
| Gonzalez Eduardo | ||||||||||||||
| Treasurer/Asst Secretary | $0 | $264,423 | $0 | $45,250 | $0 | $34,736 | $0 | $10,728 | $0 | $44,544 | $0 | $399,681 | $0 | $0 |
| Gonzales Jerry | ||||||||||||||
| Manager, Pharmacy | $232,631 | $0 | $11,408 | $0 | $0 | $0 | $4,932 | $0 | $9,198 | $0 | $258,169 | $0 | $0 | $0 |
| Bird Sherryl | ||||||||||||||
| RN | $237,157 | $0 | $50 | $0 | $0 | $0 | $6,911 | $0 | $7,232 | $0 | $251,350 | $0 | $0 | $0 |
| Minton Krista | ||||||||||||||
| Director, Clinical Care | $207,299 | $0 | $9,990 | $0 | $746 | $0 | $4,354 | $0 | $9,922 | $0 | $232,311 | $0 | $0 | $0 |
| Murphy Margaret | ||||||||||||||
| Director, Cancer Center thru 11/19 | $197,328 | $0 | $9,799 | $0 | $11,806 | $0 | $1,536 | $0 | $2,795 | $0 | $223,264 | $0 | $0 | $0 |
| Butts Jennifer | ||||||||||||||
| RN | $216,028 | $0 | $50 | $0 | $0 | $0 | $6,481 | $0 | $0 | $0 | $222,559 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II: | FormAndLineReferenceDesc |
| Explanation | Kevin Lang, Finance Officer, NCR was paid through an unrelated organization KJL, Inc. that was reported on Form 1099. Compensation paid is reported in Form 990, Part VII, Section A and Schedule J, Part II. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4a: | Rideout Memorial Hospital (AHRO) provides quality medical health care regardless of race, creed, sex, national origin, handicap, age, or ability to pay. Although reimbursement for services rendered is critical to the operation and stability Rideout Memorial Hospital, the organization recognizes that not all individuals possess the ability to pay for essential medical services. Adventist Health's vision is to enhance the health of the communities where we live and serve, by engaging our communities and our patients in a new definition of and partnership for personal community health. In keeping with this commitment to serve all members of the community, the following will be considered when individuals who need health care cannot pay: - providing free care and/or subsidized care - providing care to persons covered by governmental programs at below cost - providing health/wellness activities and community education programs Not only does Rideout Memorial Hospital provide low cost care to individuals covered by government-programs and those unable to afford healthcare, it also helps patients find and access private and governmental resources for healthcare benefits. AHRO recognizes below-cost reimbursement as charity and uncompensated care in meeting its mission to the entire community. The unreimbursed cost of providing care to these patients in 2019 was $41,766,390. The following Inpatient services that were provided to all our patients. These services included: - 1,873 Babies delivered - 1,951 Surgeries performed - 55,490 Patient days The following Outpatient services that were provided to all our patients. These services included: - 71,801 Emergency department visits - 1,741 Outpatient Surgeries performed - 83,910 Outpatient visits - 91,149 Clinic visits AHRO recognizes it has an obligation to provide human services above and beyond its role as a healing facility. The following community benefits demonstrate the tangible ways in which the organization is fulfilling its mission. The total unreimbursed cost of these community benefits in 2019 was $1,361,851. Adventist Health's mission statement of Living God's love by inspiring health, wholeness and hope is coupled with a vision to transform the health experience of our communities through collaborative programs, community investments and community outreach. We are inspired by the healing ministry as represented by the life of Jesus Christ and believe we are called to live out our mission intentionally in the communities we serve. In the small towns, suburbs and inner cities we serve, we continue our journey to provide quality healthcare until every person made in God's image has experienced the best health today, hope for tomorrow, and God's love that endures forever. Websites for our community benefit information: https://www.adventisthealth.org/about-us/community-benefit/ |
