2020-11-10T12:12:06-06:00 2019-12-31 450250958 EIDE BAILLY LLP 800 NICOLLET MALL STE 1300 MINNEAPOLIS MN 554027033 990 2019-01-01 952082686 Ridgecrest Regional Hospital RIDG 7604463551 1081 N China Lake Blvd Ridgecrest CA 93555 James Suver CEO 7604463551 2020-11-06 1 Kim C Hunwardsen P00484560 6122536500 2020-11-06 63.233.88.226 2020-11-06 15:44:13 CS P A9F393D044C6B02927C29CDABEE7CBE310A8D2B0 F4E1B545B5A64400ED95821F5295FDCB6EE8A6F8 2019 2021-01-29 14:40:06Z James Suver 1081 N China Lake Blvd Ridgecrest CA 93555 129939178 0 X www.rrh.org X 1965 CA Community-based organization that provides and promotes comprehensive quality healthcare for the people of the Southern Sierra Region. 11 9 1015 66 993115 488595 346852 153565 125384690 128912849 449923 617140 263094 227021 126444559 129910575 7115 0 0 0 53879355 55624958 0 0 0 68639559 71879126 122526029 127504084 3918530 2406491 166917629 164896716 77838557 74610241 89079072 90286475 X To be a community-based organization that provides and promotes comprehensive quality healthcare for the people of the Southern Sierra Region. 1 0 92245890 128912849 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 92245890 1 0 0 1 0 0 0 0 1 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 232 0 1 1015 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 11 9 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 1 1 0 CA X Kanner Tillman 7604993040 1081 North China Lake Blvd Ridgecrest CA 93555 Healthy Desai Physician 40.00 0.00 X 647242 0 40310 James Suver CEO 50.00 2.00 X 511911 0 23173 Luigi Cendana Physician 40.00 0.00 X 334432 0 20687 Hope Zissos Physician 40.00 0.00 X 260922 0 48475 Barbara Badertscher COO 50.00 0.00 X 279521 0 596 Christian Schwartz Physician's Assistant 49.80 0.00 X 254217 0 19403 Brenda Diel Administrator of Quality 50.00 0.00 X 209305 0 37115 Lawrence Cosner MD Director/Physician 40.00 0.00 X 216688 0 24512 Kanner Tillman CFO (Apr-Dec) 50.00 0.00 X 155792 0 13745 John Chivers CFO (Jan) 50.00 0.00 X 77028 0 2615 Cornelis Vanderhoek MD Director/Physician 40.00 0.00 X 45600 0 0 George Haslam Chairperson 1.20 0.00 X X 0 0 0 Patricia Mullis Vice Chair (Jan-May) 1.20 0.00 X X 0 0 0 Dana Lyons Vice Chair(Jun-Dec)/Director(Jan-May) 1.20 0.00 X X 0 0 0 Chris Ellis Secretary (Jan-May) 1.20 0.00 X X 0 0 0 Dave Goppelt Secretary(Jun-Dec)/Director(Jan-May) 1.20 0.00 X X 0 0 0 Don Zdeba Treasurer 1.20 0.00 X X 0 0 0 Walter Martin Director 1.20 0.00 X 0 0 0 Margaret Hannon Director 1.20 0.00 X 0 0 0 Anita Read Director 1.20 0.10 X 0 0 0 Paige Sorbo-Netzer Director 1.20 0.00 X 0 0 0 Jim Rizzardini Director (Jun-Dec) 1.20 0.00 X 0 0 0 2992658 0 230631 97 0 1 0 Barton Associates Inc 300 Jubilee Drive Peabody MA 01960 Medical 1564748 HealthComp LLC 621 Santa Fe Fresno CA 93721 Benefits Administration 1314893 CHG Companies Inc PO BOX 972651 Dallas TX 75397 Medical 1206551 CVSCaremark 9501 E Shea Blvd MC 019 Scottsdale AZ 85260 Benefits Administration 833075 Ghassan A Mohsen 1017 Meadowview Lane Ridgecrest CA 93555 Medical 826600 83 102419 51146 153565 Net Patient Service Rev 622000 125845569 125845569 Pharmacy Revenue 446110 1402480 1126855 275625 Other Supporting Revenue 900099 765030 765030 Ambulance S Corp 621910 717490 717490 EHR Revenue 622000 182280 182280 128912849 611280 611280 252485 25464 227021 227021 227021 8999 3139 5860 5860 5860 129910575 127919734 993115 844161 X 1351401 286861 1064540 38467 38467 44230402 33335217 10895185 871911 653378 218533 5260095 3725098 1534997 3872682 2863170 1009512 743464 30900 712564 59755 59755 33735516 27214263 6521253 4988491 3045920 1942571 2219238 638853 1580385 482542 359791 122751 208304 145866 62438 2237351 1894038 343313 7117208 2558463 4558745 2053304 906826 1146478 Medical Supplies 10044812 10044812 Repair & Maintenance 3627229 1797238 1829991 Pharmacy Expenses 950393 950393 3411519 1756336 1655183 127504084 92245890 35258194 0 20465260 13892416 20285913 17652194 9087 26091 2159842 2263673 4302715 4270004 165522226 84930824 83894269 80591402 33339486 34409426 4699141 2461057 7092369 166917629 164896716 15768721 15020840 22567 25227 30208 27838 57184397 54137085 4832664 5399251 77838557 74610241 X 89079072 90286475 89079072 90286475 166917629 164896716 X 2406491 88261 -1287349 X 0 1 X 1 1 1 X 0 0 0 0 0 0 0 0 1 7592 7592 0 Part II-B, Line 1: Lobbying portion of Hospital Association dues. 0 1 X 3213289 3213289 116627722 51955911 64671811 41839072 32376241 9462831 3842143 598672 3243471 80591402 Estimated Third Party Payor Settlements 4261357 Malpractice Insurance Payable 139343 Tail Coverage Payable 998551 5399251 X 127786558 88261 -1520252 -1431991 129218549 692026 692026 129910575 126579155 25464 25464 126553691 950393 950393 127504084 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. 1 1 X 1 X 300.000000000000 1 X 1 1 0 1 1 90000 90000 0.00070 5776581 3665270 2111311 0.01660 5866581 3665270 2201311 0.01730 219348 116929 102419 0.00080 4785 4785 0.00000 1616878 626257 990621 0.00780 13853 13853 0.00010 1854864 743186 1111678 0.00870 7721445 4408456 3312989 0.02600 8000 8000 0.00010 35655 35655 0.00030 10046 10046 0.00010 1181 1181 0.00000 17185 17185 0.00010 510730 510730 0.00400 582797 582797 0.00460 1 4728791 1182198 31398031 31834423 -436392 X 1 1 1 1 Ridgecrest Regional Hospital 1081 N China Lake Blvd Ridgecrest CA 93555 www.rrh.org 120000186 X X X X Ridgecrest Regional Hospital 1 0 0 1 X X X X X X X X X 19 1 0 0 1 X See Section C, Line 7d X X 1 19 1 See Section C, Line 7d 0 1 X 300.000000000000 300.000000000000 X X X X 1 1 X X X 1 X See Part V, Page 8 X See Part V, Page 8 X See Part V, Page 8 X X X X X X 1 X 0 X X X X 1 X 0 0 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/ 21 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 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 X 1 0 X X X 1 0 0 0 0 0 0 0 0 Healthy Desai Physician 647144 0 0 0 98 0 11017 0 29353 0 687612 0 0 0 James Suver CEO 324443 0 173515 0 13953 0 11200 0 12033 0 535144 0 0 0 Luigi Cendana Physician 305984 0 28370 0 78 0 11200 0 9547 0 355179 0 0 0 Hope Zissos Physician 260698 0 0 0 224 0 10920 0 37615 0 309457 0 0 0 Barbara Badertscher COO 264200 0 13312 0 2009 0 0 0 656 0 280177 0 0 0 Christian Schwartz Physician's Assistant 251173 0 3000 0 44 0 7912 0 11551 0 273680 0 0 0 Brenda Diel Administrator of Quality 181787 0 10312 0 17206 0 0 0 37175 0 246480 0 0 0 Lawrence Cosner MD Director/Physician 216122 0 0 0 566 0 0 0 24572 0 241260 0 0 0 Kanner Tillman CFO (Apr-Dec) 140415 0 15000 0 377 0 0 0 13780 0 169572 0 0 0 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. Kathryn Cosner Family of Board Member Lawrence Cosner, MD 38467 Wages 0 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. Ridgecrest Regional Hospital Foundation 1081 N China Lake Blvd Ridgecrest CA 93555 464181603 Raising Hospital Capital Equipment Funds CA 501(c)(3) Line 7 Ridgecrest Regional Hospital 1 Progressive Ambulance Inc 1325 W Ridgecrest Blvd Ridgecrest CA 93555 330736730 Ambulance Service CA Ridgecrest Regional Hospital S 732133 5878657 1.00000 1 Community Ambulance Services Inc 1325 W Ridgecrest Blvd Ridgecrest CA 93555 953529713 Ambulance Service CA N/A C 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 Progressive Ambulance Inc Q 1105393 Change in due from account