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RIDEOUT MEMORIAL HOSPITAL: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
RIDEOUT MEMORIAL HOSPITAL (EIN 94-1387866)
Tax period
2017-07-01 to 2018-06-30
Filed
2019-05-20
IRS object ID
201921409349300427
Schema version
2017v2.3
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 ReturnHeader

FieldValueIRS element (for citing)
Return2019-05-20T10:56:29-05:00ReturnTs
Tax Period End2018-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN910189318PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MOSS ADAMS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13121 W MARCH LN STE 200AddressLine1Txt
CitySTOCKTONCityNm
State AbbreviationCAStateAbbreviationCd
ZIP952192367ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN941387866EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RIDEOUT MEMORIAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlRIDEBusinessNameControlTxt
Phone5307401920PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1989 PLUMAS STREETAddressLine1Txt
CityYUBA CITYCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95991ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonED GONZALEZPersonNm
Person TitleFINANCE EXECUTIVEPersonTitleTxt
Phone5307401920PhoneNum
Signature2019-05-17SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTRACY S PAGLIAPreparerPersonNm
PTINP00366884PTIN
Phone2099556100PhoneNum
Preparation2019-05-17PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address172.9.161.112IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-05-17IPDt
IP Tm10:30:47IPTm
IP TimezonePDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id2CA4604677747A1B8287DC7DD1B2F222DAF5CAE3AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerED GONZALEZPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1989 PLUMAS STREETAddressLine1Txt
CityYUBA CITYCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95991ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$500,071,026GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTPS://WWW.ADVENTISTHEALTH.ORG/RIDEOUT/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1955FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionLIVING GOD'S LOVE BY INSPIRING HEALTH, WHOLENESS, AND HOPE.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee2041TotalEmployeeCnt
Total Volunteers105TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$6,271,881PYContributionsGrantsAmt
CY Contributions Grants$28,854CYContributionsGrantsAmt
PY Program Service Revenue$356,091,465PYProgramServiceRevenueAmt
CY Program Service Revenue$411,190,766CYProgramServiceRevenueAmt
PY Investment Income$4,811,723PYInvestmentIncomeAmt
CY Investment Income$5,090,298CYInvestmentIncomeAmt
PY Other Revenue-$285,533PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$366,889,536PYTotalRevenueAmt
CY Total Revenue$416,309,918CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$165,648,256PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$171,392,753CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$227,774,725PYOtherExpensesAmt
CY Other Expenses$243,467,430CYOtherExpensesAmt
PY Total Expenses$393,422,981PYTotalExpensesAmt
CY Total Expenses$414,860,183CYTotalExpensesAmt
PY Revenues Less Expenses-$26,533,445PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,449,735CYRevenuesLessExpensesAmt
Total Assets BOY$502,022,857TotalAssetsBOYAmt
Total Assets EOY$478,671,869TotalAssetsEOYAmt
Total Liabilities BOY$200,950,462TotalLiabilitiesBOYAmt
Total Liabilities EOY$175,915,662TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$301,072,395NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$302,756,207NetAssetsOrFundBalancesEOYAmt
MissionLIVING GOD'S LOVE BY INSPIRING HEALTH, WHOLENESS, AND HOPE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$361,094,915ExpenseAmt
Grant$0GrantAmt
Revenue$411,190,766RevenueAmt
DescRIDEOUT MEMORIAL HOSPITAL CONSISTS OF ONE CAMPUS DURING THIS TAX YEAR: RIDEOUT MEMORIAL HOSPITAL (RMH) LOCATED IN MARYSVILLE, CA IS A 221-LICENSED-BED ACUTE CARE FACILITY WHICH INCLUDES A TRAUMA LEVEL-3 EMERGENCY DEPARTMENT, A STATE-OF-THE-ART CARDIAC UNIT AND A FREE-STANDING CANCER CENTER WHICH IS AN AFFILIATION BETWEEN THE FREMONT RIDEOUT HEALTH GROUP AND UC-DAVIS HEALTH SYSTEM. THE EMERGENCY DEPARTMENT, LOCATED INSIDE RMH IS THE ONLY EMERGENCY ROOM BETWEEN SOUTHERN BUTTE COUNTY AND SACRAMENTO.Desc
Total Program Service Expenses$361,094,915TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee2041EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonED GONZALEZPersonNm
Phone5307401922PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1614 J STREETAddressLine1Txt
CityMARYSVILLECityNm
State AbbreviationCAStateAbbreviationCd
ZIP95901ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
JANICE NALL
CHAIR (THRU 03/18)2.0010.00Yes (X)Yes (X)$0$14,831$0
BILL WING
CHAIR2.0060.00Yes (X)Yes (X)$0$1,460,244$52,693
JEFF ELLER
PRESIDENT2.0060.00Yes (X)Yes (X)$0$1,037,468$45,013
GARY THIARA
VICE CHAIR (THRU 03/18)2.0010.00Yes (X)Yes (X)$0$0$0
BILL WING
VICE CHAIR/TREASURER (THRU 03/18)2.0010.00Yes (X)Yes (X)$0$0$0
MEREDITH JOBE
SECRETARY2.0060.00Yes (X)Yes (X)$0$654,239$42,313
JOE REPPERT
ASSISTANT TREASURER (THRU 03/18)2.0060.00Yes (X)Yes (X)$0$610,955$55,941
JOHN WRIGHT
PAST CHAIR (THRU 03/18)2.0010.00Yes (X)$0$0$0
RICH REINER
DIRECTOR2.0014.00Yes (X)$0$19,819$0
LARRY INNOCENT
DIRECTOR2.0014.00Yes (X)$0$17,608$0
LISA DEL PERO
DIRECTOR (THRU 03/18)2.0010.00Yes (X)$0$0$0
JOHN MILLER
DIRECTOR (THRU 03/18)2.0010.00Yes (X)$0$1,015$0
RUPINDER BRAR
DIRECTOR (THRU 03/18)2.0010.00Yes (X)$0$0$0
JUAN SOLIS
DIRECTOR (THRU 03/18)2.0010.00Yes (X)$0$0$0
DOUGLAS TOLLEY
DIRECTOR (THRU 03/18)2.0010.00Yes (X)$0$0$0
THOMAS BELZA
DIRECTOR (THRU 03/18)2.0010.00Yes (X)$0$0$0
ROBERT GENGLER
DIRECTOR (THRU 03/18)2.0010.00Yes (X)$0$0$0
STEVE KROEGER
DIRECTOR (THRU 03/18)2.0010.00Yes (X)$0$0$0
JOHN W CARY
DIRECTOR (THRU 03/18)2.0010.00Yes (X)$0$0$0
JOHN WEILER
DIRECTOR (THRU 03/18)2.0010.00Yes (X)$0$10,061$0
RONALD M SWEENEY
DIRECTOR (THRU 03/18)2.0010.00Yes (X)$0$0$0
ALEXANDRA REICHMAN
DIRECTOR (THRU 10/17)2.0010.00Yes (X)$0$0$0
RICHARD RAWSON
CEO/PRESIDENT (STARTED 05/18)12.0054.00Yes (X)Yes (X)$0$0$0
GINO PATRIZIO
CEO (THRU 05/18)12.0054.00Yes (X)$0$714,618$39,838
DIANE MOON
CFO (THRU 04/18)12.0054.00Yes (X)$0$381,214$38,653
ED GONZALEZ
DIR OF FIN (THRU 05/18)/FIN EXEC12.0054.00Yes (X)$0$176,489$35,869
MONICA ARROWSMITH
BUS DVLP/COMMUNITY MI EX0.0040.00$0$309,859$39,670Yes (X)
AZAD SHEIKH
PHYSICIAN EXECUTIVE0.0040.00$0$303,157$31,588Yes (X)
MELISSA BURNS
CHIEF OPERATIONS OFFICER (THRU 08/17)0.0040.00$0$635,245$45,448Yes (X)
DANIEL CHIBAYA
OPERATIONS EXECUTIVE0.0040.00$0$320,781$39,934Yes (X)
JERRY GONZALES
DIRECTOR PHARMACY40.00$265,287$0$30,133Yes (X)
STEPHEN HAMMARSTROM
VP OUTPATIENT CLINICS40.00$262,451$0$34,345Yes (X)
DEBORAH MENSCH
VP NURSING SERVICES40.00$237,005$0$28,100Yes (X)
SHERRYL BIRD
REGISTERED NURSE40.00$229,677$0$28,441Yes (X)
KRISTA MINTON
DIRECTOR WOMEN & CHILDREN40.00$202,253$0$37,659Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,196,673TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$6,667,603TotReportableCompRltdOrgAmt
Total Other Compensation$625,638TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K463IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
RIDEOUT MEDICAL ASSOCIATES INC
989 PLUMAS STYUBA CITYCA95991MEDICAL & HEALTHCARE SERVICES$31,355,655
TRUSTAFF TRAVEL NURSES LLC
4270 GLENDALE MILFORD RDCINCINNATIOH45242TEMPORARY STAFFING$5,696,632
ACUTE CARE SURGERY MEDICAL GROUP INC
PO BOX 1528SACRAMENTOCA95812MEDICAL & HEALTHCARE SERVICES$2,923,365
SODEXO INC AND AFFILIATES
PO BOX 360170PITTSBURGPA15251MANAGEMENT & EQUIPMENT SERVICES$2,785,147
TOTAL RENAL CARE
PO BOX 781607PHILADELPHIAPA19178MEDICAL & HEALTHCARE SERVICES$1,846,088
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K94CntrctRcvdGreaterThan100KCnt
Related Organizations$28,854RelatedOrganizationsAmt
Noncash Contributions$24,618NoncashContributionsAmt
Total Contributions$28,854TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE621400$405,662,162$405,662,162
OTHER PROGRAM REVENUE900099$5,372,725$5,372,725
PROGRAM RELATED RENT532000$155,879$155,879
FieldValueIRS element (for citing)
Total Program Service Revenue$411,190,766TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$690,287TotalRevenueColumnAmt
Exclusion$690,287ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$84,364,347SecuritiesAmt
Other$3,796,772OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$82,613,118SecuritiesAmt
Other$1,147,990OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,751,229SecuritiesAmt
Other$2,648,782OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,400,011TotalRevenueColumnAmt
Exclusion$4,400,011ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$416,309,918TotalRevenueColumnAmt
Related Or Exempt Func Income$411,190,766RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$5,090,298ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$126,864,473TotalAmt
Program Services$110,762,404ProgramServicesAmt
Management And General$16,102,069ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,875,475TotalAmt
Program Services$3,383,587ProgramServicesAmt
Management And General$491,888ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$30,682,373TotalAmt
Program Services$26,788,062ProgramServicesAmt
Management And General$3,894,311ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$9,970,432TotalAmt
Program Services$8,704,951ProgramServicesAmt
Management And General$1,265,481ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$28,632,358TotalAmt
Management And General$28,632,358ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$82,559TotalAmt
Management And General$82,559ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$19,399TotalAmt
Management And General$19,399ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$36,559TotalAmt
Management And General$36,559ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$68,497,573TotalAmt
Program Services$67,954,138ProgramServicesAmt
Management And General$543,435ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$91,914TotalAmt
Program Services$91,914ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$55,651,428TotalAmt
Program Services$55,530,978ProgramServicesAmt
Management And General$120,450ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$12,073,939TotalAmt
Program Services$12,073,939ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$83,747TotalAmt
Program Services$54,292ProgramServicesAmt
Management And General$29,455ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$6,057,953TotalAmt
Program Services$6,057,953ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$21,440,011TotalAmt
Program Services$21,440,011ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,701,228TotalAmt
Program Services$378,557ProgramServicesAmt
Management And General$2,322,671ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
HOSPITAL FEE$27,636,713$27,636,713
BAD DEBT$13,901,351$13,901,351
REPAIRS$5,757,964$5,587,056$170,908
LICENSE / TAXES OTHER$802,734$749,009$53,725

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$414,860,183TotalAmt
Program Services$361,094,915ProgramServicesAmt
Management And General$53,765,268ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$8,491,601BOYAmt
EOY$57,801,487EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$61,165,055BOYAmt
EOY$62,394,561EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$5,196,039BOYAmt
EOY$5,171,646EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$5,541,548BOYAmt
EOY$6,137,319EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$551,115,956LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$210,935,370LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$357,844,989BOYAmt
EOY$340,180,586EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$59,927,017BOYAmt
EOY$3,129,662EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,856,608BOYAmt
EOY$3,856,608EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$502,022,857BOYAmt
EOY$478,671,869EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$39,444,151BOYAmt
EOY$32,514,980EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$221,828BOYAmt
EOY$33,858EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$119,408,820BOYAmt
EOY$116,338,248EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$41,875,663BOYAmt
EOY$27,028,576EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$200,950,462BOYAmt
EOY$175,915,662EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$301,072,395BOYAmt
EOY$302,756,207EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$301,072,395BOYAmt
EOY$302,756,207EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$502,022,857BOYAmt
EOY$478,671,869EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,449,735ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$234,077NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$19,399OtherActivitiesAmt
Total Lobbying Expenditures$19,399TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationRIDEOUT MEMORIAL HOSPITAL PAID $179,288 IN DUES TO HOSPITAL COUNCIL OF NORTHERN & CENTRAL CALIFORNIA (CHA). 10.82% OF THE DUES ARE FOR DIRECT LOBBYING EXPENSES.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,708,835OtherCostOrOtherBasisAmt
Book Value$13,708,835BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$369,881,417OtherCostOrOtherBasisAmt
Depreciation$87,530,468DepreciationAmt
Book Value$282,350,949BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,995,134OtherCostOrOtherBasisAmt
Depreciation$5,112,217DepreciationAmt
Book Value$1,882,917BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$155,463,718OtherCostOrOtherBasisAmt
Depreciation$118,292,685DepreciationAmt
Book Value$37,171,033BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,066,852OtherCostOrOtherBasisAmt
Book Value$5,066,852BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$340,180,586TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
DUE TO RELATED ENTITIES$17,282,240
ASBESTOS ABATEMENT$337,880
NOTES PAYABLE$158,640
MALPRACTICE INSURANCE$7,396,408
COST REPORT SETTLEMENT$1,853,408
FieldValueIRS element (for citing)
Total Liability$27,028,576TotalLiabilityAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent350Yes (X)Percent350Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,156,728TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,156,728NetCommunityBenefitExpnsAmt
Total Expense0.00540TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$103,519,415TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$60,735,332DirectOffsettingRevenueAmt
Net Community Benefit Expns$42,784,083NetCommunityBenefitExpnsAmt
Total Expense0.10670TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$105,676,143TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$60,735,332DirectOffsettingRevenueAmt
Net Community Benefit Expns$44,940,811NetCommunityBenefitExpnsAmt
Total Expense0.11210TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$64,161TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$64,161NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$32,245TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$32,245NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$96,406TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$96,406NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$105,772,549TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$60,735,332DirectOffsettingRevenueAmt
Net Community Benefit Expns$45,037,217NetCommunityBenefitExpnsAmt
Total Expense0.11240TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$3,778,014BadDebtExpenseAmt
Bad Debt Expense Attributable$2,156,728BadDebtExpenseAttributableAmt
Reimbursed By Medicare$113,237,223ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$152,539,081CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$39,301,858MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RIDEOUT MEMORIAL HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1726 4TH STREETAddressLine1Txt
CityMARYSVILLECityNm
State AbbreviationCAStateAbbreviationCd
ZIP95901ZIPCd
FieldValueIRS element (for citing)
Website AddressHTTPS://WWW.ADVENTISTHEALTH.ORG/RIDEOUWebsiteAddressTxt
State License230000126StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1RIDEOUT MEMORIAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.ADVENTISTHEALTH.ORG/DOCUMENTS/COMMUNITY-BENEFIT/RIDEOUTBENEFIT_2017-201OwnWebsiteURLTxt
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLHTTPS://WWW.ADVENTISTHEALTH.ORG/RIDEOUT/COMMUNITY-RELATIONS/COMMUNITY-BENEFStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care350.000000000000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTPS://WWW.ADVENTISTHEALTH.ORG/RIDEOUT/PATIENTRESOURCES/FINANCIALASSISTAFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTPS://WWW.ADVENTISTHEALTH.ORG/RIDEOUT/PATIENTRESOURCES/FINANCIALASSISTAFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTPS://WWW.ADVENTISTHEALTH.ORG/RIDEOUT/PATIENT-RESOURCES/FINANCIAL-ASSISTAFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross ChargesYes (1)GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
RIDEOUT MEMORIAL HOSPITALPART V, SECTION B, LINE 5: AS A NOT-FOR-PROFIT HEALTHCARE ORGANIZATION WITH A MISSION TO HELP OTHERS, RH CARES ABOUT PEOPLE WHILE WE CARE FOR PEOPLE. IN ADDITION, THE QUALITY COUNCIL, A SUBCOMMITTEE OF THE RH BOARD OF DIRECTORS, COMPRISED OF PHYSICIANS, BOARD MEMBERS, HOSPITAL EXECUTIVE LEADERS, QUALITY PROFESSIONALS AND FRONT-LINE STAFF REVIEW QUALITY DATA AS IT RELATES TO THE PATIENT POPULATION SERVED AND MAKES RECOMMENDATIONS AND ALLOCATES RESOURCES FOR QUALITY IMPROVEMENT INITIATIVES FOCUSING ON THE PROCESSES AND OUTCOMES OF CARE. RH REPRESENTATIVES ARE ACTIVE IN COMMUNITY GROUPS AND COLLABORATIVES, INCLUDING UNITED WAY, AMERICAN CANCER SOCIETY, AMERICAN RED CROSS NORTHEASTERN CALIFORNIA, SUTTER AND YUBA COUNTY PUBLIC HEALTH, CANCER CARE NETWORK AND UC DAVIS HEALTH SYSTEM, AMONG OTHERS. THESE COMMITTEES AND PROGRAMS, ALONG WITH OUR BOARD OF DIRECTORS, SET THE PACE FOR ASSESSING THE COMMUNITIES' NEEDS IN REGARD TO HEALTH CARE.THE COMMUNITY ACTION COMMITTEE (CAC) WAS FORMED IN 1995 FROM MEMBERS OF THE RH BOARD OF DIRECTORS, RH FOUNDATION BOARD OF DIRECTORS, ADMINISTRATION AND STAFF, AND COMMUNITY MEMBERS (INCLUDING REPRESENTATION FROM PHYSICIANS, EDUCATORS, MIGRANT FARM REPRESENTATIVES AND BUSINESS PEOPLE). IT IS CHARGED WITH ASSESSING THE NEEDS OF THE COMMUNITY AND DEVELOPING A PLAN OF ACTION TO PRIORITIZE AND MEET THOSE NEEDS. THE COMMITTEE GATHERS INFORMATION AND FACTS FROM A VARIETY OF SOURCES FROM WITHIN RH AND THROUGH COMMUNITY MEMBERS, GOVERNMENT AND COMMUNITY AGENCIES TO DEVELOP THE OVERALL PLAN. RIDEOUT HEALTH (RH) AND SUTTER SURGICAL HOSPITAL - NORTH VALLEY (SSHNV), TWO HOSPITALS SERVING PORTIONS OF BOTH SUTTER AND YUBA COUNTIES IN NORTHERN CALIFORNIA SHARE THE SAME SERVICE AREA AND JOINTLY CONDUCTED THE RECENT ASSESSMENT. RH IS LOCATED IN MARYSVILLE, CALIFORNIA AND WAS A PART OF THE RIDEOUT HEALTH SYSTEM AND IS NOW AFFILIATED WITH ADVENTIST HEALTH. SSHNV IS LOCATED IN YUBA CITY, CALIFORNIA, AND IS OWNED IN PARTNERSHIP WITH PHYSICIAN OWNERS AND SUTTER MEDICAL FOUNDATION. THE CHNA WAS CONDUCTED OVER A PERIOD OF TEN MONTHS, BEGINNING IN JULY 2015, AND CONCLUDED IN MAY 2016. MANY DEDICATED COMMUNITY HEALTH EXPERTS AND MEMBERS OF VARIOUS SOCIAL SERVICE ORGANIZATIONS SERVING THE MOST VULNERABLE MEMBERS OF THE COMMUNITY GAVE THEIR TIME AND EXPERTISE AS KEY INFORMANTS TO HELP GUIDE AND INFORM THE FINDINGS OF THE ASSESSMENT. MANY COMMUNITY RESIDENTS ALSO PARTICIPATED AND VOLUNTEERED THEIR TIME AND TOLD US WHAT IT WAS LIKE TO LIVE IN THE COMMUNITY WITH LIMITED OR NO ACCESS TO HEALTHCARE AND THE BASIC RESOURCES NEEDED TO LIVE A HEALTHY LIFE.
RIDEOUT MEMORIAL HOSPITALPART V, SECTION B, LINE 6A: SUTTER SURGICAL HOSPITAL - NORTH VALLEY
RIDEOUT MEMORIAL HOSPITALPART V, SECTION B, LINE 11: THE IDENTIFIED SIGNIFICANT HEALTH NEEDS FOR THE COMMUNITIES OF CONCERN ARE LISTED BELOW IN PRIORITIZED ORDER:1. ACCESS TO QUALITY PRIMARY CARE HEALTH SERVICES AND PRESCRIPTION DRUGS - THE HIGHEST PRIORITY SIGNIFICANT HEALTH NEED FOR THE COMMUNITIES OF CONCERN WAS ACCESS TO QUALITY PRIMARY CARE HEALTH SERVICES AND PRESCRIPTION DRUGS. PRIMARY CARE RESOURCES INCLUDE COMMUNITY CLINICS, PEDIATRICIANS, FAMILY PRACTICE PHYSICIANS, INTERNISTS, NURSE PRACTITIONERS, PHARMACISTS, TELEPHONE ADVICE NURSES, AND SIMILAR. PRIMARY CARE SERVICES ARE TYPICALLY THE FIRST POINT OF CONTACT WHEN AN INDIVIDUAL SEEKS HEALTHCARE. THESE SERVICES ARE THE FRONT LINE IN THE PREVENTION AND TREATMENT OF COMMON DISEASES AND INJURIES IN A COMMUNITY.2. ACCESS TO AFFORDABLE, HEALTHY FOOD - THE SECOND HIGHEST PRIORITY SIGNIFICANT HEALTH NEED WAS ACCESS TO AFFORDABLE, HEALTHY FOODS. EATING A HEALTHY DIET IS IMPORTANT FOR ONE'S OVERALL HEALTH AND WELL-BEING. WHEN ACCESS TO HEALTHY FOODS IS CHALLENGING FOR COMMUNITY RESIDENTS, MANY TURN TO UNHEALTHY FOODS THAT ARE CONVENIENT, AFFORDABLE, AND READILY AVAILABLE. COMMUNITIES EXPERIENCING SOCIAL VULNERABILITY AND POOR HEALTH OUTCOMES OFTEN ARE OVERLOADED WITH FAST FOOD AND OTHER ESTABLISHMENTS WHERE UNHEALTHY FOOD IS SOLD. 3. ACCESS TO MENTAL, BEHAVIORAL, AND SUBSTANCE ABUSE SERVICES - THE THIRD HIGHEST PRIORITY SIGNIFICANT HEALTH NEED WAS ACCESS TO MENTAL, BEHAVIORAL, AND SUBSTANCE ABUSE SERVICES. INDIVIDUAL HEALTH AND WELL-BEING ARE INSEPARABLE FROM INDIVIDUAL MENTAL AND EMOTIONAL OUTLOOK. COPING WITH DAILY LIFE STRESSORS IS CHALLENGING FOR MANY PEOPLE, ESPECIALLY WHEN OTHER SOCIAL, FAMILIAL, AND ECONOMIC CHALLENGES ALSO OCCUR. ADEQUATE ACCESS TO MENTAL, BEHAVIORAL, AND SUBSTANCE ABUSE SERVICES HELP COMMUNITY MEMBERS TO OBTAIN ADDITIONAL SUPPORT WHEN NEEDED. 4. ACCESS TO SPECIALTY CARE - THE FOURTH HIGHEST PRIORITY SIGNIFICANT HEALTH NEED FOR RH/SSHNV COMMUNITIES OF CONCERN WAS ACCESS TO SPECIALTY CARE. SPECIALTY CARE SERVICES ARE THOSE DEVOTED TO A PARTICULAR BRANCH OF MEDICINE AND FOCUS ON THE TREATMENT OF A PARTICULAR DISEASE. PRIMARY AND SPECIALTY CARE GO HAND-IN-HAND, AND WITHOUT ACCESS TO SPECIALISTS SUCH AS ENDOCRINOLOGISTS, CARDIOLOGISTS, AND GASTROENTEROLOGISTS COMMUNITY RESIDENTS ARE OFTEN LEFT TO MANAGE CHRONIC DISEASES SUCH AS DIABETES AND HIGH BLOOD PRESSURE ON THEIR OWN.5. ACCESS TO HEALTH EDUCATION AND HEALTH LITERACY - THE FIFTH HIGHEST PRIORITY SIGNIFICANT HEALTH NEED FOR THE HSA WAS ACCESS TO HEALTH EDUCATION AND HEALTH LITERACY. KNOWLEDGE IS IMPORTANT FOR INDIVIDUAL HEALTH AND WELL-BEING, AND HEALTH EDUCATION INTERVENTIONS ARE POWERFUL TOOLS TO IMPROVE COMMUNITY HEALTH. WHEN COMMUNITY RESIDENTS LACK ADEQUATE INFORMATION ON HOW TO PREVENT, MANAGE, AND CONTROL THEIR HEALTH CONDITIONS, THOSE CONDITIONS TEND TO WORSEN. HEALTH EDUCATION AROUND INFECTIOUS DISEASE CONTROL (E.G. STI PREVENTION, INFLUENZA SHOTS) AND INTENSIVE HEALTH PROMOTION AND EDUCATION STRATEGIES AROUND THE MANAGEMENT OF CHRONIC DISEASES (E.G. DIABETES, HYPERTENSION, OBESITY, AND HEART DISEASE) ARE IMPORTANT FOR COMMUNITY HEALTH IMPROVEMENT.6. ACCESS TO TRANSPORTATION AND MOBILITY - THE SIXTH HIGHEST PRIORITY SIGNIFICANT HEALTH NEED FOR RH/SSHNV COMMUNITIES OF CONCERN WAS ACCESS TO TRANSPORTATION AND MOBILITY. HAVING ACCESS TO TRANSPORTATION SERVICES TO SUPPORT INDIVIDUAL MOBILITY IS A NECESSITY OF DAILY LIFE. WITHOUT TRANSPORTATION, INDIVIDUALS STRUGGLE TO ATTAIN THEIR BASIC NEEDS, INCLUDING THOSE THAT PROMOTE AND SUPPORT A HEALTHY LIFE.7. ADDITIONAL IDENTIFIED HEALTH NEED COLLABORATION AND COORDINATION AMONG COMMUNITY SERVICES AND PROGRAMS - WHEN COMMUNITY HEALTH NEEDS ARE VIEWED FROM A REQUISITE PERSPECTIVE, OR THOSE THINGS REQUIRED TO IMPROVE THE HEALTH OF THE COMMUNITY, THE IDEA THAT ENHANCED COLLABORATION AND COORDINATION AMONG ORGANIZATIONS, PROGRAMS, AND SERVICES WOULD LEAD TO BETTER HEALTH OUTCOMES FOR COMMUNITY RESIDENTS APPEARS LOGICAL. ALL BUT ONE KEY INFORMANT IDENTIFIED THIS AS A PRIORITY HEALTH NEED FOR THE RH/SSHNV HSA. TO REVIEW THE FULL CHNA REPORT, PLEASE VISIT: HTTPS://WWW.ADVENTISTHEALTH.ORG/RIDEOUT/COMMUNITY-RELATIONS/COMMUNITY-BENEFIT/ RH HAS CHOSEN TO FURTHER ADDRESS THE HEALTH NEEDS THROUGH THE RESOURCES AND PROGRAMS IDENTIFIED BELOW:1. RH CLINIC CONTINUES TO RECRUIT PRIMARY CARE PHYSICIANS AND EMPLOYS PA'S TO HELP WITH PATIENT LOAD. A "COMMUNITY PHARMACY NEEDS PLAN" IS UNDER DESIGN. CHALLENGES INCLUDE: LACK OF AVAILABILITY OF LOW COST MEDICATIONS; GETTING PRESCRIPTIONS TO THE RIGHT PHARMACIES; HELPING PATIENTS UNDERSTAND MEDICATIONS - AND THE NEED TO CONTINUE THEM UNTIL SEEN BY PC. THE PHARMACY PLAN INCLUDES: MANAGED MEDICAID PLAN FORMULARIES TO ENSURE THAT PATIENTS CAN FILL MEDICATIONS AT LOW COST; LOW COST $4 MEDS AT WALMART OR COSTCO; 340B PROGRAM; HOME DELIVERY; LOW COSTS CONVENIENCE. A PROCESS IS BEING SET-UP WITH PHARMACIES TO DELIVER TO HOSPITAL/ED DISCHARGE PRESCRIPTIONS2. THE RH COMMUNITY GARDEN PROVIDED FREE FRESH VEGETABLES TO INDIGENT POPULATIONS IN COMMUNITIES LIVING IN "FOOD DESERTS" NEARBY. AN ACCESS TO AFFORDABLE, HEALTHY FOOD PLAN IS UNDER DESIGN, INCLUDING: FOOD INSECURITY SCREENINGS; Y-S FOOD BANK - OBTAINED RESOURCE REFERENCE MATERIAL; A REFERRAL FORM; CASE MANAGEMENT AND NURSING STAFF MEETINGS ARE BEING HELD; ICD-10 CODING; PATIENTS ARE BEING REFERRED TO THE FOOD BANK AND OTHER DISTRIBUTION CENTERS IN THE PATIENTS GEOGRAPHIC AREA; LEADERSHIP IS VOLUNTEERING ONCE A MONTH AT THE LOCAL FOOD BANK; A RH LEADER WILL JOIN THE FOOD BANK BOARD OF DIRECTORS3. THE MENTAL HEALTH EMERGENCY STABILIZATION OUTPATIENT UNIT HAS BEEN INTEGRATED INTO THE RH EMERGENCY DEPARTMENT AND FUNCTIONS IN COLLABORATION WITH SUTTER YUBA MENTAL HEALTH, UTILIZING COUNTY MENTAL HEALTH AND EMERGENCY PSYCHIATRY PROFESSIONALS, EMERGENCY TELEPSYCHIATRY, ED STAFF, AND CRISIS NURSING4. RH CLINIC HAS OPENED OR ENHANCED ADDITIONAL SPECIALTY CARE CLINICS INCLUDING THE RIDEOUT UROLOGY CLINIC, THE RIDEOUT NEUROLOGY CLINIC AND THE RIDEOUT GENERAL SURGERY CLINIC INCLUDING BARIATRIC SURGERY5. WE ARE EDUCATING AND EMPOWERING OUR PATIENTS THROUGH OUR ENHANCED COMMUNITY HEALTH EDUCATION PROGRAM RIDEOUT HEALTHY. CLASSES INCLUDE: TOBACCO CESSATION, MATERNITY, CHILDBIRTH, CHILD SAFETY, DIABETES, HEALTHY EATING, CANCER WELLNESS AND HOSPICE GRIEF CLASSES, REGIONAL HEALTH FAIRS, INCLUDING THE RH BABY FAIR, AND FOR YOUNGSTERS, OUR FREE RIDEOUT HEALTHY KIDS SCHOOL ASSEMBLIES FOR K-8TH GRADE STUDENTS IN YUBA, SUTTER AND COLUSA COUNTIES6. RH FOUNDATION ASSISTS CANCER CENTER PATIENTS, SENIOR CARE AND OTHER PATIENTS WITH TRANSPORTATION NEEDS AND MORE BY PROVIDING PROVISIONS SUCH AS GAS CARDS, BUS PASSES, FOOD CARDS TO HELP INDIGENT OR LOW INCOME PATIENTS WITH THEIR TRAVEL NEEDS7. RH COORDINATES WITH THE SUTTER AND YUBA COUNTY HEALTH AGENCIES AND LOCAL LOW-INCOME HEALTH PROVIDERS TO DISTRIBUTE HEALTH INFORMATION AND ASSIST WITH HEALTH SERVICES INCLUDING AN NO COSTRH'S "RIDEOUT HEALTHY" PROGRAM OFFERS FREE COMMUNITY HEALTH EDUCATION CLASSES TO ALL COMMUNITY MEMBERS FOCUSED ON THE BENEFITS OF EATING HEALTHY, EXERCISE, AND EMOTIONAL WELL-BEING. AT RH WE STRIVE TO GIVE PEOPLE THE RESOURCES AND ENCOURAGEMENT THEY NEED TO LIVE THE HEALTHIEST LIVES POSSIBLE.IN 2014 THE "RIDEOUT HEALTHY KIDS" PROGRAM BEGAN. THIS PROGRAM PROVIDES HEALTH EDUCATION TO ELEMENTARY AND MIDDLE SCHOOL CHILDREN IN AN INTERACTIVE MUSICAL THEATER PERFORMANCE AND A COMEDY SHOW. AN EVALUATION OF SPECIFIC OUTCOMES OF THIS PROGRAM INCLUDED THE FOLLOWING: - IN 2014 THE PROGRAM WAS DELIVERED TO OVER 22,000 YUBA-SUTTER SCHOOL SYSTEM STUDENTS - IN 2015 THE RIDEOUT HEALTHY KIDS PROGRAM WAS EXPANDED TO NEIGHBORING COLUSA COUNTY - IN 2016/17, THE RIDEOUT HEALTHY KIDS PROGRAM SHARED THE MESSAGE OF HEALTHY EATING/ESTEEM AT 20 - K-8 SCHOOL ASSEMBLIES IN YUBA AND SUTTER COUNTIES. PORTIONS OF THE MUSICAL ASSEMBLY SCRIPT WERE REWORKED TO BRING RHK'S MESSAGING UP-TO-DATE, AND TO INCLUDE CURRENT TRENDS WHICH WILL APPEAL TO STUDENTS K-8TH GRADE - TEACHER EVALUATIONS WERE CONDUCTED AFTER EACH PROGRAM WAS DELIVERED TO ASSESS OBSERVED BEHAVIORAL CHANGES AND INCREASED AWARENESS IN THE STUDENTS THAT ATTENDED THE PROGRAM. A SAMPLE OF EVALUATIONS WAS SELECTED AT RANDOM (N=22) TO DEMONSTRATE THE IMPACT OF THE PROGRAM. THIS ANALYSIS REVEALED THAT 64% OF TEACHERS SURVEYED REPORTED OBSERVING AN INCREASED AWARENESS OF HEALTHY EATING HABITS AND 59% REPORTED OBSERVING AN INCREASED AWARENESS OF EXERCISE AND ACTIVITY HABITS IN THE STUDENTS THAT ATTENDED THE PROGRAM- RH DEVELOPED A SERIES OF NEW HEALTH EDUCATION CLASSES AND DELIVERS THESE MONTHLY THROUGHOUT THE CALENDAR YEAR. TOPICS INCLUDE NUTRITION, DIABETES MANAGEMENT AND GRIEF/HEALTH COPING- THE RH TEEN LEADERSHIP COUNCIL PARTICIPATE IN SEASONAL ACTIVITIES THAT ARE SANCTIONED BY THE RIDEOUT HEALTH FOUNDATION INCLUDING HELP WITH COMMUNITY HEALTH EVENTS, THE COMMUNITY GARDEN AND JOB SHADOWING HEALTHCARE PROFESSIONALS
RIDEOUT MEMORIAL HOSPITALPART V, SECTION B, LINE 20E: THE RIDEOUT HEALTH SYSTEM WILL MAKE EVERY EFFORT TO NOTIFY THE PATIENTS OF THE FINANCIAL LIABILITY PRIOR TO SERVICE, OR AT THE TIME OF SERVICE. ALL PATIENTS WILL BE REQUESTED TO SIGN THE CONDITIONS OF ADMISSION WHICH INFORMS THE PATIENT IN SUMMARY OF THEIR FINANCIAL RESPONSIBILITY. ANY PATIENT WHO REQUESTS ASSISTANCE WITH PAYMENT FOR SERVICES WILL BE DIRECTED TO THE FINANCIAL COUNSELING OR PATIENT FINANCIAL SERVICES DEPARTMENTS DEPENDING ON THEIR IN-HOUSE OR DISCHARGE STATUS. THE FINANCIAL COUNSELING DEPARTMENT WILL ASSIST PATIENTS WHO ARE CURRENTLY IN-HOUSE OR PREREGISTERED WITH COLLECTION OF ANY INSURANCE DEDUCTIBLES, CO-PAYS, CO-INSURANCE OR SHARE-OF-COSTS AS WELL AS OBTAINING PAYMENT ARRANGEMENTS. ASSIST THE PATIENT WITH FINANCIAL ASSISTANCE AND OR OTHER PROGRAMS THAT MAY BE AVAILABLE. THE PATIENT FINANCIAL SERVICES DEPARTMENT WILL ASSIST ALL PATIENTS POST DISCHARGE WITH COLLECTION OF ANY INSURANCE DEDUCTIBLES, CO-PAYS OR SHARE-OF-COSTS AS WELL AS OBTAINING PAYMENT ARRANGEMENTS, ASSISTING WITH MEDICAL OR OTHER ELIGIBLE APPLICATION AND APPLICATION TO THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM FOR PATIENTS WITHOUT ANOTHER PAYMENT SOURCE. PRIOR TO AN ACCOUNT BEING REFERRED TO BAD DEBT, IT MAY BE PLACED ON A PAYMENT ARRANGEMENT PLAN IF THE MONTHLY PAYMENT AMOUNT REQUESTED AND AGREED TO BY THE PATIENT AND OR PATIENT REPRESENTATIVE FALLS WITHIN RIDEOUT HEALTH PAYMENT ARRANGEMENT GUIDELINES. COLLECTION GUIDELINES1. FOLLOWING COMPLETION OF OUTPATIENT SERVICES OR DISCHARGE AS AN INPATIENT, THE CREDIT AND COLLECTIONS REPRESENTATIVE WILL VERIFY RESOLUTION TO UNDERSTAND FINANCIAL COUNSELING ISSUES. IF OPEN ISSUES EXIST, THE REPRESENTATIVE WILL WORK WITH THE PATIENT AND/OR FINANCIAL COUNSELOR AS APPROPRIATE TO COMPLETE. 2. FOR OUTPATIENT SERVICES OTHER THAN SURGERY, EMERGENCY ROOM, CANCER CENTER AND CARDIAC CATH LAB; FOLLOW UP WILL BE DRIVEN BY STATEMENTS ONLY.3. FOR INPATIENT SERVICES, SURGERY, EMERGENCY ROOM, CANCER CENTER AND CARDIAC CATH LAB; FOLLOW UP WILL BE DRIVEN BY STATEMENTS AND A MINIMUM OF ONE PHONE CONTACT.4. THE FIRST CONTACT ATTEMPT SHOULD BE MADE WITHIN THE FIRST 30 DAYS AFTER DATE OF SERVICE OR DATE OF DISCHARGE IS POSSIBLE.5. CREDIT AND COLLECTIONS FOLLOW-UP PROCESS AND BILLING CYCLE A. THE SELF-PAY PATIENT WILL RECEIVE 6 PATIENT STATEMENTS:I. INITIAL STATEMENT WILL BE GENERATED ON DAY 30 OF THE BILLING CYCLEII. SUBSEQUENT PATIENT STATEMENTS ARE GENERATED ON DAYS: 60, 90, 120 (ALPHA SPLIT)B. COLLECTION CALLS BEGIN WHEN THE FOLLOWING AGING CRITERIA IS MET:I. 45 DAYSII. 75 DAYSIII. 115 DAYSAFTER A PERIOD OF 120 DAYS, IF THE ACCOUNT IS DEEMED UNCOLLECTIBLE, THE HOSPITAL WILL PLACE THE ACCOUNT IN BAD DEBT AND REFER TO AN OUTSIDE COLLECTION AGENCY.BAD DEBT QUALIFICATION CRITERIA1. AN ACCOUNT MAY BE REFERRED TO COLLECTIONS IF IT MEETS ONE OR MORE OF THE FOLLOWING CRITERIA:A. SELF-PAY BALANCE NOT PAID 120 DAYS AFTER BILL DATE AND WHEN ALL REASONABLE FOLLOW UP EFFORTS HAVE BEEN EXHAUSTED.B. PATIENT OR GUARANTOR ADVISES PFS COLLECTIONS STAFF THAT THEY HAVE NO INTENTION OF PAYING THE BILL.C. PATIENT COMMUNICATION VIA MAIL AND OR PHONE IS UNSUCCESSFUL DUE TO BAD PATIENT/ACCOUNT INFORMATION.
RIDEOUT MEMORIAL HOSPITALPART V, SECTION B, LINE 24: ALL PATIENTS ARE CHARGED THE SAME REGARDLESS OF THEIR ABILITY TO PAY. IF THE PATIENT IS FAP-ELIGIBLE AND COMPLETES THE REQUIRED DOCUMENTATION, THE CHARGES ARE EITHER REDUCED OR WRITTEN-OFF TO CHARITY CARE.
FieldValueIRS element (for citing)
Facility20FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (20 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - CARDIOTHORACIC CLINIC
401 I ST SUITE AMARYSVILLECA95901CLINIC
2 - CARDIAC REHAB
401 I ST SUITE B CMARYSVILLECA95901CLINIC
3 - CARDIOLOGY CLINIC
414 G ST SUITE 106MARYSVILLECA95901CLINIC
4 - INTERVENTIONAL HEART CLINIC
414 G ST SUITE 108MARYSVILLECA95901CLINIC
5 - SURGERY PRE-OP
414 G ST SUITE 120MARYSVILLECA95901CLINIC
6 - GENERAL CARDIOLOGY CLINIC
414 G ST SUITE 208MARYSVILLECA95901CLINIC
7 - INTERVENTIONAL HEART CLINIC
414 G ST SUITE 210MARYSVILLECA95901CLINIC
8 - VASCULAR CLINIC
414 G ST SUITE 221MARYSVILLECA95901CLINIC
9 - WOMEN'S HEALTH CLINIC
1007 LIVE OAK BLVD SUITE B2YUBA CITYCA95901CLINIC
10 - PRIMARY CARE CLINIC
1215 PLUMAS ST SUITE 800YUBA CITYCA95901CLINIC
11 - FAMILY PHYSICIANS CLINIC
1233 PLUMAS ST SUITE AYUBA CITYCA95901CLINIC
12 - OCCUPATIONAL HEALTH
1531 PLUMAS STYUBA CITYCA95991CLINIC
13 - FEATHER RIVER SURGERY CENTER
370 DEL NORTE AVE 1ST FLOORYUBA CITYCA95991CLINIC
14 - ORTHOPEDIC SURGERY CLINIC
370 DEL NORTE AVE SUITE 201YUBA CITYCA95991CLINIC
15 - EAR NOSE THROAT CLINIC
370 DEL NORTE AVE SUITE 203YUBA CITYCA95991CLINIC
16 - THORACIC SURGERY CLINIC
370 DEL NORTE AVE SUITE 204YUBA CITYCA95991CLINIC
17 - BLOOD DRAW STATION
481 PLUMAS ST SUITE 103YUBA CITYCA95991CLINIC
18 - PRIMARY CARE CLINIC
481 PLUMAS ST SUITE 104YUBA CITYCA95991CLINIC
19 - GENERAL SURGERY CLINIC
481 PLUMAS ST SUITE 201YUBA CITYCA95991CLINIC
20 - WOMEN'S IMAGING
945 SHASTA STYUBA CITYCA95991CLINIC

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 6A:RIDEOUT MEMORIAL HOSPITAL'S COMMUNITY BENEFIT REPORT IS INCLUDED IN THE COMMUNITY BENEFIT REPORT PREPARED BY FREMONT RIDEOUT HEALTH GROUP. THE COMMUNITY BENEFIT REPORT IS MADE AVAILABLE TO THE PUBLIC UPON REQUEST AND ON OUR WEBSITE WWW.ADVENTISTHEALTH.ORG/RIDEOUT. IT CAN ALSO BE REQUESTED THROUGH THE STATE (OSHPD ADDRESS PROVIDED BELOW).OSHPD HEALTHCARE INFORMATION RESOURCE CENTER400 R STREET, ROOM 250; SACRAMENTO, CA 95811-6213TELEPHONE (916) 326-3802FAX (916) 324-9242
PART I, LINE 7:ACTUAL COSTS ARE USED - COST TO CHARGE RATIO METHODOLOGY
PART I, LINE 7, COLUMN (F):THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 13,901,351.
PART III, LINE 2:ACTUAL COSTS ARE USED - COST TO CHARGE RATIO METHODOLOGY.
PART III, LINE 3:RIDEOUT MEMORIAL HOSPITAL DOES NOT CURRENTLY MAKE AN ESTIMATE FOR BAD DEBT ATTRIBUTABLE TO PATIENTS UNDER FINANCIAL ASSISTANCE. THESE ACCOUNTS ARE INCLUDED IN THE TOTAL BAD DEBT RESERVE. THESE COSTS ARE NOT REPORTED AS COMMUNITY BENEFIT. ONCE PATIENTS HAVE BEEN DETERMINED TO QUALIFY FOR FAP, THE ACCOUNTS ARE DISCOUNTED AS CHARITY CARE, AND ARE THEN INCLUDED IN OUR COMMUNITY BENEFIT FIGURES.
PART III, LINE 4:AUDITED FINANCIAL STATEMENT NOT ISSUED FOR FYE 6/30/2018 AS THE ORGANIZATION WILL BE INCLUDED IN THE CONSOLIDATED AUDITED FINANCIALS FOR DECEMBER 31, 2018 DUE TO AFFILIATING WITH ADVENTIST HEALTH AND CHANGING THEIR YEAREND.
PART III, LINE 8:THE MEDICARE SHORTFALL IS FULLY TREATED AS COMMUNITY BENEFIT IN THE ORGANIZATION'S COMMUNITY BENEFIT REPORT.ACTUAL COSTS ARE USED - COST TO CHARGE RATIO METHODOLOGY.
PART III, LINE 9B:THE FINANCIAL COUNSELING DEPARTMENT WILL ASSIST PATIENTS WHO ARE CURRENTLY IN-HOUSE WITH COLLECTION OF ANY INSURANCE DEDUCTIBLES, CO-PAYS, OR SHARE-OF-COSTS AS WELL AS OBTAINING PAYMENT ARRANGEMENTS, ASSISTING WITH MEDI-CAL OR CMSP APPLICATION, AND APPLICATION TO THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM FOR PATIENTS WITHOUT ANOTHER PAYMENT SOURCE.
PART VI, LINE 2:THE COMMUNITY ACTION COMMITTEE, A CROSS-SECTION OF CLINICAL AND NON-CLINICAL HOSPITAL STAFF, REGULARLY REVIEW HEALTH CARE NEEDS OF THE COMMUNITY. PARTICIPANTS ARE ASKED FOR SUGGESTIONS ON NEW CLASSES, PROGRAMS AND SERVICES. FRHG REPRESENTATIVES ARE ACTIVE IN COMMUNITY GROUPS AND COLLABORATIVES, INCLUDING UNITED WAY, AMERICAN CANCER SOCIETY AND SUTTER AND YUBA COUNTY PUBLIC HEALTH DEPARTMENTS AND UC DAVIS HEALTH SYSTEM. THESE COMMITTEES AND PROGRAMS, ALONG WITH THE BOARD OF DIRECTORS, SET THE PACE FOR ASSESSING THE COMMUNITIES' NEEDS IN REGARD TO HEALTH CARE.
PART VI, LINE 3:THE FINANCIAL COUNSELING DEPARTMENT WILL ASSIST PATIENTS WHO ARE CURRENTLY IN-HOUSE WITH COLLECTION OF ANY INSURANCE DEDUCTIBLES, CO-PAYS, OR SHARE-OF-COSTS AS WELL AS OBTAINING PAYMENT ARRANGEMENTS, ASSISTING WITH MEDI-CAL OR CMSP APPLICATION, AND APPLICATION TO THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM FOR PATIENTS WITHOUT ANOTHER PAYMENT SOURCE. FINANCIAL COUNSELORS AND CREDIT & COLLECTION EMPLOYEES WILL PERFORM UNCOMPENSATED CARE FINANCIAL SCREENING AND MEANS TESTING. A PATIENT MAY BE GRANTED EITHER FULL OR PARTIAL FINANCIAL RELIEF DEPENDING UPON THEIR FINANCIAL SITUATION. ALL UNINSURED PATIENTS WHO CANNOT AFFORD TREATMENT WILL BE ASSESSED AT TIME OF ADMISSION/REGISTRATION TO DETERMINE IF THEY HAVE UNEXPLORED INSURANCE BENEFITS OR ARE ELIGIBLE FOR PUBLICLY FUNDED PROGRAMS.
PART VI, LINE 4:RIDEOUT HEALTH SERVES THE SACRAMENTO VALLEY AND SIERRA NEVADA FOOTHILL REGION COMPRISED OF YUBA AND SUTTER COUNTIES, WITH A COMBINED POPULATION OF 171,533, ACCORDING TO A 2016 CALIFORNIA DEPARTMENT OF FINANCE ESTIMATE. YUBA AND SUTTER COUNTIES' POPULATION GROWTH HAS OUTPACED THE GROWTH RATE IN CALIFORNIA OVER THE PAST TWO DECADES, AND IS PROJECTED TO CONTINUE. OF THE TOTAL POPULATION OF THE TWO COUNTIES, 26.7 PERCENT ARE CHILDREN (UNDER THE AGE OF 18), AND 13.8 PERCENT ARE SENIORS (65 OR OLDER). THE SENIOR POPULATION IS EXPECTED TO MORE THAN DOUBLE FROM 2010 TO 2035.THIS REGION OF ABUNDANT NATURAL RESOURCES GRAPPLES WITH SEVERAL SOCIOECONOMIC CHALLENGES, INCLUDING A POVERTY RATE 34 PERCENT HIGHER THAN ALL OF CALIFORNIA, WHICH CAN CREATE SIGNIFICANT COMMUNITY HEALTH CHALLENGES. ACCORDING TO THE U.S. CENSUS BUREAU, INCOMES IN BOTH COUNTIES ARE BELOW THE STATEWIDE AVERAGE, AND THE POVERTY RATE IS HIGHER THAN THE STATEWIDE AVERAGE. MEDIAN PER CAPITA INCOME FOR YUBA COUNTY WAS JUST $20,471 IN 2017, 32 PERCENT BELOW THE STATEWIDE AVERAGE OF $30,318. SUTTER COUNTY WAS AT $23,689, 22 PERCENTAGE POINTS BEHIND THE REST OF THE STATE. THE COMBINED POVERTY RATE OF THE TWO COUNTIES IS 19.2 PERCENT, COMPARED TO ALL OF CALIFORNIA AT 14.3 PERCENT.ACCORDING TO THE UNITED STATES BUREAU OF LABOR STATISTICS, IN THE 20 YEARS FROM 1990 TO 2010, THE UNEMPLOYMENT RATE FOR THE YUBA-SUTTER REGION WAS AT A HIGH OF 19.5 PERCENT IN 2010 AND A LOW OF 8.8 PERCENT IN 2000. WHILE THE REGION'S ECONOMY HAS IMPROVED, THE ANNUAL AVERAGE UNEMPLOYMENT RATE IN 2016 WAS 9.2 PERCENT, COMPARED TO 5.4 PERCENT STATEWIDE, ACCORDING TO THE CALIFORNIA EMPLOYMENT DEVELOPMENT DEPARTMENT.ACCORDING TO THE UNIVERSITY OF WISCONSIN AND ROBERT J. WOOD FOUNDATION COUNTY HEALTH RANKINGS, YUBA COUNTY RANKED 44TH WORST OUT OF 58 COUNTIES IN CALIFORNIA FOR OVERALL HEALTH AND SUTTER COUNTY RANKED 30TH WIN 2016. ACCORDING TO THE CALIFORNIA DEPARTMENT OF PUBLIC HEALTH, YUBA COUNTY HAS THE THIRD HIGHEST RATE OF DEATH FROM ALL CAUSES IN CALIFORNIA, AND SUTTER COUNTY HAS THE 22ND HIGHEST MORTALITY RATE. YUBA COUNTY HAS THE THIRD HIGHEST, AND SUTTER COUNTY THE SIXTH HIGHEST, RATE OF DEATH DUE TO CORONARY DISEASE.THE PERCENTAGE OF YUBA COUNTY RESIDENTS WITH A DISABILITY IS TWICE THE STATEWIDE AVERAGE. YUBA COUNTY HAS A DISABILITY RATE OF 14.5 PERCENT IN PEOPLE UNDER THE AGE OF 65, AND SUTTER COUNTY HAS A DISABILITY RATE OF 9.3 PERCENT. THE STATEWIDE AVERAGE IS 6.8 PERCENT.MORE YUBA AND SUTTER COUNTY RESIDENTS NOW HAVE HEALTH INSURANCE DUE TO THE AFFORDABLE CARE ACT. PRIOR TO THE ACT, THE PERCENTAGE OF RESIDENTS WITHOUT HEALTH INSURANCE WAS HIGHER IN YUBA AND SUTTER COUNTIES THAN THE NATIONAL AVERAGE, ACCORDING TO THE U.S. CENSUS BUREAU'S SMALL AREA HEALTH INSURANCE ESTIMATES. ACCORDING TO THE CENSUS BUREAU, 21.5 PERCENT OF SUTTER COUNTY RESIDENTS AND 19.1 PERCENT OF YUBA COUNTY RESIDENTS WERE WITHOUT HEALTH INSURANCE FOR ALL 12 MONTHS OF 2009, COMPARED TO THE CALIFORNIA UNINSURED RATE OF 20.1 PERCENT, AND THE NATIONAL UNINSURED RATE OF 16.3 PERCENT. AN ESTIMATED 10,000 ADDITIONAL INDIVIDUALS IN YUBA AND SUTTER COUNTIES BECAME MEDI-CAL CERTIFIED ELIGIBLE IN 2014 WITH THE IMPLEMENTATION OF THE ACT, AND THE PERCENTAGE OF INDIVIDUALS WITHOUT HEALTH INSURANCE HAS DROPPED TO 14 PERCENT IN EACH COUNTY. HOWEVER, MANY STILL STRUGGLE TO FIND MEDI-CAL PROVIDERS.RIDEOUT HEALTH PROVIDES COMMUNITY BENEFITS TO THE COMMUNITIES WE SERVE - DEMONSTRATING OUR COMMITMENT TO THE HEALTH OF RESIDENTS IN OUR SERVICE AREA. WE PROVIDE PROGRAMS AND ACTIVITIES THAT PROVIDE TREATMENT OR PROMOTE HEALTH AND HEALING AS A RESPONSE TO IDENTIFIED COMMUNITY NEEDS IN SUCH A WAY AS TO IMPROVE RESIDENTS' ACCESS TO HEALTH CARE SERVICES, ENHANCE THE HEALTH OF THE COMMUNITY, AND ADVANCE MEDICAL OR HEALTH KNOWLEDGE. RH'S COMMUNITY BENEFIT INCLUDES EDUCATION, CHARITY CARE, SUBSIDIZED HEALTH SERVICES, COMMUNITY HEALTH IMPROVEMENT ACTIVITIES AND MORE. RH CREATES ACCESS TO HEALTH CARE IN OUR REGION FOR INDIVIDUALS AND FAMILIES WHO STRUGGLE AGAINST POVERTY, DISABILITY AND ISOLATION.
PART VI, LINE 5:- RIDEOUT MEMORIAL HOSPITAL ADDRESSES THE FOLLOWING COMMUNITY NEEDS: ACCESS TO INPATIENT AND OUTPATIENT CARE FOR INDIVIDUALS WITHOUT A MEDICAL PROVIDER; EDUCATION AND SCREENING PROGRAMS FOR SPECIAL POPULATIONS AND HEALTH CONDITIONS; COMMUNITY FLU VACCINATION CLINICS; SPECIAL SUPPORT SERVICES FOR HOSPICE PATIENTS, FAMILIES AND THE COMMUNITY; SUPPORT OF COMMUNITY NON-PROFIT ORGANIZATIONS; EDUCATION AND TRAINING OF HEALTH CARE PROFESSIONALS; AND COLLABORATION WITH LOCAL SCHOOLS THROUGH OUR TEEN LEADERSHIP COUNCIL PROGRAM TO PROMOTE INTEREST IN HEALTH CARE CAREERS. ADDITIONAL STEPS WERE TAKEN DURING THE CURRENT YEAR TO INCREASE PATIENT ACCESS TO MEDICAL CARE FACILITIES BY ESTABLISHING A NUMBER OF CLINICS IN THE COMMUNITY.- RIDEOUT MEMORIAL HOSPITAL REGULARLY OFFERS HEALTH SCREENINGS TO THE PUBLIC AT LITTLE OR NO CHARGE THROUGH HEALTH FAIRE AND PROSTATE SCREENINGS THROUGH THE CANCER CENTER AT RIDEOUT. THE RIDEOUT MEMORIAL HOSPITAL ALSO OFFERS LOW COST MAMMOGRAM PROGRAMS DURING PINK OCTOBER. THESE SCREENINGS MAY INCLUDE: CHOLESTEROL, GLUCOSE, BLOOD PRESSURE HEIGHT AND WEIGHT WITH BMI (BODY MASS INDEX), PROSTATE SCREENING, AND LOW COST MAMMOGRAMS.- RIDEOUT MEMORIAL HOSPITAL PROUDLY SUPPORTS MANY LOCAL ORGANIZATIONS, IN COLLABORATION WITH AGENCIES SUCH AS PEACH TREE CLINIC, AMPLA HEALTH CARE, SUTTER COUNTY HEALTH ACS, YUBA COUNTY HEALTH DEPARTMENT TO PROVIDE SERVICES AND SUPPORT GROUPS. - RIDEOUT MEMORIAL HOSPITAL IS ACTIVELY INVOLVED IN THE ECONOMIC DEVELOPMENT COMMITTEE FOR YUBA COUNTY, EXECUTIVE STEERING COMMITTEE FOR THE CITY OF MARYSVILLE, AND REPRESENTATION IN ROTARY SERVICE CLUBS IN BOTH YUBA CITY AND MARYSVILLE.- RIDEOUT MEMORIAL HOSPITAL'S COMMUNITY HEALTH EDUCATION PROGRAM PROVIDES A VARIETY OF CLASSES, SEMINARS, SUPPORT GROUPS AND EVENTS TO HELP THE RESIDENTS OF THE YUBA SUTTER COMMUNITIES TO IMPROVE AND MAINTAIN THEIR HEALTH AND LIFESTYLE.
PART VI, LINE 7, REPORTS FILED WITH STATESCA

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BILL WING
CHAIR$0$953,512$0$273,121$0$233,611$0$16,356$0$36,337$0$1,512,937$0$172,851
JEFF ELLER
PRESIDENT$0$647,561$0$183,480$0$206,427$0$16,356$0$28,657$0$1,082,481$0$106,335
MEREDITH JOBE
SECRETARY$0$395,752$0$98,614$0$159,873$0$16,356$0$25,957$0$696,552$0$60,017
JOE REPPERT
ASSISTANT TREASURER (THRU 03/18)$0$473,244$0$41,746$0$95,965$0$16,356$0$39,585$0$666,896$0$0
GINO PATRIZIO
CEO (THRU 05/18)$0$639,974$0$0$0$74,644$0$29,475$0$10,363$0$754,456$0$0
DIANE MOON
CFO (THRU 04/18)$0$301,995$0$0$0$79,219$0$18,475$0$20,178$0$419,867$0$0
ED GONZALEZ
DIR OF FIN (THRU 05/18)/FIN EXEC$0$142,782$0$0$0$33,707$0$6,068$0$29,801$0$212,358$0$0
MONICA ARROWSMITH
BUS DVLP/COMMUNITY MI EX$0$241,392$0$0$0$68,467$0$10,259$0$29,411$0$349,529$0$0
AZAD SHEIKH
PHYSICIAN EXECUTIVE$0$274,257$0$0$0$28,900$0$20,898$0$10,690$0$334,745$0$0
MELISSA BURNS
CHIEF OPERATIONS OFFICER (THRU 08/17$0$234,646$0$0$0$400,599$0$25,972$0$19,476$0$680,693$0$0
DANIEL CHIBAYA
OPERATIONS EXECUTIVE$0$247,594$0$0$0$73,187$0$10,523$0$29,411$0$360,715$0$0
JERRY GONZALES
DIRECTOR PHARMACY$227,820$0$0$0$37,467$0$9,682$0$20,451$0$295,420$0$0$0
STEPHEN HAMMARSTROM
VP OUTPATIENT CLINICS$201,968$0$0$0$60,483$0$4,544$0$29,801$0$296,796$0$0$0
DEBORAH MENSCH
VP NURSING SERVICES$186,403$0$0$0$50,602$0$7,922$0$20,178$0$265,105$0$0$0
SHERRYL BIRD
REGISTERED NURSE$222,727$0$0$0$6,950$0$8,263$0$20,178$0$258,118$0$0$0
KRISTA MINTON
DIRECTOR WOMEN & CHILDREN$194,081$0$0$0$8,172$0$8,248$0$29,411$0$239,912$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3THE ORGANIZATION RELIED ON A RELATED ORGANIZATION THAT USED ONE OR MORE OF THE METHODS DESCRIBED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION.
PART I, LINES 4A-BMELISSA BURNS RECEIVED SEVERANCE COMPENSATION IN THE AMOUNT OF $270,768 DURING THE YEAR. GINO PATRIZIO RECEIVED SEVERANCE COMPENSATION DURING THE FISCAL YEAR, BUT NOT DURING THE CALENDAR YEAR 2017. TERMS OF THE AGREEMENTS ARE SUBJECT TO A CONFIDENTIALITY CLAUSE; DETAILS WILL BE PROVIDED TO THE IRS UPON REQUEST. A FLEXIBLE BENEFITS PLAN (CAA) IS OFFERED TO GROUPS OF HIGHLY-COMPENSATED EMPLOYEES MEETING CERTAIN CRITERIA. THE PARTICIPANTS ARE PROVIDED WITH AN AMOUNT EQUIVALENT TO 41 PERCENT OF THEIR BASE COMPENSATION, LESS THE VALUE OF THEIR CORPORATE PROVIDED BENEFITS. THE BALANCE IS SET ASIDE FOR NON-VESTED DEFERRED COMPENSATION THAT IS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE AND IS AT RISK TO THE CREDITORS OF ADVENTIST HEALTH. PAYOUTS OCCUR ACCORDING TO THE PARTICIPANTS' PAYMENT ELECTIONS AFTER ALL SUBSTANTIAL RISKS OF FORFEITURE HAVE LAPSED.
PART II, LINE (7)ED GONZALEZ COMPENSATION WAS EARNED DURING THE COURSE OF HIS ROLE AS DIRECTOR OF FINANCE FROM THE START OF THE FISCAL YEAR-END THROUGH MAY 2018.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CITY OF MARYSVILLE CALIFORNIABusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN946000368BondIssuerEIN
CUSIP574374AN4CUSIPNum
Bond Issued2011-11-15BondIssuedDt
Issue Price$111,067,641IssuePriceAmt
PurposeCONSTRUCTION IMPROVEMENT, EXPANSIONPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$111,314,422TotalProceedsAmt
Capitalized Interest$20,973,181CapitalizedInterestAmt
Issuance Costs From Proceeds$1,066,710IssuanceCostsFromProceedsAmt
Credit Enhancement$1,392,359CreditEnhancementAmt
Capital Expenditures$110,247,712CapitalExpendituresAmt
Substantial Completion2016SubstantialCompletionYr
Current Refunding0CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate DueYes (1)NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMEDISSUER NAME: CITY OF MARYSVILLE, CALIFORNIA DATE THE REBATE COMPUTATION WAS PERFORMED: 11/18/2016
SCHEDULE K, PART II, LINE 3:THE DIFFERENCE BETWEEN THE ISSUE PRICE REPORTED IN PART I COLUMN (E) AND THE TOTAL PROCEEDS REPORTED ON PART II, LINE 3 IS DUE TO INTEREST EARNED.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART IV, LINE 20BRIDEOUT MEMORIAL HOSPITAL ENGAGED A CPA FIRM TO ISSUE AUDITED FINANCIAL STATEMENT FOR AN EIGHTEEN (18) MONTH PERIOD WHICH ENCOMPASSES THE CURRENT 2017 TAX PERIOD. WHEN ISSUED, THE AUDITED FINANCIAL STATEMENT WILL BE FOR THE PERIOD OF JULY 1, 2017 THROUGH DECEMBER 31, 2018 DUE TO THE FACT THAT FREMONT RIDEOUT HEALTH GROUP AFFILIATED WITH ADVENTIST HEALTH AND AS A RESULT CHANGED ITS YEAR END. RIDEOUT MEMORIAL HOSPITAL HAS NO STAND ALONE AUDITED FINANCIAL STATEMENT TO ATTACH TO THIS RETURN AS REQUIRED; THE 18-MONTH AUDIT REPORT WILL BE PROVIDED WITH THE DECEMBER 31, 2018 FORM 990.
FORM 990, PART VI, SECTION A, LINE 4AS PART OF AN AFFILIATION AGREEMENT WITH ADVENTIST HEALTH SERVICES/WEST EFFECTIVE APRIL 2018, THE ORGANIZATION AMENDED ITS ARTICLES OF INCORPORATION AND BYLAWS FOR THE FOLLOWING: 1) THE NUMBER, COMPOSITION, QUALIFICATIONS, POWERS AND ELECTION OF THE BOARD OF DIRECTORS OF RIDEOUT MEMORIAL HOSPITAL WERE CHANGED SO THAT THE BOARD OF DIRECTORS OF THE SOLE MEMBER, FREMONT-RIDEOUT HEALTH GROUP ARE THE HOSPITAL'S BOARD MEMBERS. 2) THE POWERS RESERVED AND APPROVAL AUTHORITY OF THE SOLE MEMBER, FREMONT-RIDEOUT HEALTH GROUP, WERE REVISED. 3) THE DUTIES OF OFFICERS WERE REVISED. 4) AMENDMENTS TO THE BYLAWS MUST BE APPROVED BY THE SOLE MEMBER, FREMONT-RIDEOUT HEALTH GROUP. 5) THE ARTICLES PERTAINING TO THE AUDIT COMMITTEE AND CONFLICT OF INTEREST PROCEDURES WERE REMOVED FROM THE AMENDED BYLAWS AND REPLACED BY SEPARATE PROVISIONS WITHIN THE AFFILIATION AGREEMENT OR COVERED BY CORPORATE POLICY.
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER OF THE ORGANIZATION IS THE FREMONT-RIDEOUT HEALTH GROUP, A CALIFORNIA NONPROFIT BENEFIT CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7AEACH INDIVIDUAL WHO IS A DIRECTOR OF THE BOARD OF THE FREMONT-RIDEOUT HEALTH GROUP SHALL AUTOMATICALLY BE A DIRECTOR OF RIDEOUT MEMORIAL HOSPITAL, AND SHALL SERVE AS A DIRECTOR OF RIDEOUT MEMORIAL HOSPITAL UNTIL SUCH TIME AS THAT PERSON IS NO LONGER A DIRECTOR OF THE FREMONT-RIDEOUT HEALTH GROUP.
FORM 990, PART VI, SECTION A, LINE 7BTHE FREMONT-RIDEOUT HEALTH GROUP SHALL EXERCISE ITS MEMBERSHIP RIGHTS THROUGH ITS BOARD OF DIRECTORS, WHICH MAY, BY RESOLUTION, AUTHORIZE ONE OR MORE OF ITS OFFICERS TO EXERCISE ITS VOTE ON ANY MATTER TO COME BEFORE THE MEMBERSHIP OF RIDEOUT MEMORIAL HOSPITAL. REQUEST FOR ACTION BY THE FREMONT-RIDEOUT HEALTH GROUP MAY BE MADE BY THE CHAIR OF THE FREMONT-RIDEOUT HEALTH GROUP'S BOARD OR ANY OTHER PERSON DESIGNATED IN WRITING BY THE FREMONT-RIDEOUT HEALTH GROUP.
FORM 990, PART VI, SECTION B, LINE 11BA FULL COPY OF THE FORM 990 WILL NOT BE MADE AVAILABLE TO THE FULL BOARD PRIOR TO FILING AS THE LEGAL BOARD OF THE ENTITY HAS PROVIDED APPROVAL AND AUTHORIZATION FOR THE CORPORATION'S OFFICERS TO FILE THE FORM 990.
FORM 990, PART VI, SECTION B, LINE 12CDIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO SIGN CONFLICTS OF INTEREST STATEMENTS ANNUALLY WHICH ARE REVIEWED BY IN-HOUSE COUNSEL OR THE COMPLIANCE OFFICER. BOARD MEMBERS ARE EXCUSED FROM ANY PORTION OF THE MEETINGS WHERE THEIR PERSONAL INTEREST WOULD CREATE A CONFLICT ON AN ISSUE OR INFLUENCE A VOTE.
FORM 990, PART VI, SECTION B, LINE 15THE FILING ORGANIZATION DID NOT COMPENSATE ITS TOP MANAGEMENT OFFICIAL, ANY OFFICERS OR KEY EMPLOYEES DURING THE TAX YEAR. COMPENSATION WAS DETERMINED AND PAID BY A RELATED ORGANIZATION.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST DURING NORMAL BUSINESS HOURS. CONFLICT OF INTEREST POLICY IS NOT MADE AVAILABLE TO THE PUBLIC.
FORM 990, PART IX, LINE 11GMEDICAL PHYSICIAN PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 67,954,138. MANAGEMENT AND GENERAL EXPENSES 543,435. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 68,497,573.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (27 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
ADV HLTH SO CALIFORNIA MED FND
PO BOX 619135ROSEVILLECA95661954424391DISCONTINUED OPERATIONSCA501(C)(3)LINE 12C, III-FIADVENTIST HEALTH SYSTEMWEST0
ADVENTIST HEALTH CLEARLAKE HOSPITAL INC
PO BOX 619135ROSEVILLECA95661680395149HOSPITALCA501(C)(3)LINE 3ADVENTIST HEALTH SYSTEMWEST0
ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI
PO BOX 619135ROSEVILLECA95661812240617HOSPITALCA501(C)(3)LINE 1ADVENTIST HEALTH SYSTEMWEST0
ADVENTIST HEALTH PHYSICIANS NETWORK
PO BOX 619135ROSEVILLECA95661680357690MEDICAL FOUNDATIONCA501(C)(3)LINE 12B, IIADVENTIST HEALTH SYSTEMWEST0
ADVENTIST HEALTH SYSTEMWEST
PO BOX 619135ROSEVILLECA95661953484589INTEGRATED HEALTH SYSTEMCA501(C)(3)LINE 10N/A
CASTLE MEDICAL CENTER
PO BOX 619135ROSEVILLECA95661990107330HOSPITALHI501(C)(3)LINE 1ADVENTIST HEALTH SYSTEMWEST0
FEATHER RIVER HOSPITAL
PO BOX 619135ROSEVILLECA95661941101228HOSPITALCA501(C)(3)LINE 1ADVENTIST HEALTH SYSTEMWEST0
FREMONT-RIDEOUT HEALTH GROUP
989 PLUMAS STYUBA CITYCA95991942917251HOSPITAL MANAGEMENT SERVICESCA501(C)(3)LINE 12B, IISTONE POINT HEALTHYes (1)
GLENDALE ADVENTIST MEDICAL CENTER
PO BOX 619135ROSEVILLECA95661951816017HOSPITALCA501(C)(3)LINE 1ADVENTIST HEALTH SYSTEMWEST0
HANFORD COMMUNITY HOSPITAL
PO BOX 619135ROSEVILLECA95661940535360HOSPITALCA501(C)(3)LINE 1ADVENTIST HEALTH SYSTEMWEST0
LODI MEMORIAL HOSPITAL ASSOCIATION INC
PO BOX 619135ROSEVILLECA95661941044474HOSPITALCA501(C)(3)LINE 3ADVENTIST HEALTH SYSTEMWEST0
NORTHWEST MED FND OF TILLAMOOK
PO BOX 619135ROSEVILLECA95661930622075HOSPITALOR501(C)(3)LINE 1ADVENTIST HEALTH SYSTEMWEST0
PARADISE VALLEY HOSPITAL
PO BOX 619135ROSEVILLECA95661951816034DISCONTINUED OPERATIONSCA501(C)(3)LINE 1ADVENTIST HEALTH SYSTEMWEST0
PORTLAND ADVENTIST MEDICAL CENTER
PO BOX 619135ROSEVILLECA95661930429015HOSPITALOR501(C)(3)LINE 1ADVENTIST HEALTH SYSTEMWEST0
REEDLEY COMMUNITY HOSPITAL
PO BOX 619135ROSEVILLECA95661453220509HOSPITALCA501(C)(3)LINE 1ADVENTIST HEALTH SYSTEMWEST0
RIDEOUT MEMORIAL HOSPITAL
989 PLUMAS STYUBA CITYCA95991941387866ACUTE CARE HOSPITALCA501(C)(3)LINE 3FREMONT-RIDEOUT HEALTH GROUPYes (1)
SAN JOAQUIN COMMUNITY HOSPITAL
PO BOX 619135ROSEVILLECA95661952294234HOSPITALCA501(C)(3)LINE 1ADVENTIST HEALTH SYSTEMWEST0
SIMI VALLEY HOSPITAL & HEALTH CARE SERV
PO BOX 619135ROSEVILLECA95661956064971HOSPITALCA501(C)(3)LINE 1ADVENTIST HEALTH SYSTEMWEST0
SONORA COMMUNITY HOSPITAL
PO BOX 619135ROSEVILLECA95661941415069HOSPITALCA501(C)(3)LINE 1ADVENTIST HEALTH SYSTEMWEST0
ST HELENA HOSPITAL
PO BOX 619135ROSEVILLECA95661941279779HOSPITALCA501(C)(3)LINE 1ADVENTIST HEALTH SYSTEMWEST0
STONE POINT HEALTH
PO BOX 619135ROSEVILLECA95661823763347SUPPORTING ORGANIZATIONCA501(C)(3)LINE 12B, IIADVENTIST HEALTH SYSTEMWEST0
UKIAH ADVENTIST HOSPITAL
PO BOX 619135ROSEVILLECA95661941639901HOSPITALCA501(C)(3)LINE 1ADVENTIST HEALTH SYSTEMWEST0
UNITED COM-SERVE
989 PLUMAS STYUBA CITYCA95991943015356SKILLED NURSING/ASSISTED LIVING/HOME HEALTHCA501(C)(3)LINE 12B, IIFREMONT-RIDEOUT HEALTH GROUPYes (1)
WALLA WALLA GENERAL HOSPITAL
PO BOX 619135ROSEVILLECA95661910617726HOSPITALWA501(C)(3)LINE 1ADVENTIST HEALTH SYSTEMWEST0
WESTERN HEALTH RESOURCES
PO BOX 619135ROSEVILLECA95661953867863HOME CARECA501(C)(3)LINE 1ADVENTIST HEALTH SYSTEMWEST0
WHITE MEMORIAL MEDICAL CENTER
PO BOX 619135ROSEVILLECA95661952282647HOSPITALCA501(C)(3)LINE 1ADVENTIST HEALTH SYSTEMWEST0
WILLITS HOSPITAL INC
PO BOX 619135ROSEVILLECA95661680108919HOSPITALCA501(C)(3)LINE 1ADVENTIST HEALTH SYSTEMWEST0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1FRD MANAGEMENT LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2128AddressLine1Txt
CityMARYSVILLECityNm
State AbbreviationCAStateAbbreviationCd
ZIP95901ZIPCd
FieldValueIRS element (for citing)
EIN943335136EIN
Primary ActivitiesOPERATION OF CANCER CENTERPrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
FREMONT-RIDEOUT MANAGEMENT SERVICES ORGANIZATION INC
989 PLUMAS STREETYUBA CITYCA95991271350379DME SALESCAN/AC0
RIDEOUT MEDICAL FOUNDATION
989 PLUMAS STREETYUBA CITYCA95991812580691OPERATE MULTI-SPECIALTY MEDICAL CLINICSCAN/AC0
SOUTH COAST MEDICAL CENTER
PO BOX 619135ROSEVILLECA95661952037291WIND DOWN AFTER SALE OF HOSPITALCAN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
FREMONT-RIDEOUT HEALTH GROUP
P$35,234,493FMV
FREMONT-RIDEOUT DAVIS MANAGEMENT
P$472,271FMV
UNITED COM-SERVE
Q$156,483FMV

Reasonable Cause Explanation ReasonableCauseExplanation

FieldValueIRS element (for citing)
ExplanationLATE FILED RETURN DUE TO CCH SOFTWARE OUTAGE.ExplanationTxt