| Form 990, Part VI, Section A, line 4 | The Hospital made the following amendments to the Bylaws: 1) Article 5: amended the position of chief financial officer to treasurer; changed the manner in which the president is appointed from the Board chair to the chief executive officer of Adventist Health System/West. 2) Article 6: amended for certain oversight requirements of the governing board. 2) Article 8.1: amended the Execution of Legal Documents, which consolidated signature authority. |
| Form 990, Part VI, Section A, line 6 | The sole member of the organization is the Fremont-Rideout Health Group, a California nonprofit public benefit corporation. |
| Form 990, Part VI, Section A, line 7a | Each individual who is a director of the board of the Fremont-Rideout Health Group shall automatically be a director of Rideout Memorial Hospital, and shall serve as a director of Rideout Memorial Hospital until such time as that person is no longer a director of the Fremont-Rideout Health Group. |
| Form 990, Part VI, Section A, line 7b | The Fremont-Rideout Health Group shall exercise its membership rights through its Board of Directors, which may, by resolution, authorize one or more of its officers to exercise its vote on any matter to come before the membership of Rideout Memorial Hospital. Request for action by the Fremont-Rideout Health Group may be made by the Chair of the Fremont-Rideout Health Group's board or any other person designated in writing by the Fremont-Rideout Health Group. |
| Form 990, Part VI, Section B, line 11b | This Form 990 including all supporting schedules was prepared by a public accounting firm, reviewed by the System Controller and Market Finance Officer, and shared by electronic communication with the Hospital's Board of Directors prior to filing. |
| Form 990, Part VI, Section B, line 12c | During the first quarter of each year, the annual conflict of interest questionnaire is sent to board members, corporate officers, key employees, and department directors for completion and signature. The questionnaire is accompanied by a letter of explanation to illustrate examples of a conflict and remind the recipient that if any perceived conflict should arise before the next annual questionnaire, he/she is to notify the CEO immediately. The Corporate General Counsel distributes, collects, and reviews for signatures the COIs for all applicable Corporate employees and the board. In addition, the hospital's administration is responsible for keeping record to ensure all hospital-based individuals with director and above positions have submitted their COIs. The Corporate General Counsel reviews all the disclosures on the board and Corporate employees' COIs. Corporate General Counsel retains the COIs for the board members. The officers and key employees' COIs are kept in their personnel files. Further inquiries on any potential significant conflicts are made as needed. Conflicts are documented and reviewed with the Board. |
| Form 990, Part VI, Section B, line 15 | The Hospital's Board of Directors has established a Human Performance Committee to oversee the executive compensation program. This committee is composed of independent directors with no conflicts of interest. The committee performs the following functions: recommends a total compensation philosophy to the board; assures compliance with the board-approved philosophy; meets annually to review comparability data from outside consultants; recommends any adjustments to current executive compensation, including salary ranges for hospital presidents and finance officers, that would be indicated by the data; evaluates executive performance against annual goals; recommends appropriate incentive awards to the board for approval; follows a diligent process that meets regulatory requirements for a rebuttable presumption of reasonableness; records committee deliberations and decisions in timely minutes; selects, engages and supervises any consultant hired to advise and provide comparability data. The board-approved executive compensation philosophy specifies that salary ranges will be established for hospital executives, with midpoints aligned with the 50th percentile of comparable system hospital data, and having a 50 percent spread from minimum to maximum. A hospital CEO has a maximum potential incentive of 30 or 35 percent of base salary based upon size and scope of hospital (incentive potential is industry norm). Other hospital executives have a maximum potential incentive of 25 to 30 percent of base salary. |
