RIDGECREST REGIONAL HOSPITAL: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- RIDGECREST REGIONAL HOSPITAL (EIN 95-2082686)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-11-10
- IRS object ID
- 202043159349302394
- 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 C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-11-10T12:12:06-06:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 450250958 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EIDE BAILLY LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 NICOLLET MALL STE 1300 | AddressLine1Txt |
| City | MINNEAPOLIS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 554027033 | 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 | 952082686 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Ridgecrest Regional Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | RIDG | BusinessNameControlTxt |
| Phone | 7604463551 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1081 N China Lake Blvd | AddressLine1Txt |
| City | Ridgecrest | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93555 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | James Suver | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 7604463551 | PhoneNum |
| Signature | 2020-11-06 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Kim C Hunwardsen | PreparerPersonNm |
| PTIN | P00484560 | PTIN |
| Phone | 6122536500 | PhoneNum |
| Preparation | 2020-11-06 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 63.233.88.226 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-11-06 | IPDt |
| IP Tm | 15:44:13 | IPTm |
| IP Timezone | CS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | A9F393D044C6B02927C29CDABEE7CBE310A8D2B0 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | F4E1B545B5A64400ED95821F5295FDCB6EE8A6F8 | 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 | James Suver | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1081 N China Lake Blvd | AddressLine1Txt |
| City | Ridgecrest | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93555 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $129,939,178 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.rrh.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1965 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | Community-based organization that provides and promotes comprehensive quality healthcare for the people of the Southern Sierra Region. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 1015 | TotalEmployeeCnt |
| Total Volunteers | 66 | TotalVolunteersCnt |
| Total Gross UBI | $993,115 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $488,595 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $346,852 | PYContributionsGrantsAmt |
| CY Contributions Grants | $153,565 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $125,384,690 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $128,912,849 | CYProgramServiceRevenueAmt |
| PY Investment Income | $449,923 | PYInvestmentIncomeAmt |
| CY Investment Income | $617,140 | CYInvestmentIncomeAmt |
| PY Other Revenue | $263,094 | PYOtherRevenueAmt |
| CY Other Revenue | $227,021 | CYOtherRevenueAmt |
| PY Total Revenue | $126,444,559 | PYTotalRevenueAmt |
| CY Total Revenue | $129,910,575 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $7,115 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $53,879,355 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $55,624,958 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $68,639,559 | PYOtherExpensesAmt |
| CY Other Expenses | $71,879,126 | CYOtherExpensesAmt |
| PY Total Expenses | $122,526,029 | PYTotalExpensesAmt |
| CY Total Expenses | $127,504,084 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,918,530 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,406,491 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $166,917,629 | TotalAssetsBOYAmt |
| Total Assets EOY | $164,896,716 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $77,838,557 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $74,610,241 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $89,079,072 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $90,286,475 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | To be a community-based organization that provides and promotes comprehensive quality healthcare for the people of the Southern Sierra Region. | MissionDesc |
| Significant New Program Srvc | Yes (1) | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $92,245,890 | ExpenseAmt |
| Revenue | $128,912,849 | RevenueAmt |
| Desc | Ridgecrest Regional Hospital provides inpatient and outpatient care. Charity care is provided to qualified patients with minimum or no charge. Care accomplishments for the year are as follows:Number of Visits 63,188Number of Patient Days 6,476Home Health Visits 3,885Hospice Routine Care Days 2,278SNF Resident Days 23,177Rural Health Visits 66,255Community Care Clinic Visits 33,153 | Desc |
| Total Program Service Expenses | $92,245,890 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | 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 | Yes (1) | 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 | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | 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 | 0 | 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 | Yes (1) | 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 | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 232 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1015 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| 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 | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | 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 | 0 | 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
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Kanner Tillman | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7604993040 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1081 North China Lake Blvd | AddressLine1Txt |
| City | Ridgecrest | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93555 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|---|
| Healthy Desai | |||||||||
| Physician | 40.00 | 0.00 | Yes (X) | $647,242 | $0 | $40,310 | |||
| James Suver | |||||||||
| CEO | 50.00 | 2.00 | $511,911 | $0 | $23,173 | Yes (X) | |||
| Luigi Cendana | |||||||||
| Physician | 40.00 | 0.00 | Yes (X) | $334,432 | $0 | $20,687 | |||
| Hope Zissos | |||||||||
| Physician | 40.00 | 0.00 | Yes (X) | $260,922 | $0 | $48,475 | |||
| Barbara Badertscher | |||||||||
| COO | 50.00 | 0.00 | $279,521 | $0 | $596 | Yes (X) | |||
| Christian Schwartz | |||||||||
| Physician's Assistant | 49.80 | 0.00 | Yes (X) | $254,217 | $0 | $19,403 | |||
| Brenda Diel | |||||||||
| Administrator of Quality | 50.00 | 0.00 | Yes (X) | $209,305 | $0 | $37,115 | |||
| Lawrence Cosner MD | |||||||||
| Director/Physician | 40.00 | 0.00 | $216,688 | $0 | $24,512 | Yes (X) | |||
| Kanner Tillman | |||||||||
| CFO (Apr-Dec) | 50.00 | 0.00 | $155,792 | $0 | $13,745 | Yes (X) | |||
| John Chivers | |||||||||
| CFO (Jan) | 50.00 | 0.00 | $77,028 | $0 | $2,615 | Yes (X) | |||
| Cornelis Vanderhoek MD | |||||||||
| Director/Physician | 40.00 | 0.00 | $45,600 | $0 | $0 | Yes (X) | |||
| George Haslam | |||||||||
| Chairperson | 1.20 | 0.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| Patricia Mullis | |||||||||
| Vice Chair (Jan-May) | 1.20 | 0.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| Dana Lyons | |||||||||
| Vice Chair(Jun-Dec)/Director(Jan-May) | 1.20 | 0.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| Chris Ellis | |||||||||
| Secretary (Jan-May) | 1.20 | 0.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| Dave Goppelt | |||||||||
| Secretary(Jun-Dec)/Director(Jan-May) | 1.20 | 0.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| Don Zdeba | |||||||||
| Treasurer | 1.20 | 0.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| Walter Martin | |||||||||
| Director | 1.20 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| Margaret Hannon | |||||||||
| Director | 1.20 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| Anita Read | |||||||||
| Director | 1.20 | 0.10 | $0 | $0 | $0 | Yes (X) | |||
| Paige Sorbo-Netzer | |||||||||
| Director | 1.20 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| Jim Rizzardini | |||||||||
| Director (Jun-Dec) | 1.20 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,992,658 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $230,631 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 97 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Barton Associates Inc | |||||
| 300 Jubilee Drive | Peabody | MA | 01960 | Medical | $1,564,748 |
| HealthComp LLC | |||||
| 621 Santa Fe | Fresno | CA | 93721 | Benefits Administration | $1,314,893 |
| CHG Companies Inc | |||||
| PO BOX 972651 | Dallas | TX | 75397 | Medical | $1,206,551 |
| CVSCaremark | |||||
| 9501 E Shea Blvd MC 019 | Scottsdale | AZ | 85260 | Benefits Administration | $833,075 |
| Ghassan A Mohsen | |||||
| 1017 Meadowview Lane | Ridgecrest | CA | 93555 | Medical | $826,600 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 83 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $102,419 | GovernmentGrantsAmt |
| All Other Contributions | $51,146 | AllOtherContributionsAmt |
| Total Contributions | $153,565 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Net Patient Service Rev | 622000 | $125,845,569 | $125,845,569 | |
| Pharmacy Revenue | 446110 | $1,402,480 | $1,126,855 | $275,625 |
| Other Supporting Revenue | 900099 | $765,030 | $765,030 | |
| Ambulance S Corp | 621910 | $717,490 | $717,490 | |
| EHR Revenue | 622000 | $182,280 | $182,280 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $128,912,849 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $611,280 | TotalRevenueColumnAmt |
| Exclusion | $611,280 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $252,485 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $25,464 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $227,021 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $227,021 | TotalRevenueColumnAmt |
| Exclusion | $227,021 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $8,999 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $3,139 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $5,860 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,860 | TotalRevenueColumnAmt |
| Exclusion | $5,860 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $129,910,575 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $127,919,734 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $993,115 | UnrelatedBusinessRevenueAmt |
| Exclusion | $844,161 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,351,401 | TotalAmt |
| Program Services | $286,861 | ProgramServicesAmt |
| Management And General | $1,064,540 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,467 | TotalAmt |
| Program Services | $38,467 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,230,402 | TotalAmt |
| Program Services | $33,335,217 | ProgramServicesAmt |
| Management And General | $10,895,185 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $871,911 | TotalAmt |
| Program Services | $653,378 | ProgramServicesAmt |
| Management And General | $218,533 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,260,095 | TotalAmt |
| Program Services | $3,725,098 | ProgramServicesAmt |
| Management And General | $1,534,997 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,872,682 | TotalAmt |
| Program Services | $2,863,170 | ProgramServicesAmt |
| Management And General | $1,009,512 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $743,464 | TotalAmt |
| Program Services | $30,900 | ProgramServicesAmt |
| Management And General | $712,564 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,755 | TotalAmt |
| Management And General | $59,755 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,735,516 | TotalAmt |
| Program Services | $27,214,263 | ProgramServicesAmt |
| Management And General | $6,521,253 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,988,491 | TotalAmt |
| Program Services | $3,045,920 | ProgramServicesAmt |
| Management And General | $1,942,571 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,219,238 | TotalAmt |
| Program Services | $638,853 | ProgramServicesAmt |
| Management And General | $1,580,385 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $482,542 | TotalAmt |
| Program Services | $359,791 | ProgramServicesAmt |
| Management And General | $122,751 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $208,304 | TotalAmt |
| Program Services | $145,866 | ProgramServicesAmt |
| Management And General | $62,438 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,237,351 | TotalAmt |
| Program Services | $1,894,038 | ProgramServicesAmt |
| Management And General | $343,313 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,117,208 | TotalAmt |
| Program Services | $2,558,463 | ProgramServicesAmt |
| Management And General | $4,558,745 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,053,304 | TotalAmt |
| Program Services | $906,826 | ProgramServicesAmt |
| Management And General | $1,146,478 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $10,044,812 | $10,044,812 | |
| Repair & Maintenance | $3,627,229 | $1,797,238 | $1,829,991 |
| Pharmacy Expenses | $950,393 | $950,393 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,411,519 | TotalAmt |
| Program Services | $1,756,336 | ProgramServicesAmt |
| Management And General | $1,655,183 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $127,504,084 | TotalAmt |
| Program Services | $92,245,890 | ProgramServicesAmt |
| Management And General | $35,258,194 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,465,260 | BOYAmt |
| EOY | $13,892,416 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,285,913 | BOYAmt |
| EOY | $17,652,194 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,087 | BOYAmt |
| EOY | $26,091 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,159,842 | BOYAmt |
| EOY | $2,263,673 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,302,715 | BOYAmt |
| EOY | $4,270,004 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $165,522,226 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $84,930,824 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $83,894,269 | BOYAmt |
| EOY | $80,591,402 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,339,486 | BOYAmt |
| EOY | $34,409,426 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $4,699,141 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,461,057 | BOYAmt |
| EOY | $7,092,369 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $166,917,629 | BOYAmt |
| EOY | $164,896,716 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,768,721 | BOYAmt |
| EOY | $15,020,840 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,567 | BOYAmt |
| EOY | $25,227 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,208 | BOYAmt |
| EOY | $27,838 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,184,397 | BOYAmt |
| EOY | $54,137,085 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,832,664 | BOYAmt |
| EOY | $5,399,251 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,838,557 | BOYAmt |
| EOY | $74,610,241 | 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 | $89,079,072 | BOYAmt |
| EOY | $90,286,475 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $89,079,072 | BOYAmt |
| EOY | $90,286,475 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $166,917,629 | BOYAmt |
| EOY | $164,896,716 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $2,406,491 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $88,261 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$1,287,349 | 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) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
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 | $7,592 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $7,592 | 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 | Lobbying portion of Hospital Association dues. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,213,289 | OtherCostOrOtherBasisAmt |
| Book Value | $3,213,289 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $116,627,722 | OtherCostOrOtherBasisAmt |
| Depreciation | $51,955,911 | DepreciationAmt |
| Book Value | $64,671,811 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $41,839,072 | OtherCostOrOtherBasisAmt |
| Depreciation | $32,376,241 | DepreciationAmt |
| Book Value | $9,462,831 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,842,143 | OtherCostOrOtherBasisAmt |
| Depreciation | $598,672 | DepreciationAmt |
| Book Value | $3,243,471 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $80,591,402 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Estimated Third Party Payor Settlements | $4,261,357 |
| Malpractice Insurance Payable | $139,343 |
| Tail Coverage Payable | $998,551 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $5,399,251 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $127,786,558 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $88,261 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$1,520,252 | OtherRevenueAmt |
| Revenue Not Reported | -$1,431,991 | RevenueNotReportedAmt |
| Revenue Subtotal | $129,218,549 | RevenueSubtotalAmt |
| Other Revenues Not Included | $692,026 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $692,026 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $129,910,575 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $126,579,155 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $25,464 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $25,464 | ExpensesNotReportedAmt |
| Expenses Subtotal | $126,553,691 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $950,393 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $950,393 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $127,504,084 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part IV, Line 2b: | Skilled nursing facility resident private monies maintained as a drawing account as required by Title 22 of the California Code of Regulations. |
| Part X, Line 2: | The Hospital believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Hospital would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. |
| Part XI, Line 2d - Other Adjustments: | Pharmacy Expenses Reported in Expenses on Form 990 -950,393. Book Loss on Ambulance S Corp -569,859. |
| Part XI, Line 4b - Other Adjustments: | Rental Expenses Included in Expenses for Financials -25,464. Tax Gain on Ambulance S Corp 717,490. |
| Part XII, Line 2d - Other Adjustments: | Rental Expenses Included in Revenue on Form 990 25,464. |
| Part XII, Line 4b - Other Adjustments: | Pharmacy Expenses Reported in Revenue for Financials 950,393. |
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 |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 300.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| 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 | $90,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $90,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,776,581 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,665,270 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,111,311 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01660 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,866,581 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,665,270 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,201,311 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01730 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $219,348 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $116,929 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $102,419 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,785 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,785 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,616,878 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $626,257 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $990,621 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00780 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,853 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $13,853 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,854,864 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $743,186 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,111,678 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00870 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,721,445 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,408,456 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,312,989 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02600 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $8,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $35,655 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $35,655 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,046 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $10,046 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,181 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,181 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,185 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $17,185 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $510,730 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $510,730 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00400 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $582,797 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $582,797 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00460 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,728,791 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,182,198 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $31,398,031 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $31,834,423 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$436,392 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| 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 | Ridgecrest Regional Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1081 N China Lake Blvd | AddressLine1Txt |
| City | Ridgecrest | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93555 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.rrh.org | WebsiteAddressTxt |
| State License | 120000186 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Ridgecrest Regional Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| 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 | 0 | 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 Section C, Line 7d | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | See Section C, Line 7d | 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 | 300.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| 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 |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | See Part V, Page 8 | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | See Part V, Page 8 | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | See Part V, Page 8 | 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 |
| Other Publicity | Yes (X) | OtherPublicityInd |
| 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 Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Ridgecrest Regional Hospital | Part V, Section B, Line 5: Input from the community was gathered through an online survey with 46 community residents in July to October 2019. Interviews were conducted with 13 key community stakeholders via phone in September and October 2019. Individuals consulted included 2 physicians, a Kern County Public Health nurse, other healthcare professionals, a director of community outreach, and other community leaders from the local museum, community college, school district, and library. |
| Ridgecrest Regional Hospital | Part V, Section B, Line 7d: CHNA and Implementation Strategy:https://www.rrh.org/about-us/community-benefit/community-health-needs-assessment-survey/ |
| Ridgecrest Regional Hospital | Part V, Section B, Line 11: Due to the timing of the approval for the 2019 CHNA and Implementation Strategy, the Hospital was not able to address in 2019 any of the needs identified in the 2019 CHNA. The Hospital will address needs identified in the 2019 CHNA in 2020, 2021, and 2022. The following needs have been identified and will be addressed as follows:1) Access to health care: Provide financial assistance through both free and discounted care for health care services, consistent with the hospital's financial assistance policy; Expand services via telehealth; Adopt a virtual Urgent Care program; Implement centralized/coordinated scheduling and authorization for RRH services; Continue to recruit primary care providers and a pediatric dentist; Explore the feasibility of providing transportation support to increase access to health care services.2) Chronic diseases and preventive practices: Provide support groups to assist those with chronic diseases and their families; Expand population health initiatives; Provide preventive health screenings; Offer Heartsaver CPR and first aid classes; Implement an integrated chronic disease management and patient engagement program; Provide public health education in the media and community health awareness events to encourage healthy behaviors; Promote preventive health care; Increase access to Health Coaching.3) Mental health: Expand access to mental health tele-psych services; Expand mental health services to schools via Mobile Health Unit; Expand mental health services to Trona; Increase access and emphasis on mental health early intervention for children and teens.4) Overweight and obesity: Host fitness classes for seniors; Provide health information focused on activity, exercise and nutrition; In collaboration with Kern County and the City of Ridgecrest, improve access to healthy foods and exercise facilities for low-income and socially disadvantaged residents; Provide education at schools on healthy foods and activities.5) Substance use and misuse: Explore feasibility of pursuing a county contract for services; Maximize partnership with Tarzana Treatment Center; Provide education focused on substance use prevention; Contact with inpatient facilities to increase access to substance use care.The following needs were identified in the 2019 CHNA, but due to limited resources and prioritization of needs, they will not be addressed:1) Dental care indirectly addressed through increasing access to care2) Birth indicators3) Housing and homelessness4) Economic insecurity5) Food insecurity6) Sexually transmitted infections7) Violence and injuryDue to the timing of the approval for the 2019 CHNA and Implementation Strategy, the Hospital was not able to address in 2019 any of the needs identified in the 2019 CHNA. The Hospital continued to address needs identified in the 2016 CHNA in 2019. The following needs were identified and addressed as follows since the implementation of the 2016 CHNA:1) Substance & Alcohol Abuse: provided assistance with opening a Mental Health Crisis Stabilization Unit in October 2017, which has the capability to take patients in crisis for a 23 hour period with onsite psychiatric nurses and a telepsychiatrist.2) Cancer: Affiliation with UC Davis Cancer Center; New oncology, including chemotherapy, services in Outpatient Pavilion and cancer clinic opened November 2017; Recruitment of onsite oncologist; Merged with Antelope Valley Cancer Center and added 2 new oncologists in 2019 as well as adding mobile PET/CT scans in November 2019.3) Mental Health: provided assistance with opening a Mental Health Crisis Stabilization Unit in October 2017, which has the capability to take patients in crisis for a 23 hour period with onsite psychiatric nurses and a telepsychiatrist; Continued Recruitment of onsite psychiatrist including pediatric psychiatry4) Heart Disease: Onsite non-invasive cardiologist - started in 20165) Obesity & Nutrition: Senior exercise classes; Silver Sneakers; Chair Yoga; Diabetes classes; Healthy Eating classes6) Senior Health Services Including Dementia - expanded senior services in 2016 and 2017 with additional off-site location7) Women's Health Services - added three OB/GYN physicians (one in 2016, one in 2017, and one in 2018)8) Access to Specialists: Continued recruitment efforts in the areas of mental health, dentistry, podiatry, and pediatrics, including the additions of a podiatrist and a dentist in 2017 and a pediatrician in 2018. A new urology clinic, affiliated with Keck Medicine of USC, opened in 2019 with 2 new physicians. A new chiropractic clinic opened in 2019.9) Medical Provider Recruitment: Recruited four physicians in 2016, four physicians in 2017, three physicians in 2018 encompassing the fields of pediatrics, OB/GYN, cardiology, family practice, dentistry, and podiatry. At least six physicians were recruited in 2019 encompassing the fields of family practice, internal medicine, and emergency medicine. Recruitment for pediatrics is ongoing.10) Services for Low Income/Medi-Cal: Expanded pediatric, OB/GYN, and dental services offered to low-income and Medi-Cal patients, including the addition of one pediatrician and one dentist in 2017 and one pediatrician and one OB/GYN physician in 2018. One internist was added in 2019 to the Rural Health Clinic.11) Asthma/Respiratory Disease: RRH offers a Better Breathers Club that provides support and information for those with lung disease, including COPD, asthma, lung cancer, and fibrosis12) Smoking/Tobacco Use: RRH offers the Freedom From Smoking program, an 8-week smoking cessation class for adults to overcome tobacco addiction. Smoking and Vaping Prevention education and outreach to local middle schools in 2019. |
| Ridgecrest Regional Hospital | Part V, Section B, Line 13h: Uninsured, self-pay patients with incomes at or below 300% of the federal poverty level are offered free care. Insured patients with high medical costs (annual expenses exceed 10% of income) and incomes at or below 300% of the federal poverty level are eligible for discounted care. Monetary assets are considered in connection with eligibility for charity care, but not for discounted care. |
| Ridgecrest Regional Hospital | Part V, Section B, Line 16j: In addition to financial packets being provided to each self-pay patient in is also provided in the following methods: a website reference to the policy, an onsite financial counselor made available to patients, and posting of the policy in all patient access areas. |
| Schedule H, Part V, Line 16a-c: | Financial assistance policy, application and plain language summary:https://www.rrh.org/documents/Financial-Assistance-Program-Policy/ |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 21 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (21 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - Ridgecrest Regional Hospital Rural Healt | ||||
| 1111 N China Lake Blvd | Ridgecrest | CA | 93555 | Rural Health Clinic |
| 2 - Bella Serra Skilled Nursing Facility | ||||
| 1131 N China Lake Blvd | Ridgecrest | CA | 935553131 | Skilled Nursing Facility |
| 3 - RRH Cancer Center | ||||
| 1011 N China Lake Blvd | Ridgecrest | CA | 93555 | Cancer Center |
| 4 - Southern Sierra Medical Clinic | ||||
| 105 E Sydnor St | Ridgecrest | CA | 93555 | Primary Care Clinic |
| 5 - Center Professional Pharmacy | ||||
| 1109 N China Lake Blvd | Ridgecrest | CA | 93555 | Center Professional Pharmacy |
| 6 - Ridgecrest Regional Hospital Urgent Care | ||||
| 1111 N China Lake Blvd | Ridgecrest | CA | 93555 | Urgent Care |
| 7 - Ridgecrest Regional Hospital Orthopedic | ||||
| 1041 N China Lake Blvd | Ridgecrest | CA | 93555 | Orthopedic Clinic |
| 8 - China Lake Dermatology | ||||
| 1011 N China Lake Blvd | Ridgecrest | CA | 93555 | Dermatology Clinic |
| 9 - China Lake Gastroenterology | ||||
| 1011 N China Lake Blvd | Ridgecrest | CA | 93555 | Gastroenterology Clinic |
| 10 - Stemmer Clinic | ||||
| 900 Heritage Dr Suite A | Ridgecrest | CA | 93555 | Stemmer Clinic |
| 11 - Rehabilitation Services | ||||
| 540 Perdew Ave | Ridgecrest | CA | 93555 | Occupational Therapy |
| 12 - Ridgecrest Regional Hosp Visiting Nurse | ||||
| 1653 N Triangle Dr | Ridgecrest | CA | 93555 | Visiting Nurse Services |
| 13 - Ridgecrest Regional Hosp Pain Clinic | ||||
| 1111 N China Lake Blvd | Ridgecrest | CA | 93555 | Pain Clinic |
| 14 - Ridgecrest Regional Hospital Hospice | ||||
| 1653 N Triangle Dr | Ridgecrest | CA | 93555 | Hospice |
| 15 - Ridgecrest Regionl Hosp Internist Clinic | ||||
| 1041 N China Lake Blvd | Ridgecrest | CA | 93555 | Internist Clinic |
| 16 - China Lake Surgical Clinic | ||||
| 1041 N China Lake Blvd | Ridgecrest | CA | 93555 | Surgical Clinic |
| 17 - Ridgecrest Regional Hospital Personal Care | ||||
| 1041 N China Lake Blvd | Ridgecrest | CA | 93555 | Personal Care Service |
| 18 - Ridgecrest Regional Hosp Occup Health | ||||
| 409 Drummond Ave | Ridgecrest | CA | 93555 | Occupational Health |
| 19 - Ridgecrest Regional Hosp Chiro Clinic | ||||
| 840 N Norma St | Ridgecrest | CA | 93555 | Chiropractic Clinic |
| 20 - Ridgecrest Regional Hosp Senior Services | ||||
| 417 Drummond Ave | Ridgecrest | CA | 93555 | Senior Services |
| 21 - Trona Rural Health Clinic | ||||
| 82820 Trona Rd | Trona | CA | 93562 | Rural Health Clinic |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c: | Uninsured, self-pay patients with incomes at or below 300% of federal poverty level are offered free care. Insured patients with high medical costs (annual expenses exceed 10% of income) and incomes at or below 300% of the federal poverty level are eligible for discounted care. Monetary assets are considered in connection with eligibility for charity care, but not for discounted care. |
| Part I, Line 6a: | The community benefit report can be found on the organization's website at https://www.rrh.org/about-us/community-benefit/. |
| Part I, Line 7: | Lines 7a, 7b, 7g were converted to cost based on an average ratio of costs to gross charges according to costs allocated to the relevant costs centers on the Medicare Cost Report.Lines 7e, 7f, and 7i were based on actual expenses. |
| Part II, Community Building Activities: | Activities include: Provided free office space for health and economic-development organizations within the community, community collaboration through community health improvement advocacy, physician recruitment to ensure basic and specialty care is available locally, and collaborated with other emergency services on disaster and emergency preparedness. |
| Part III, Line 2: | Line 2 includes implicit price concessions. Implicit price concessions is estimated based on its historical collection experience with this class of patients and residents. |
| Part III, Line 3: | The organization estimates that about 25% of their financial applications are not returned to the hospital. Therefore, the hospital is estimating approximately 25% of the implicit price concessions would be considered charity care if they were completed. |
| Part III, Line 4: | The footnote to the organization's financial statements that describes implicit price concessions is located in footnote 1 on page 14 and 15 of the attached financial statements. |
| Part III, Line 8: | One hundred percent of any shortfall should be treated as community benefit. A facility must be able to recover its costs in order to continue to provide quality care to Medicare patients and the community as a whole.Services are provided to patients under the Medicare program knowing that not all costs associated with providing these services will be recovered. Providing these services is essential to these patients and the community and increase their access to healthcare services. Therefore, the entire Medicare shortfall is considered a community benefit.Medicare allowable costs of care are based on the Medicare cost report. The Medicare cost report is completed based on the rules and regulations set forth by Centers for Medicare and Medicaid Services. |
| Part III, Line 9b: | RRH will make reasonable efforts to provide patients with information about its financial assistance policy before it or its agency representatives take extraordinary actions to collect a patient's bill. RRH shall not knowingly assign an account to a collection agency if the patient has a pending application for a County, State, or Federal health assistance program. For a patient who lacks insurance coverage or a patient who provides information that he or she may be a patient with high medical costs, neither RRH, nor any assignee of the hospital or other owner of the patient debt, including a collection agency, shall report adverse information to a credit reporting bureau or engage in extraordinary debt collection activities at any time prior to 150 days after the first billing, and only after providing a thirty-day notice of the extraordinary debt collection activities that will be commenced. |
| Part VI, Line 2: | In addition to the community health needs assessment Ridgecrest uses patient satisfaction surveys to assess the health care needs of the community, along with conducting blood draws at health fairs. The HR administrator serves on the local Rotary as well to network with other community leaders. |
| Part VI, Line 3: | Signs are posted in registration areas informing patients of assistance with their bills and includes citing a phone number to call for assistance in this area. Self pay patients are sent a packet of information regarding financial assistance programs. |
| Part VI, Line 4: | Rural California Desert Community located in Kern County; more than 50 miles from next nearest hospital. The population is approximately 38,000 and approximately 6.7% of that population is uninsured. |
| Part VI, Line 5: | Ridgecrest Regional Hospital's governing body is comprised of persons who reside in the Organization's primary service area. The Hospital applies any surplus funds to improve the Facility and equipment to improve patient care. The Hospital also extends medical staff privileges to other qualified physicians in the community.Ridgecrest Regional Hospital holds an annual health fair for the community, wherein vendors offer information and services related to health and wellness, along with free and reduced-priced blood screenings. A health fair at China Lake Naval Base is also held, wherein information on health and nutrition are provided. Ridgecrest Regional Hospital offers veteran benefit information for Veteran's Standdown, an event held to provide benefits and services to veterans. Ridgecrest Regional Hospital offers 16 weekly classes to seniors within the community, free of charge, that promote exercise, as well as senior group services catered to finding joy and happiness in life while socializing and building support systems. Ridgecrest Regional Hospital also offers 6 Rock Steady Boxing exercise classes per week for those with Parkinson's Disease, free of charge. Ridgecrest Regional Hospital offers the Diabetes Education Empowerment Program TM workshops four times a year. The following support groups are offered free of charge to the community: Grief, Caregiver, Alzheimer's Caregiver, Better Breathers, and Diabetes. The Wellness Resource Center provides free access to information on health and nutrition, including videos and books. In addition, the Wellness Resource Center provides nutrition programs, cooking classes and presentations to schools, churches, businesses, parents, and other organizations. Hospital tours are provided to students and other groups within the community. An annual publication, mailed to all homes within the community and available at Ridgecrest Regional Hospital, lists all services and providers at Ridgecrest Regional Hospital. A brochure provides information for local mental health services. Connected, a quarterly publication, focuses on Ridgecrest Regional Hospital's services, along with health tips and information. |
| Part VI, Line 6: | N/A |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Housing Allowance Or Residence | Yes (X) | HousingAllowanceOrResidenceInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | 0 | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | 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 (9 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Healthy Desai | ||||||||||||||
| Physician | $647,144 | $0 | $0 | $0 | $98 | $0 | $11,017 | $0 | $29,353 | $0 | $687,612 | $0 | $0 | $0 |
| James Suver | ||||||||||||||
| CEO | $324,443 | $0 | $173,515 | $0 | $13,953 | $0 | $11,200 | $0 | $12,033 | $0 | $535,144 | $0 | $0 | $0 |
| Luigi Cendana | ||||||||||||||
| Physician | $305,984 | $0 | $28,370 | $0 | $78 | $0 | $11,200 | $0 | $9,547 | $0 | $355,179 | $0 | $0 | $0 |
| Hope Zissos | ||||||||||||||
| Physician | $260,698 | $0 | $0 | $0 | $224 | $0 | $10,920 | $0 | $37,615 | $0 | $309,457 | $0 | $0 | $0 |
| Barbara Badertscher | ||||||||||||||
| COO | $264,200 | $0 | $13,312 | $0 | $2,009 | $0 | $0 | $0 | $656 | $0 | $280,177 | $0 | $0 | $0 |
| Christian Schwartz | ||||||||||||||
| Physician's Assistant | $251,173 | $0 | $3,000 | $0 | $44 | $0 | $7,912 | $0 | $11,551 | $0 | $273,680 | $0 | $0 | $0 |
| Brenda Diel | ||||||||||||||
| Administrator of Quality | $181,787 | $0 | $10,312 | $0 | $17,206 | $0 | $0 | $0 | $37,175 | $0 | $246,480 | $0 | $0 | $0 |
| Lawrence Cosner MD | ||||||||||||||
| Director/Physician | $216,122 | $0 | $0 | $0 | $566 | $0 | $0 | $0 | $24,572 | $0 | $241,260 | $0 | $0 | $0 |
| Kanner Tillman | ||||||||||||||
| CFO (Apr-Dec) | $140,415 | $0 | $15,000 | $0 | $377 | $0 | $0 | $0 | $13,780 | $0 | $169,572 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 1a | Brenda Diel had a residence provided for her. This benefit was reported as taxable wages on her Form W-2. |
| Part I, Line 4a | John Chivers received a severance payment of $58,713 when he resigned. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Kathryn Cosner | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | Family of Board Member Lawrence Cosner, MD | RelationshipDescriptionTxt |
| Transaction | $38,467 | TransactionAmt |
| Transaction | Wages | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, line 2 | In January 2019 the filing organization established a pain clinic. In June 2019 the filing organization added chiropractic services. Both of these new services are in furtherance of their exempt purpose. In addition, in June 2019 the filing organization also purchased 100% stock ownership in Progressive Ambulance, Inc. This S Corporation activity will be treated as unrelated business taxable income in 2019. Community Ambulance Services, Inc., 100% owned subsidiary of Progressive Ambulance, Inc., was included in the acquisition. |
| Form 990, Part VI, Section A, line 6 | There is one class of members, Corporate Members and an honorary nonvoting group of individuals called Emeritus Members who are appointed by the Board of Directors and have limited rights. Corporate Membership is limited to thirty (30) persons, who must reside in the Hospital service area (as such service area is determined by the Board of Directors) who are elected to membership by a vote of the Corporate Members present or represented at a meeting of Corporate Members. |
| Form 990, Part VI, Section A, line 7a | The Corporate Members have the right to elect the members of the Board of Directors. |
| Form 990, Part VI, Section A, line 7b | Under the bylaws, the Corporate Members have the right to: elect the members of the Board of Directors; fill a vacancy on the Board of Directors; and ratify the bylaws that have been approved by the Board of Directors. In addition, members have certain rights granted pursuant to the California Nonprofit Public Benefit Corporation Act including the right to: remove a director; approve most amendments to the Articles of Incorporation; approve a sale of assets not in the usual and regular course of its business; merge with another entity; and dissolve. |
| Form 990, Part VI, Section A, line 8b | The organization does not have any committee with the authority to act on behalf of the governing body. |
| Form 990, Part VI, Section B, line 11b | The Form 990 is provided to the Board of Directors via electronic distribution prior to filing with the IRS. |
| Form 990, Part VI, Section B, line 12c | There is annual disclosure on conflict of interest policy for directors, officers, medical staff officers, and administrative employees, and corporate members. Compliance with conflict of interest policy is monitored by the CEO. Any noted conflicts are reviewed and discussed by the Board of Directors. The individual with the potential conflict must abstain from the discussion and vote on the potential conflict. |
| Form 990, Part VI, Section B, line 15 | Compensation for the CEO was determined by a compensation committee of the Board of Directors using compensation comparison provided by HASC. For other officers, the HASC salary survey is used to comply with prohibition from direct solicitation of salary information due to anti-trust regulations. |
| Form 990, Part VI, Section C, line 19 | All public documents are made available upon request. |
| Form 990, Part IX, line 11g | Other Purchased Services: Program service expenses 7,774,621. Management and general expenses 4,956,203. Fundraising expenses 0. Total expenses 12,730,824. Other Fees: Program service expenses 409,967. Management and general expenses 1,173,894. Fundraising expenses 0. Total expenses 1,583,861. Professional Fees: Program service expenses 19,029,675. Management and general expenses 391,156. Fundraising expenses 0. Total expenses 19,420,831. |
| Form 990, Part XI, line 9: | Book to Tax Difference in S Corp Investment -1,287,349. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Ridgecrest Regional Hospital Foundation | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1081 N China Lake Blvd | AddressLine1Txt |
| City | Ridgecrest | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93555 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 464181603 | EIN |
| Primary Activities | Raising Hospital Capital Equipment Funds | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Exempt Code Section | 501(c)(3) | ExemptCodeSectionTxt |
| Public Charity Status | Line 7 | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Ridgecrest Regional Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Progressive Ambulance Inc | |||||||||||||
| 1325 W Ridgecrest Blvd | Ridgecrest | CA | 93555 | 330736730 | Ambulance Service | CA | Ridgecrest Regional Hospital | S | $732,133 | $5,878,657 | 1.00000 | Yes (1) | |
| Community Ambulance Services Inc | |||||||||||||
| 1325 W Ridgecrest Blvd | Ridgecrest | CA | 93555 | 953529713 | Ambulance Service | CA | C | Yes (1) | N/A | ||||
| 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 | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Progressive Ambulance Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | Q | TransactionTypeTxt |
| Involved | $1,105,393 | InvolvedAmt |
| Method Of Amount Determination | Change in due from account | MethodOfAmountDeterminationTxt |