| Form 990, Part VI, Section C, line 19 | The Hospital does not make its governing documents publicly available, beyond required filings of Articles of Incorporation with the Secretary of State. The Hospital does not make its Conflict of Interest Policy available upon request, but does file monthly/quarterly summary financial reports with the state health-planning agency. |
| Form 990, Part VII: | In recognition of the time commitment directors make to serve on the Adventist Health System/West boards and committees, directors receive compensation when their employment agreements with their employers allow such payments. For those whose employers do not allow accepting compensation for board service, the funds are directly distributed to charitable organizations as mandated by their employment agreements. In addition, amounts paid for taxable benefits are also reported. |
| Form 990, Part IX, line 11g | Physician fees: Program service expenses 43,549,110. Management and general expenses 0. Fundraising expenses 0. Total expenses 43,549,110. Consulting fees: Program service expenses 0. Management and general expenses 415,167. Fundraising expenses 0. Total expenses 415,167. Contract labor: Program service expenses 9,386,340. Management and general expenses 0. Fundraising expenses 0. Total expenses 9,386,340. Repairs and maintenance: Program service expenses 5,674,636. Management and general expenses 0. Fundraising expenses 0. Total expenses 5,674,636. Purchased medical services: Program service expenses 5,028,627. Management and general expenses 0. Fundraising expenses 0. Total expenses 5,028,627. Other fees for services: Program service expenses 3,914,561. Management and general expenses 11,524,154. Fundraising expenses 0. Total expenses 15,438,715. Revenue cycle fees: Program service expenses 0. Management and general expenses 19,471,278. Fundraising expenses 0. Total expenses 19,471,278. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (27 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Adventist Health Clearlake Hospital Inc | |||||||||||
| 15630 18th Avenue | Clearlake | CA | 95422 | 680395149 | Hospital | CA | 501(c)(3) | Line 3 | Adventist Health SystemWest | 0 | |
| Adventist Health Delano | |||||||||||
| PO Box 460 | Delano | CA | 93216 | 770258013 | Hospital | CA | 501(c)(3) | Line 3 | Adventist Health SystemWest | 0 | |
| Adventist Health Medical Center Tehachapi | |||||||||||
| 1100 Magellan Drive | Tehachapi | CA | 93561 | 812240617 | Hospital | CA | 501(c)(3) | Line 3 | Adventist Health SystemWest | 0 | |
| Adventist Health Physicians Network | |||||||||||
| PO Box 619135 | Roseville | CA | 95661 | 680357690 | Medical foundation | CA | 501(c)(3) | Line 12b, II | Adventist Health SystemWest | 0 | |
| Adventist Health SystemWest | |||||||||||
| PO Box 619135 | Roseville | CA | 95661 | 953484589 | Integrated health system | CA | 501(c)(3) | Line 10 | 0 | N/A | |
| Adventist Health Tulare | |||||||||||
| 869 North Cherry Street | Tulare | CA | 93274 | 832351753 | Hospital | CA | 501(c)(3) | Line 3 | Adventist Health SystemWest | 0 | |
| Castle Medical Center | |||||||||||
| 640 Ulukahiki Street | Kailua | HI | 96734 | 990107330 | Hospital | HI | 501(c)(3) | Line 3 | Adventist Health SystemWest | 0 | |
| Feather River Hospital | |||||||||||
| PO Box 619135 | Roseville | CA | 95661 | 941101228 | Hospital | CA | 501(c)(3) | Line 3 | Adventist Health SystemWest | 0 | |
| Fremont-Rideout Health Group | |||||||||||
| 989 Plumas Street | Yuba City | CA | 95991 | 942917251 | Acute care hospital | CA | 501(c)(3) | Line 12b, II | Stone Point Health | 0 | |
| Glendale Adventist Medical Center | |||||||||||
| 1509 Wilson Terrace | Glendale | CA | 91206 | 951816017 | Hospital | CA | 501(c)(3) | Line 3 | Adventist Health SystemWest | 0 | |
| Hanford Community Hospital | |||||||||||
| 115 Mall Drive | Hanford | CA | 93230 | 940535360 | Hospital | CA | 501(c)(3) | Line 3 | Adventist Health SystemWest | 0 | |
| Lodi Memorial Hospital Association Inc | |||||||||||
| 975 S Fairmont Avenue | Lodi | CA | 95240 | 941044474 | Hospital | CA | 501(c)(3) | Line 3 | Adventist Health SystemWest | 0 | |
| Northwest Medical Foundation of Tillamook | |||||||||||
| 1000 Third Street | Tillamook | OR | 97141 | 930622075 | Hospital | OR | 501(c)(3) | Line 3 | Adventist Health SystemWest | 0 | |
| Paradise Valley Hospital | |||||||||||
| PO Box 619135 | Roseville | CA | 95661 | 951816034 | Discontinued Operations | CA | 501(c)(3) | Line 1 | Adventist Health SystemWest | 0 | |
| Portland Adventist Medical Center | |||||||||||
| 10123 SE Market Street | Portland | OR | 97216 | 930429015 | Hospital | OR | 501(c)(3) | Line 3 | Adventist Health SystemWest | 0 | |
| Reedley Community Hospital | |||||||||||
| 372 Cypress Avenue | Reedley | CA | 93654 | 453220509 | Hospital | CA | 501(c)(3) | Line 3 | Adventist Health SystemWest | 0 | |
| San Joaquin Community Hospital | |||||||||||
| 2615 Chester Avenue | Bakersfield | CA | 93301 | 952294234 | Hospital | CA | 501(c)(3) | Line 3 | Adventist Health SystemWest | 0 | |
| Simi Valley Hospital & Health Care Services | |||||||||||
| 2975 N Sycamore Drive | Simi Valley | CA | 93065 | 956064971 | Hospital | CA | 501(c)(3) | Line 3 | Adventist Health SystemWest | 0 | |
| Sonora Community Hospital | |||||||||||
| 1000 Greenley Road | Sonora | CA | 95370 | 941415069 | Hospital | CA | 501(c)(3) | Line 3 | Adventist Health SystemWest | 0 | |
| St Helena Hospital | |||||||||||
| 10 Woodland Road | St Helena | CA | 94574 | 941279779 | Hospital | CA | 501(c)(3) | Line 3 | Adventist Health SystemWest | 0 | |
| Stone Point Health | |||||||||||
| PO Box 619135 | Roseville | CA | 95661 | 823763347 | Supporting organization | CA | 501(c)(3) | Line 12b, II | Adventist Health SystemWest | 0 | |
| Ukiah Adventist Hospital | |||||||||||
| 275 Hospital Drive | Ukiah | CA | 95482 | 941639901 | Hospital | CA | 501(c)(3) | Line 3 | Adventist Health SystemWest | 0 | |
| United Com-Serve | |||||||||||
| 989 Plumas Street | Yuba City | CA | 95991 | 943015356 | Skilled nursing/assisted living/home health | CA | 501(c)(3) | Line 12b, II | Fremont-Rideout Health Group | 0 | |
| Walla Walla General Hospital | |||||||||||
| PO Box 619135 | Roseville | CA | 95661 | 910617726 | Hospital - closed July 2017 | WA | 501(c)(3) | Line 3 | Adventist Health SystemWest | 0 | |
| Western Health Resources | |||||||||||
| PO Box 619135 | Roseville | CA | 95661 | 953867863 | Home care | CA | 501(c)(3) | Line 10 | Adventist Health SystemWest | 0 | |
| White Memorial Medical Center | |||||||||||
| 1720 Cesar E Chavez Avenue | Los Angeles | CA | 90033 | 952282647 | Hospital | CA | 501(c)(3) | Line 3 | Adventist Health SystemWest | 0 | |
| Willits Hospital Inc | |||||||||||
| 1 Marcela Drive | Willits | CA | 95490 | 680108919 | Hospital | CA | 501(c)(3) | Line 3 | Adventist Health SystemWest | 0 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FRD Management Company LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 2128 | AddressLine1Txt |
| City | Marysville | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95901 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 943335136 | EIN |
| Primary Activities | Operation of cancer center | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| Fremont-Rideout Management Services Organization Inc | |||||||||
| 989 Plumas Street | Yuba City | CA | 95991 | 271350379 | DME sales | CA | N/A | C | 0 |
| South Coast Medical Center | |||||||||
| PO Box 619135 | Roseville | CA | 95661 | 952037291 | Wind down after sale of hospital | CA | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |