2019-07-26T15:37:40-05:00 2018-09-30 910189318 MOSS ADAMS LLP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2017-10-01 951643347 REDLANDS COMMUNITY HOSPITAL REDL 9093355500 350 TERRACINA BLVD REDLANDS CA 92373 JAMES HOLMES PRESIDENT/CEO 9093355500 2019-07-26 1 LAUREN A HAVERLOCK P00545829 4159561500 2019-07-26 172.90.17.200 2019-07-26 12:28:49 PD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 45A0DEE88EBA5BC01B2D6E064F66B43F0304238A 2017 2019-02-21 02:37:17Z JAMES HOLMES 350 TERRACINA BLVD REDLANDS CA 92373 633807793 0 X WWW.REDLANDSHOSPITAL.ORG X 1927 CA THE HOSPITAL'S MISSION, VISION AND VALUE STATEMENTS ARE INTEGRATED INTO THE HOSPITAL'S POLICY AND PLANNING PROCESSES INCLUDING THE COMMUNITY BENEFIT PLAN. A PART OF THIS PLANNING PROCESS WAS TO INCORPORATE COMMUNITY BENEFITS IN THE HOSPITAL'S STRATEGIC PLANS. OUR MISSION IS TO PROMOTE AN ENVIRONMENT WHERE MEMBERS OF OUR COMMUNITY CAN RECEIVE HIGH QUALITY CARE AND SERVICE SO THEY CAN BE RESTORED TO GOOD HEALTH BY WORKING IN CONCERT WITH PATIENTS, PHYSICIANS, RCH STAFF, ASSOCIATES AND THE COMMUNITY. 19 16 1896 17 0 1505 613409 610942 315841655 346437313 1179513 339755 1834217 2250176 319468794 349638186 8000000 52000000 0 0 125580871 133850472 0 0 0 177556884 185468997 311137755 371319469 8331039 -21681283 254245749 240011898 174453867 182432955 79791882 57578943 X OUR MISSION IS TO PROMOTE AN ENVIRONMENT WHERE MEMBERS OF OUR COMMUNITY CAN RECEIVE HIGH QUALITY CARE AND SERVICES SO THEY CAN MAINTAIN AND BE RESTORED TO GOOD HEALTH. 0 0 133386735 88984891 SCHEDULE O FOR UNREIMBURSED MEDICAL CARE DESCRIPTIONUNREIMBURSED MEDICAL CARE: THE HOSPITAL IS COMMITTED TO PROVIDING QUALITY MEDICAL CARE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. COST OF CARE FOR PATIENTS THAT MEET THE CHARITY CARE POLICY OF THE HOSPITAL ARE CLASSIFIED AS CHARITY. RCH HAD 2,041 INPATIENT/OUTPATIENT CHARITY ENCOUNTERS, 1,749 MEDICARE DISCHARGES AND 2,895 MEDICAID AND COUNTY INDIGENT DISCHARGES. THE TOTAL ESTIMATED COST OF CHARITY CARE SERVICES AND UNPAID COST OF SERVICES ASSOCIATED WITH MEDICARE, MEDICAID AND COUNTY INDIGENT PROGRAMS AS WELL AS THE ESTIMATED COST ASSOCIATED WITH UNCOLLECTABLE ACCOUNTS WERE $44,402,000. 1943526 427004 SCHEDULE O FOR HOSPITAL'S FAMILY CLINIC DESCRIPTIONAN ON-GOING GOAL OF THE HOSPITAL'S FAMILY CLINICS IS TO PROVIDEHIGH-QUALITY, LOW-COST HEALTH CARE SERVICES TO PEOPLE WHODO NOT OTHERWISE HAVE ACCESS TO HEALTH CARE, WHICH MAYBE DUE TO FINANCIAL, CULTURAL, LIFESTYLE OR PSYCHOLOGICALBARRIERS. EQUALLY IMPORTANT IS THE DESIRE TO PROVIDE DISEASESPECIFIC PATIENT/FAMILY EDUCATION, WITH EMPHASIS ONPROMOTING HEALTH AND WELLNESS AND THE SUPPORT NECESSARYTO PROMOTE INDIVIDUALIZED HEALTH CARE DECISION MAKING. THEREDLANDS AND YUCAIPA FAMILY CLINICS AND THE COMMUNITYBASED PERINATAL SERVICES PROGRAM (MATERIAL INFANT HEALTH)SERVE THE COMMUNITIES OF REDLANDS, LOMA LINDA, SANBERNARDINO, HIGHLAND, YUCAIPA AND MENTONE, SUPPORTINGTHE HEALTHY START PROGRAMS IN THE REDLANDS UNIFIED SCHOOLDISTRICT IN ADDITION TO PROVIDING AN OPPORTUNITY FOR LOW-INCOME, THE UNINSURED AND UNDERINSURED TO RECEIVE PRIMARYAND PREVENTIVE CARE, EARLY MEDICAL PROBLEM IDENTIFICATION,TREATMENT AND ASSISTANCE WITH THE APPLICATION PROCESSAND OBTAINING OF ELIGIBILITY FOR PUBLIC ASSISTANCE PROGRAMS.GOALS AND ACCOMPLISHMENTS IN 2018: 1) ENHANCED PRIMARYCARE SERVICES, 2) PROVIDED AND FACILITATED COMMUNITYEDUCATIONAL OFFERINGS AND HEALTH CARE SCREENINGS, 3)PROVIDED NO-COST SEASONAL FLU VACCINATIONS TO THECOMMUNITY, 4) EXPANDED AWARENESS OF THE SERVICES PROVIDEDBY THE FAMILY CLINICS, 5) SUPPORTED REDLANDS UNIFIED SCHOOLDISTRICT BY PROVIDING EMPLOYEE TB SCREENING. FOR FISCAL YEAR2018, REDLANDS AND YUCAIPA FAMILY CLINICS HAD 10,871 VISITS ANDPERINATAL SERVICES HAD 2,015 VISITS. 115197704 146397019 SCHEDULE O FOR DESCRIPTION OF SERVICES THE HOSPITAL PROVIDESFOUNDED IN 1904, REDLANDS COMMUNITY HOSPITAL IS A NON-PROFIT, 229-BED HEALTHCARE FACILITY LOCATED IN THE EAST SAN BERNARDINO VALLEY OF SOUTHERN CALIFORNIA. THE HOSPITAL OFFERS ACUTE HEALTHCARE, DIAGNOSTIC AND HOME HEALTHCARE SERVICES. AS A COMMUNITY HOSPITAL, WE TAKE PRIDE IN OUR PERSONAL CARE AND COMPREHENSIVE, HIGH QUALITY SERVICES. OUR COMMUNITY SERVICE NURSES, EMERGENCY DEPARTMENT, FAMILY CLINICS, PERINATAL SERVICES PROGRAM, AND SEVERAL OTHER DEPARTMENTS THROUGHOUT THE HOSPITAL ARE INVOLVED IN OFFERING A VARIETY OF COMMUNITY SERVICES AND CHARITY CARE. PEOPLE FROM THROUGHOUT OUR LARGE SERVICE AREA DEPEND ON US FOR 24 HOUR EMERGENCY CARE, PROFESSIONAL HEALTHCARE AND A VARIETY OF COMMUNITY SERVICE OUTREACH PROGRAMS. ADDITIONALLY, RCH IN PARTNERSHIP WITH TWO LOCAL MEDICAL GROUPS, CONTRACTS WITH VARIOUS HEALTH PLANS TO PROVIDE FULL-SERVICE HEALTH CARE TO APPROXIMATELY 70,000 COMMUNITY MEMBERS ON A CAPITATED BASIS. 109468775 52000000 110628399 OTHER PROGRAMS: THE COMMUNITY CASE MANAGEMENT PROGRAM ADDRESSES THE NEEDS FOR AT-RISK, UNDERINSURED AND COMPLEX HEALTHCARE ISSUES AS WELL AS EDUCATION ON DISEASE MANAGEMENT AND COMMUNITY RESOURCES. THE PURPOSE OF THE COMMUNITY CASE MANAGEMENT IS TO PROVIDE HIGH-QUALITY SERVICE TO PEOPLE WHO DO NOT KNOW HOW TO NAVIGAGE THE HEALTHCARE SYSTEM DUE TO FINANCIAL, CULTRUAL, LIFESTYLE, OR PSYCHOLOGICAL BARRIERS. AN EQUALLY IMPORTANT FOCUS IS EMPOWERING THE PATIENT AND FAMILY WITH DISEASE SPECIFIC EDUCATION EMPHASIZING PROMOTION OF HEALTH, WELLNESS AND THE TOOLS NECESSARY TO PROMOTE INDIVIDUALIZED HEALTH CARE DECISIONMAKING. THE GOALS OF THE PROGRAM ARE TO DECREASE THE INCIDENCE OF READMISSION, TO EDUCATE REGARDING DISEASE PROCESS AND MANAGEMENT, TO PROVIDE COMMUNITY RESOURCES, TO FACILITATE THE RELATIONSHIP BETWEEN THE PATIENT AND THEIR HEALTHCARE PROVIDERS AND IMPROVE PATIENT HEALTHCARE OUTCOMES.PASTORAL CARE SERVICE - LAY MINISTRY - GRIEF PROGRAMS ADDRESSES THE SPIRITUAL CONCERNS OF RCH PREOPERATIVE, AS WELL AS OTHER PATIENTS WHO REQUEST PASTORAL SUPPORT. THE CHAPLAIN ALSO SERVES AS A PART OF THE ICU CLINICAL TEAM, PROVIDING PROFESSIONAL SPIRITUAL ASSESSMENT AND SUPPORT FOR PATIENTS AND FAMILIES. THE CHAPLAIN ALSO RESPONDS TO REFERRALS FROM HEALTH CARE PROFESSIONALS THROUGHOUT THE HOSPITAL TO ASSIST WITH ADDRESSING LIFE THREATENING ILLNESSES, END OF LIFE CONCERNS AND ISSUES OF SPIRITUAL DISTRESS. IN ADDITION, PASTORAL CARE SERVICES OFFERS THE OPPORTUNITY TO PERSONS OF ALL FAITH TRADITIONS TO BECOME A PASTORAL CARE VISITOR. THE CHAPLAIN PROVIDES INITIAL TRAINING AND ON-GOING EVALUATION OF PASTORAL CARE VISITORS.OTHER SERVICES INCLUDE PARTICIPATION IN COMMUNITY HEALTH FAIRS, FREE FLU SHOTS, COMMUNITY HEALTH EDUCATION LECTURES, AND FUNDING TOWARD SENIOR CITIZEN HEALTH NEWSLETTERS. 109468775 52000000 110628399 359996740 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 427 0 1 1896 1 1 1 0 0 0 0 0 0 0 0 0 X 19 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X MICHELLE MOK 9093355516 350 TERRACINA BLVD REDLANDS CA 923730742 KATE SALVESEN CHAIR 3.00 1.00 X X 0 0 0 RICHARD BEEMER VICE CHAIRMAN 3.00 1.00 X X 0 0 0 STAN WEISSER SECRETARY 3.00 1.00 X X 0 0 0 CAROL SNODGRESS TREASURER 3.00 1.00 X X 0 0 0 WILLIAM D HATFIELD DIRECTOR 3.00 1.00 X 0 0 0 YOLANDA CONTRERAS DIRECTOR 3.00 1.00 X 0 0 0 PETER DAVIS DIRECTOR 3.00 1.00 X 0 0 0 ROBERT J HODGES DIRECTOR 3.00 1.00 X 0 0 0 MARVIN HUDSON DIRECTOR 3.00 1.00 X 0 0 0 LINDA MARTIN MD CHIEF OF STAFF 3.00 1.00 X 0 0 0 PRANAV MEHTA MD DIRECTOR 3.00 1.00 X 0 0 0 GEETHA K PALADUGU MD CHIEF OF STAFF ELECT/MED DIRECTOR 3.00 1.00 X 0 0 0 LARRY PYLE DIRECTOR 3.00 1.00 X 0 0 0 SAM J RACADIO DIRECTOR 3.00 1.00 X 0 0 0 ALVIN UMEDA MD DIRECTOR 3.00 1.00 X 0 0 0 NEAL WARNER DIRECTOR 3.00 1.00 X 0 0 0 TED ALEJANDRE DIRECTOR 3.00 1.00 X 0 0 0 KATHERINE MEREDITH DIRECTOR 3.00 1.00 X 0 0 0 LYNN WHITMER THRU 0118 DIRECTOR 3.00 1.00 X 0 0 0 JAMES HOLMES PRESIDENT/CEO 40.00 3.00 X X 936966 0 40308 MICHELLE MOK CHIEF FINANCIAL OFFICER 40.00 0.00 X 517695 0 5605 HARVEY HANSEN VP/PROFESSIONAL & GEN.SERV 40.00 0.00 X 418612 0 16712 LAUREN SPILSBURY VP/PATIENT CARE SERVICES 40.00 0.00 X 368761 0 19325 KATHI SPETNAGEL VP/BUSINESS DEVELOPMENT 40.00 0.00 X 350154 0 18654 LISA GUZMAN VP HUMAN RESOURCES 40.00 0.00 X 278277 0 16568 BRYAN DOWNS DIRECTOR INFO SYSTEMS 40.00 0.00 X 242119 0 16637 3112584 0 133809 245 0 1 0 HAMILTON CONSTRUCTION INC 202 MERCURY CIRCLE POMONA CA 91768 CONSTRUCTION SERVICES 10967195 ARROWHEAD NEUROSURGICAL MEDICAL GROUP 26520 CACTUS AVE RM A2006 MORENO VALLEY CA 92555 MEDICAL SERVICES 1588418 QUANTUM PLUS INC PO BOX 634850 CINCINNATI OH 452634850 MEDICAL SERVICES 1137421 OBHG CALIFORNIA PC 10 CENTIMETERS PC MAULDIN SC 29662 MEDICAL SERVICES 1123635 SODEXO DEPT 43283 LOS ANGELES CA 900663283 FOOD SERVICES 670677 25 593962 16980 610942 NET PATIENT SERVICES 621400 200040295 200040295 CAPITATION PREMIUM 621400 146397018 146397018 346437313 1218625 1218625 494861 494861 282708676 87200 283049225 1120382 -340549 -1033182 -1373731 -1373731 OTHER REVENUE 900099 1233234 1233234 REBATES AND REFUNDS 900099 997917 997917 EDUCATION 900099 19025 19025 2250176 349638186 346437313 0 2589931 52000000 52000000 1578750 1578750 106169 106169 109760774 104765908 4994866 2077887 1983236 94651 12145774 11723249 422525 8181118 7935684 245434 3494652 3494652 195306 195306 296545 296545 1262417 1262417 5850268 5850268 2380213 2380213 8645681 8645681 334450 334450 295010 295010 2312029 2312029 9409104 9409104 2156969 2156969 OUTSIDE PROVIDERS 69616344 69616344 MEDICAL SUPPLIES 45776821 45776821 QUALITY ASSURANCE FEE 18093848 18093848 PURCHASED SERVICES 13224082 13224082 2125258 2125258 371319469 359996740 11322729 0 4417692 7858196 52453721 35031546 12444281 14569083 3224030 3659410 6209822 5073930 298357992 171476338 115219117 126881654 58724106 45464298 1552980 1473781 254245749 240011898 34537213 46905300 99188398 98067238 1611982 998035 39116274 36462382 174453867 182432955 X 79491132 57289564 300750 289379 79791882 57578943 254245749 240011898 -21681283 -531656 0 X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 33622 33622 0 PART II-B, LINE 1: 22.98% OF DUES PAID TO THE CALIFORNIA HOSPITAL ASSOCIATION WERE EXPENDED FOR SPECIFIC LOBBYING PURPOSES. 75010 75010 75010 75010 75010 75010 75010 75010 75010 75010 1.00000 0 0 3093241 3093241 182713422 97292262 85421160 85785542 74184076 11601466 26765787 26765787 126881654 LIABILITIES ASSOCIATED WITH CAPITATED PROGRAMS 34618846 OTHER LIABILITIES 407475 ESTIMATED THIRD PARTY SETTLEMENTS 1238660 DUE TO AFFILIATES 197401 36462382 X PART V, LINE 4: THE INCOME FROM THESE FUNDS WILL BE USED TO ASSIST AND AID INDIGENT PERSONS IN MEDICAL SERVICES THEY RECEIVE FROM THE HOSPITAL. PART X, LINE 2: RCH AND RHF ARE ORGANIZED AS NOT-FOR-PROFIT ENTITIES UNDER THE GENERAL NONPROFIT CORPORATION LAWS OF THE STATE OF CALIFORNIA. THE ORGANIZATIONS ARE RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAXATION UNDER SECTION 501(C)(3) AND AS PUBLIC CHARITIES (NOT PRIVATE FOUNDATIONS) UNDER SECTIONS 509(A)(1) AND 509(A)(3) OF THE INTERNAL REVENUE CODE, RESPECTIVELY, AND SIMILAR EXEMPTIONS FROM CALIFORNIA FRANCHISE TAXATION HAVE BEEN OBTAINED. ACCORDINGLY, NO PROVISION HAS BEEN RECORDED FOR INCOME TAXES IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE HOSPITAL RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY TAX AUTHORITIES BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. 1 1 X 1 X 299.000000000000 1 X 1 0 1 1 2520774 2520774 0.00680 76070997 45735069 30335928 0.08170 78591771 45735069 32856702 0.08850 370680 370680 0.00100 1943526 427004 1516522 0.00410 2314206 427004 1887202 0.00510 80905977 46162073 34743904 0.09360 54193 54193 0.00010 54193 54193 0.00010 1 3549375 34790190 39036774 -4246584 X 1 1 1 1 REDLANDS COMMUNITY HOSPITAL 350 TERRACINA BLVD REDLANDS CA 92373 REDLANDSHOSPITAL.ORG X X X REDLANDS COMMUNITY HOSPITAL 1 0 0 1 X X X X X X X 16 1 1 0 1 X HTTPS://WWW.REDLANDSHOSPITAL.ORG X X 1 16 1 HTTPS://WWW.REDLANDSHOSPITAL.ORG 0 1 X 299.000000000000 350.000000000000 X 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 1 X 0 0 REDLANDS COMMUNITY HOSPITAL PART V, SECTION B, LINE 5: A COMMUNITY HEALTH QUALITY OF LIFE SURVEY WASADMINISTERED TO 541 INDIVIDUALS TO GET COMMUNITY FEEDBACK REGARDING THESTRENGTHS AND AREAS OF OPPORTUNITY THAT EXIST IN EACH COMMUNITY. THESURVEY WAS AVAILABLE IN ENGLISH AND SPANISH AND WAS DISSEMINATEDTHROUGH A VARIETY OF CHANNELS ACROSS HOSPITAL SERVICE AREAS.QUALITATIVE DATA WAS ALSO GARNERED THROUGH THE USE OF COMMUNITYMEMBER, HEALTH EXPERT, AND KEY STAKEHOLDER FOCUS GROUPS. THEQUALITY OF LIFE SURVEYS AND FOCUS GROUPS WERE TAILORED TO ASSESSTHE DIRECT AND INDIRECT NEEDS OF THE COMMUNITIES THROUGHOUT THEINLAND EMPIRE. REDLANDS COMMUNITY HOSPITAL PART V, SECTION B, LINE 6A: THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENTREPORT (CHNA) REPRESENTS THE HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA,INLAND COUNTIES' (HASC) FIRST COORDINATION OF THE CHNA FOR 11 LOCALHOSPITALS. HASC WORKS WITH HOSPITALS TO ADVANCE QUALITY HEALTHCAREDELIVERY AND SUPPORTS THE CHNA PROCESS WITH AN INLAND AREA COMMUNITYBENEFIT STAKEHOLDER COMMITTEE REPRESENTING THE MAJOR HOSPITALS IN EACHCOUNTY. THIS HASC COMMUNITY BENEFIT COMMITTEE WORKED COLLECTIVELY TODESIGN THE OVERALL CHNA STRATEGY AND THE COORDINATION OF PRIMARY ANDSECONDARY DATA COLLECTION IN COLLABORATION WITH THE DEPARTMENTS OFPUBLIC HEALTH IN BOTH SAN BERNARDINO AND RIVERSIDE COUNTIES. THEHOSPITALS THAT PARTICIPATED IN THE REGIONAL CHNA INCLUDED:LOMA LINDA UNIVERSITY BEHAVIORAL MEDICINE CENTERLOMA LINDA UNIVERSITY MEDICAL CENTERLOMA LINDA UNIVERSITY MEDICAL CENTER MURRIETALOMA LINDA UNIVERSITY MEDICAL CENTER CHILDREN'S HOSPITALMONTCLAIR HOSPITAL MEDICAL CENTERPARKVIEW COMMUNITY HOSPITAL MEDICAL CENTERREDLANDS COMMUNITY HOSPITALRIDGECREST REGIONAL HOSPITALSAN ANTONIO REGIONAL HOSPITALSAN BERNARDINO MOUNTAINS COMMUNITY HOSPITALSAN GORGONIO MEMORIAL HOSPITAL REDLANDS COMMUNITY HOSPITAL PART V, SECTION B, LINE 7D: THE CHNA IS SUBMITTED TO THE OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT (OSHPD) AND THEY MAKE IT AVAILABLE ON THE OSHPD WEBSITE. REDLANDS COMMUNITY HOSPITAL PART V, SECTION B, LINE 11: HEALTHCARE FOR THE ELDERLY, UNINSURED, UNDERINSURED AND WORKING POOR:CONTINUE OUR COMMITMENT TO OWN AND OPERATE COMMUNITY-BASED PRIMARY CARE CLINICS AND THE PERINATAL SERVICES PROGRAM LOCATED IN SERVICE NEED AREAS OF REDLANDS AND YUCAIPA. CONTINUE TO PROVIDE COMMUNITY BASED NO-COST FLU VACCINES TO REACH THE MOST VULNERABLE POPULATIONS AND THE UNDERSERVED.EXPLORE THE POTENTIAL FOR ESTABLISHING ADDITIONAL PRIMARY CARE CLINICS IN RESPONSE TO THE PROJECTED INCREASE IN INSURANCE AND MEDI-CAL MANAGED CARE CLIENTELE DUE TO REGULATORY CHANGES OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010.CONTINUE TO EVALUATE AND ASSESS DEMAND AND CAPACITY OF PATIENT FLOW AND ACCESS TO AND THROUGH THE HOSPITAL'S EMERGENCY DEPARTMENT IN CONSIDERATION FOR RENOVATION OR EXPANSION.PARTNER WITH COMMUNITY ORGANIZATIONS:CONTINUE OUR COMMITMENT SUPPORT THE WORK OF COMMUNITY ORGANIZATIONS. THE HOSPITAL HAS A LONG-HISTORY OF PARTICIPATION WITH BUILDING A GENERATION AND FAMILY SERVICE ASSOCIATION OF REDLANDS (FSA). EXPLORE OPPORTUNITIES AND SECURE GRANT FUNDING TO STRENGTHEN THE PROVISION OF CLINICAL SERVICES FOR CLIENTELE OF THE FSA.MENTAL HEALTHCARE ACCESS:CONTINUE SUPPORT OF INDIVIDUALS SUFFERING FROM MENTAL HEALTH ISSUES WITHIN THE COMMUNITIES SERVED BY THE HOSPITAL THROUGH THE PROVISION OF BEHAVIORAL MEDICINE PROGRAMS AND SERVICES.COMMUNITY OUTREACH/COMMUNITY EDUCATION:DURING 2013 THE HOSPITAL EXPANDED PARTICIPATION AT HEALTH FAIRS, PROVIDED COMMUNITY-BASED HEALTH SCREENING, AND FOCUSED COMMUNITY EDUCATION IN THE SENIOR COMMUNITY. THE HOSPITAL PROVIDES COMMUNITY EDUCATION VIA DISSEMINATION OF A COMMUNITY-WIDE NEWSLETTER (WELL AWARE) AND CONDUCTED COMMUNITY HEALTH SEMINARS AT VARIOUS LOCATIONS. THE HOSPITAL PROVIDED COMMUNITY EDUCATION USING LOCAL MEDIA OUTLETS, SUCH AS THE AMERICAN HEALTH JOURNAL. THE HOSPITAL PLANS TO CONTINUE AND EXPAND COMMUNITY-BASED EDUCATION PROGRAMS.SINCE 2010 THE HOSPITAL IS A MEMBER OF THE HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA SPONSORED COLLABORATIVE, THE COMMUNITY BENEFITS STAKEHOLDER MEETING. THIS COLLABORATIVE INCLUDES MEMBERSHIP FROM AREA HOSPITALS ALONG WITH THE SAN BERNARDINO COUNTY PUBLIC HEALTH DEPARTMENT HEALTH OFFICER AND PUBLIC HEALTH STAFF. MEETING ON A REGULAR BASIS, THE GOAL OF THE COLLABORATIVE IS TO DISCUSS HEALTHCARE ISSUES, COLLABORATION OPPORTUNITIES, AND IMPLEMENTATION OF REGIONAL STRATEGIES TO IMPROVE HEALTH AND WELLNESS OF THE COMMUNITIES.THE HOSPITAL IS A TJC DESIGNATED PRIMARY STOKE CENTER AND A ICEMA NEUROVASCULAR STROKE RECEIVING CENTER LEVEL II FOR SAN BERNARDINO COUNTY. COMMUNITY EDUCATION WILL CONTINUE ON TOPICS SUCH AS DIABETES PREVENTION AND TREATMENT, OBESITY, STROKE, CANCER, HEART HEALTH AND OTHER PREVENTION EDUCATION TOPICS. REDLANDS COMMUNITY HOSPITAL PART V, SECTION B, LINE 13B: FEDERAL POVERTY GUIDELINES (FPG), WITH FPG FAMILY INCOME LIMIT FOR ELIGIBILITY FOR FREE CARE FPG FAMILY INCOME LIMIT FOR ELIGIBILITY FOR DISCOUNTED CARE. REDLANDS COMMUNITY HOSPITAL PART V, SECTION B, LINE 18E: REDLANDS COMMUNITY HOSPITAL MAKES NUMEROUS EFFORTS TO DETERMINE THE INDIVIDUAL'S ELIGIBILITY UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. REDLANDS COMMUNITY HOSPITAL DID NOT TAKE ANY EXTRAORDINARY MEASURES AND MAKES A REASONABLE EFFORT TO DETERMINE THE INDIVIDUAL'S ELIGIBILITY. PART V, LINE 16A, FAP WEBSITE: HTTPS://WWW.REDLANDSHOSPITAL.ORG/DOCUMENTS/REDLANDS-BENEFIT-PLAN-2018-FINAL-4-2-27-18.PDF PART V, LINE 16B, FAP APPLICATION WEBSITE: WWW.REDLANDSHOSPITAL.ORG/DOCUMENTS/FINANCIAL-APP.PDF PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: HTTPS://WWW.REDLANDSHOSPITAL.ORG/PATIENTS-VISITORS/FOR-PATIENTS/INSURANCE-BILLING/FINANCIAL-ASSISTANCE/ PART I, LINE 7: COST-TO-CHARGE RATIOS WERE USED IN DETERMINING COST. IN ADDITION, FOR MEDICARE RELATED COST, THE STEP-DOWN METHOD OF COST FINDING WAS USED. FOR THIS METHOD, ALL COSTS OF NON-REVENUE PRODUCING CENTERS ARE ALLOCATED TO ALL CENTERS WHICH THEY SERVE, REGARDLESS OF WHETHER OR NOT THESE CENTERS PRODUCE REVENUE. PART II, COMMUNITY BUILDING ACTIVITIES: HOSPITAL EMPLOYEES SPENT APPROXIMATELY 1,156 HOURS ORGANIZING NUMEROUS COMMUNITY HEALTH FAIRS, BLOOD DRIVES AND BENEFIT EVENTS THAT SUPPORT ILL AND INDIGENT MEMBERS OF THE COMMUNITY. IN ADDITION, THEY PROVIDE COMMUNITY LECTURES ON SUBJECTS SUCH AS STROKE AWARENESS, HANDLING THE HOLIDAYS, WOMEN'S CONCERNS AND JOINT REPLACEMENT ISSUES. THEY ALSO OFFER CPR AND SAFETY CLASSES TO MEMBERS OF THE COMMUNITY. PART III, LINE 4: PATIENT SERVICE REVENUE IS REDUCED BY THE PROVISION FOR BAD DEBTS ANDACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFULACCOUNTS. THESE AMOUNTS ARE BASED ON MANAGEMENT'S ASSESSMENTOF HISTORICAL AND EXPECTED COLLECTIONS FOR EACH MAJOR PAYOR SOURCE,CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARECOVERAGE, AND OTHER COLLECTION INDICATORS. MANAGEMENT REGULARLYREVIEWS COLLECTIONS DATA BY MAJOR PAYOR SOURCES IN EVALUATING THESUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. ON THE BASIS OFHISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE HOSPITAL'S SELF-PAYPATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED.THUS, THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS INTHE PERIOD SERVICES ARE PROVIDED TO SELF-PAY PATIENTS. THE HOSPITAL'SALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELFPAY PATIENTS WAS 89%OF SELF-PAY ACCOUNTS RECEIVABLE AT SEPTEMBER 30, 2018 AND 2017.FOR RECEIVABLES ASSOCIATED WITH PATIENTS WHO HAVE THIRD-PARTYCOVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY AMOUNTSDUE AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND APROVISION FOR BAD DEBTS, IF NECESSARY. ACCOUNTS RECEIVABLE AREWRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED INACCORDANCE WITH THE HOSPITAL'S POLICIES. DISCOUNTS ARE DEDUCTED IN DETERMINING THE NET AMOUNT REALIZABLE PERAGREEMENTS. PAYMENTS ARE DEDUCTED FROM THE NET REALIZABLE AMOUNT,AND THE UNPAID BALANCE IS WHAT GETS TRANSFERRED TO THE RESERVE FORBAD DEBT AND BECOMES THE BAD DEBT EXPENSE. PART III, LINE 8: INDIVIDUALS 65 YEARS AND OLDER ARE THE FASTEST GROWING AGE GROUP IN REDLANDS COMMUNITY HOSPITAL'S PRIMARY SERVICE AREA, WITH PROJECTED GROWTH ESTIMATED AT 16.6% OVER THE NEXT 5 YEARS. PROVIDING NECESSARY HEALTHCARE SERVICES TO THIS GROWING POPULATION OF MEDICARE BENEFICIARIES IS ESSENTIAL TO PROMOTING THE HEALTH OF THE COMMUNITY AS A WHOLE. HOSPICE REVENUE OF $3,496,106 IS FROM THE PS&R REPORT. REVENUE DERIVED FROM FEE REIMBURSED MEDICARE SERVICES, NOT INCLUDED IN THE COST REPORT, WAS $135,718 AND THE ASSOCIATED COST OF THESE SERVICES WAS $263,563CREATING A SHORTFALL OF ($127,845). IN ADDITION, REVENUE FROM SERVICES PROVIDED TO NON-RCH CAPITATED SENIOR HMO PATIENTS WAS $41,090,954 WITH ASSOCIATED COSTS OF $55,969,681 FOR A SHORTFALL OF $14,878,727.THE STEP-DOWN METHOD OF COST FINDING WAS USED. ALL COSTS OF NON-REVENUE PRODUCING CENTERS ARE ALLOCATED TO ALL CENTERS WHICH THEY SERVE, REGARDLESS OF WHETHER OR NOT THESE CENTERS PRODUCE REVENUE. THE MEDICARE COST REPORT USES PATIENT DAYS TO APPORTION ROUTINE, SPECIAL CARE, SKILLED NURSING FACILITY AND PSYCHIATRIC NURSING COSTS TO THE MEDICARE PROGRAM. ANCILLARY COSTS ARE APPORTIONED USING GROSS CHARGES. HOME HEALTH AND HOSPICE COSTS ARE APPORTIONED USING PATIENT VISITS AND UNDUPLICATED DAYS. PART III, LINE 9B: IF A PATIENT DEMONSTRATES THAT THEY HAVE INCOME LEVELS AT OR BELOW 350% OF THE FEDERAL POVERTY LIMIT, THEY WOULD BE SCREENED FOR CHARITY CARE AND TAKEN OUT OF THE COLLECTION PROCESS PROVIDED THEY COMPLETED OUR CHARITY CARE APPLICATION AND SUBMITTED THE REQUIRED VERIFICATION AND DOCUMENTATION TO SUPPORT THEIR CLAIM. PART VI, LINE 2: NEEDS ASSESSMENT: SEE RESPONSE TO COMMUNITY NEEDS ASSESSMENT, PART V, SECTION B, LINE 3 PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: ALL SELF PAY PATIENTS RECEIVE INFORMATION REGARDING OUR FINANCIAL ASSISTANCE AND DISCOUNT POLICIES AT THE TIME OF TREATMENT AT OUR FACILITY. THEY ARE ALSO PROVIDED WITH INFORMATION REGARDING ANY POSSIBLE FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAM THAT THEY MAY BE ELIGIBLE FOR AT THE TIME OF ADMISSION. ADDITIONALLY THEY RECEIVE DUPLICATES OF THIS INFORMATION AT THE TIME OF 1ST BILLING. SIGNS REGARDING OUR POLICY ARE PLACED THROUGHOUT THE FACILITY IN AN ATTEMPT TO INFORM PATIENTS AND THEIR FAMILIES ABOUT OUR ASSISTANCE PROGRAMS. PART VI, LINE 4: COMMUNITY INFORMATION: LOCATED IN THE MOST DENSELY POPULATED AREA OF SANBERNARDINO COUNTY, COMMUNITIES IDENTIFIED AS BEING IN THE PRIMARY SERVICEAREA OF THE HOSPITAL ARE BANNING, BEAUMONT, CALIMESA, HIGHLAND, LOMALINDA, MENTONE, REDLANDS AND YUCAIPA. THE SECONDARY SERVICE AREA ISCOMPRISED OF THE CITIES OF COLTON, CRESTLINE, FONTANA, GRAND TERRACE,RIALTO, SAN BERNARDINO, AND SEVERAL MOUNTAIN COMMUNITIES. THEHISPANIC POPULATION CONTINUES TO BE THE FASTEST GROWING POPULATION INOUR PRIMARY SERVICE AREA. THE HISPANIC POPULATION IN OUR PRIMARY SERVICEAREA WAS REPORTED AS 36.9% IN 2017 AND IS PROJECTED TO INCREASE TO 39.8%IN 2022. THE PERCENTAGE OF THE POPULATION OVER THE AGE OF 45 IN THEPRIMARY SERVICE AREA IS ESTIMATED TO INCREASE 6.9% OVER THE NEXT FIVEYEARS, WITH THE LARGEST GROWTH ESTIMATED AT 16.6% FOR INDIVIDUALS 65YEARS AND OLDER. THIS GROWTH WILL REQUIRE SUSTAINED HEALTHCARESERVICES AND AVAILABILITY. THE POPULATION GROWTH IN OUR PRIMARYSERVICE AREA IS EXPECTED TO GROW BY 4.8% OVER THE NEXT FIVE YEARS.THE PRIMARY SERVICE AREA MEDIAN AND AVERAGE HOUSEHOLD INCOMESARE EXPECTED TO CONTINUE TO BE BELOW THOSE OF THE STATE THROUGH2022. THE HISPANIC BIRTH RATE IN SAN BERNARDINO COUNTY IS THE LARGESTAMONGST ALL ETHNIC GROUPS, MAKING UP 58% OF ALL BIRTHS (SANBERNARDINO COUNTY 2016 COMMUNITY INDICATORS REPORT). ACCORDINGTO THE SAME REPORT, IN 2014,HISPANIC AND AFRICAN AMERICAN WOMEN INSAN BERNARDINO COUNTY RECEIVED AN INCREASE IN PRENATAL CARE DURINGTHEIR FIRST THREE MONTHS OF PREGNANCY AS COMPARED TO 2010. ACCESSTO AND RECEIVING PRENATAL CARE CAN IMPROVE BIRTH OUTCOMES ANDDECREASE NEGATIVE OUTCOMES OF PREGNANCY. ACCORDING TO THE CDC,IN THE UNITED STATES, THE INCIDENCE OF CERVICAL CANCER FOR HISPANICWOMEN IS THE HIGHEST INCIDENCE AMONGST ALL ETHNICITIES. FOR ALL OFTHESE REASONS, WOMEN'S HEALTH PROGRAMS ARE IMPERATIVE TO PREVENTMORBIDITY AND MORTALITY RELATED TO NEGATIVE OUTCOMES OF PREGNANCYAND BREAST AND CERVICAL CANCER. PRENATAL SCREENING AND EDUCATION ISA VALUABLE RESOURCE AND SHOULD BE AVAILABLE TO THE COMMUNITY-AT-LARGE. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH: THE HOSPITAL OWNS AND OPERATES THE REDLANDSFAMILY CLINIC AND YUCAIPA FAMILY CLINIC. A GOAL OF THE FAMILY CLINIC IS TOPROVIDE HIGH-QUALITY, LOWCOST HEALTH CARE SERVICES TO PEOPLE WHO DONOT OTHERWISE HAVE ACCESS WHICH MAY BE DUE TO FINANCIAL, CULTURAL,LIFESTYLE, OR PSYCHOLOGICAL BARRIERS. AN EQUALLY IMPORTANT GOAL IS TOPROVIDE DISEASE SPECIFIC PATIENT/FAMILY EDUCATION, WITH EMPHASIS ONPROMOTING HEALTH AND WELLNESS, AND THE SUPPORT NECESSARY TOPROMOTE INDIVIDUALIZED HEALTH CARE DECISION MAKING. OUR ONGOINGOBJECTIVES ARE TO: 1) PROVIDE AN OPPORTUNITY FOR LOWINCOME, THEUNINSURED AND UNDERINSURED TO RECEIVE PRIMARY AND PREVENTIVE CARE,EARLY MEDICAL PROBLEM IDENTIFICATION AND TREATMENT AND ACCESS TOHEALTH CARE RESOURCES; 2) REDUCE DISPARITY IN HEALTH CARE SERVICESWITHIN THE COMMUNITY; 3) DEVELOP HEALTH RELATED PROGRAMS ANDENHANCE THE QUALITY OF SERVICES PROVIDED; 4) PROVIDE HEALTH CARE FORALL AGES, CHILDREN TO THE ELDERLY; 5) ASSIST WITH THE APPLICATIONPROCESS AND OBTAINING ELIGIBILITY FOR PUBLIC ASSISTANCE PROGRAMS; 6)PROVIDE AND PROMOTE COMMUNITY RESOURCES; AND, 7) PROVIDE ANDFACILITATE COMMUNITY HEALTH SERVICES SUCH AS FLU SHOTS AND OTHERHEALTH CARE SCREENINGS. THE COMPREHENSIVE PERINATAL SERVICES PROGRAM(CPSP) PROVIDES A VARIETY OF SERVICES AND EDUCATION TO WOMEN PRIOR TODELIVERY AND UP TO SIXTY DAYS AFTER DELIVERY. GOALS OF THE PROGRAM ARETO DECREASE THE INCIDENCE OF LOW BIRTH WEIGHT IN INFANTS, TO IMPROVE THEOUTCOME OF EVERY PREGNANCY, TO GIVE EVERY BABY A HEALTHY START IN LIFEAND TO LOWER HEALTH CARE COSTS BY PREVENTING CATASTROPHIC ANDCHRONIC ILLNESS IN INFANTS AND CHILDREN. THE COMPREHENSIVE PERINATALSERVICES PROGRAM IS A MEDICAL SPONSORED PROGRAM FOR WOMEN WHOARE PREGNANT AND ARE ENROLLED IN STRAIGHT MEDICAL OR A MEDI-CALMANAGED CARE PLAN. THE DIABETES AND PREGNANCY EDUCATION PROGRAMPROVIDES EDUCATION, EVALUATION AND INTERVENTION FOR PREGNANT WOMENWITH DIABETES OR FOR WOMEN WITH DIABETES PLANNING TO BECOME PREGNANT.THE GOAL OF THE PROGRAM IS TO IMPROVE PREGNANCY OUTCOMES FOR WOMENAND TO REDUCE FETAL DEATHS AND NEONATAL AND MATERNAL COMPLICATIONS.SERVICES INCLUDE AN INITIAL EVALUATION AND FOLLOW-UP BY A REGISTEREDNURSE AND DIETICIAN. THE BREASTFEEDING PROGRAM PROVIDES BREASTFEEDINGEDUCATION AND SUPPORT FOR GROUPS, AND INDIVIDUAL ONE-ON-ONEEDUCATION. THE CHILDBIRTH PREPARATION COURSES PREPARE THE PREGNANTWOMEN AND FAMILY FOR CHILDBIRTH. CLASSES ARE DESIGNED TO PROVIDEPRACTICAL AND USEFUL TOOLS IN PREPARATION OF CHILDBIRTH. THE RCH HEALTHMINISTRY PROGRAM AIMS TO ASSIST CHURCHES IN ESTABLISHING A HEALTHCABINET AND SELECTING A HEALTH MINISTER (FAITH COMMUNITY NURSE) WHOWILL CARRY OUT THE MISSION OF HEALTH MINISTRY AS DETERMINED BY EACHCHURCH. EACH CHURCH CAN DEVELOP AN INDIVIDUALIZED MINISTRY PROGRAMTO PROMOTE HEALTHY LIVING AND WELLNESS UTILIZING DATA OBTAINEDTHROUGH A NEEDS ASSESSMENT. HEALTH ACTIVITIES AND EVENTS SUPPORTED BYTHE HEALTH MINISTRY PROGRAM INCLUDE HEALTH SCREENINGS, HEALTH FAIRS,HEALTH EDUCATION, AND RESOURCE AND REFERRALS. THE HEALTH MINISTRYPROGRAM EMBRACES THE SPIRITUAL DIMENSIONS IN DISEASE PREVENTION ANDWELLNESS PROMOTION IN COLLABORATION WITH 31 PARTNERING CHURCHES.THE HEALTH MINISTRY PROGRAM POSITIVELY IMPACT THE COMMUNITY THROUGHHEALTH SCREENINGS, HEALTH/WELLNESS EDUCATION, ADVOCACY, REFERRAL,PERSONAL HEALTH COUNSELING, EDUCATION AND TRAINING, AND COORDINATIONOF COMMUNITY VOLUNTEERS. EDUCATION AND TRAINING FOR FAITH COMMUNITYNURSES IS PROVIDED AND ROUTINELY HELD ON CAMPUS AT THE RCH WEISSEREDUCATION PAVILION. IN ADDITION, GENERAL HEALTH SCREENINGS ARE HELD INTHE LOCAL CHURCHES AND COMMUNITY SENIOR CENTERS. THE RCH CLINICALCHAPLAIN PERFORMS AND SUPERVISES MULTIPLE SERVICES WHICH CONTRIBUTETO THE SPIRITUAL WELL BEING OF THOSE WITHIN THE HOSPITAL. THE CHAPLAINADDRESSES THE SPIRITUAL CONCERNS OF RCH PREOPERATIVE PATIENTS WHOREQUEST PASTORAL SUPPORT, AND SERVES AS A PART OF THE ICU CLINICAL TEAM,PROVIDING PROFESSIONAL SPIRITUAL ASSESSMENT AND SUPPORT FOR PATIENTSAND FAMILIES. THE CHAPLAIN ALSO RESPONDS TO REFERRALS FROM HEALTHCARE PROFESSIONALS THROUGHOUT THE HOSPITAL TO ASSIST WITH ADDRESSINGLIFE THREATENING ILLNESSES, END OF LIFE CONCERNS AND ISSUES OF SPIRITUALDISTRESS. PASTORAL CARE ALSO PARTICIPATED IN THE PROCESS TO DEVELOP APALLIATIVE CARE PROGRAM AND CONTINUES TO BE AN ACTIVE PART OF THE ETHICSCOMMITTEE. THE HOSPICE CHAPLAIN PROVIDES SERVICES TO THOSE NEARING THELAST DAYS OF LIFE. IN ADDITION TO MINISTERING TO THE DYING PERSON,PASTORAL SERVICES ARE PROVIDED TO THE FAMILY. GRIEF SUPPORT ISPROVIDED TO FAMILY MEMBERS UP TO ONE YEAR AFTER THE LOSS OF THELOVED ONE. THE HOSPITAL PARTICIPATED IN HEALTH FAIRS, PROVIDEDCOMMUNITY-BASED HEALTH SCREENINGS AND FOCUSED COMMUNITYEDUCATION IN THE SENIOR COMMUNITY. THE HOSPITAL JOINED THESAN BERNARDINO COUNTY HOSPITAL COMMUNITY BENEFITSCOLLABORATIVE WHOSE GOAL IS TO DISCUSS HEALTHCARE ISSUES,COLLABORATION OPPORTUNITIES, AND IMPLEMENTATION OF REGIONALSTRATEGIES TO IMPROVE HEALTH AND WELLNESS OF THE COMMUNITIES.IN RESPONSE TO UNMET HEALTH TRANSPORTATION NEEDS, REDLANDSCOMMUNITY HOSPITAL USES HOSPITAL OWNED VANS TO TRANSPORTPATIENTS TO AND FROM THE BEHAVIORAL MEDICINE OUTPATIENT DAYPROGRAM. TAXI VOUCHERS, LOCAL NON-MEDICAL TRANSPORTSERVICES AND PUBLIC TRANSPORTATION ARE ROUTINELY UTILIZED ATTHE HOSPITAL'S EXPENSE FOR TRANSPORTING PATIENTS AFTERRECEIVING SERVICES AT THE HOSPITAL. PART VI, LINE 7, REPORTS FILED WITH STATES CA 1 REDLANDS HEALTH FOUNDATION 350 TERRACINA BLVD REDLANDS CA 92373 330900937 501(C)(3) 52000000 CAPITAL INVESTMENT 1 0 PART I, LINE 2: AS PART OF THE OVERALL OPERATION OF THE RELATED ORGANIZATIONS, REDLANDS COMMUNITY HOSPITAL KEEPS CAREFUL TRACK OF THE USE OF FUNDS WHICH INCLUDE THE USE OF FUNDS GRANTED TO REDLANDS HEALTH FOUNDATION, A RELATED ORGANIZATION. X 1 1 X X X 0 0 0 0 0 0 0 1 0 JAMES HOLMES PRESIDENT/CEO 670479 0 244000 0 22487 0 10125 0 30183 0 977274 0 0 0 MICHELLE MOK CHIEF FINANCIAL OFFICER 389822 0 118683 0 9190 0 3375 0 2230 0 523300 0 0 0 HARVEY HANSEN VP/PROFESSIONAL & GEN.SERV 337369 0 79033 0 2210 0 9658 0 7054 0 435324 0 0 0 LAUREN SPILSBURY VP/PATIENT CARE SERVICES 284656 0 73695 0 10410 0 7737 0 11588 0 388086 0 0 0 KATHI SPETNAGEL VP/BUSINESS DEVELOPMENT 275880 0 72166 0 2108 0 6920 0 11734 0 368808 0 0 0 LISA GUZMAN VP HUMAN RESOURCES 217866 0 59435 0 976 0 1557 0 15011 0 294845 0 0 0 BRYAN DOWNS DIRECTOR INFO SYSTEMS 232587 0 9000 0 532 0 2512 0 14125 0 258756 0 0 0 PART I, LINE 1A TAX INDEMNIFICATION AND/OR GROSS-UP PAYMENTS ARE PROVIDED TO CEO FOR LIFE INSURANCE PREMIUMS AND AUTOMOBILE ALLOWANCE AND ARE INCLUDED IN TAXABLE COMPENSATION. PART I, LINE 7 EXECUTIVE INCENTIVE COMPENSATION AWARDS ARE DETERMINED AS A PERCENTAGE OF THE EXECUTIVE'S ANNUAL BASE SALARY, EITHER 35% (PRESIDENT/CEO) OR 20% (VICE PRESIDENTS). THIS BASE AMOUNT IS THEN SUBJECT TO FOUR PERFORMANCE MEASURES WEIGHTED AS FOLLOWS: 25% FOR ORGANIZATIONAL PERFORMANCE CONSISTING OF FINANCIAL PERFORMANCE AND STRATEGIC PLAN PERFORMANCE OF THE ORGANIZATION, AND 75% FOR INDIVIDUAL PERFORMANCE CONSITING OF INDIVIDUAL STRATEGIC OBJECTIVES AND QUALITY PERFORMANCE THRESHOLDS. A CALIF STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY 680164610 13080SPM0 2016-11-10 99999207 SEE PART VI 0 0 0 A 685000 100916669 1518605 23792300 44756787 30848977 1 0 0 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 1 0 0 0 0 0 1 A 1 SCHEDULE K, PART I, ISSUE C, PART I, COLUMN (F): THE SERIES 2016 BONDS CURRENTLY REFUNDED THE BORROWER'S SERIES 2013 BONDS WHICH WERE ISSUED ON APRIL 1, 2013 AND FUNDED THE FACILITY EXPANSION PROJECT SCHEDULE K, PART I, COLUMN (E) AND PART II, LINE 3: DIFFERENCE BETWEEN PART I, COLUMN (E) AND PART II, LINE 3 IS DUE TO INTEREST EARNINGS ON BOND PROCEEDS. SCHEDULE K, PART III, LINE 7: AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS REPORTED IN PART III, LINE 6, IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. KELLY NORTH FAMILY MEMBER OF RICHARD BEEMER, DIRECTOR 106168 COMPENSATION 0 INLANDPSYCH REDLANDS INC CHIEF OF STAFF ELECT/MEDICAL DIRECTOR 144000 INLANDPSYCH REDLANDS, INC. RECEIVES A 1099 FROM THE ORGANIZATION AND GEETHA K. PALADUGU, MD, IS THE DIRECTOR OF INLANDPSYCH REDLANDS, INC. 0 FORM 990, PART VI, SECTION B, LINE 11B AFTER REVIEW BY THE CFO AND PRESIDENT/CEO, THE CFO PRESENTED IN HARD COPY FORMAT, THE DRAFT IRS FORM 990 TO THE REDLANDS COMMUNITY HOSPITAL AUDIT COMMITTEE FOR THEIR REVIEW. SUBSEQUENTLY, COPIES WERE MADE AVAILABLE TO THE BOARD OF DIRECTORS AT THEIR MONTHLY BOARD MEETING IN JUNE, PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C GENERAL COUNSEL REVIEWS ANNUAL TRUSTEE DISCLOSURES AND COMPILES A RESPONSE FOR MANAGEMENT OF ANY POTENTIAL CONFLICTS. IN THE CASE OF A POTENTIAL OR ACTUAL CONFLICT, THE TRUSTEE WOULD RECUSE HIMSELF FROM MANAGEMENT DECISIONS RELATED TO THAT CONFLICT. DISCLOSURE IS A CONTINUOUS DUTY. FORM 990, PART VI, SECTION B, LINE 15 RCH USES AN INDEPENDENT CONSULTANT ON AN ANNUAL BASIS TO REVIEW TOTAL COMPENSATION, PAY AND BENEFITS, FOR THE CEO. THE CONSULTANT MAKES RECOMMENDATIONS TO THE EXECUTIVE COMMITTEE OF THE GOVERNING BOARD, AND THEY HAVE FINAL APPROVAL. THE HUMAN RESOURCES DEPARTMENT PARTICIPATES IN AN ANNUAL INDEPENDENT SALARY SURVEY. MARKET DATA IS COMPARED TO THE RCH SALARY RANGE, PRIMARILY BASED ON THE SIZE OF THE FACILITY. ACTUAL COMPENSATION IS DETERMINED BASED ON THE INDIVIDUAL'S EXPERIENCE AND PERFORMANCE WITHIN THE SALARY RANGE ESTABLISHED. THIS IS DETERMINED BASED ON HUMAN RESOURCE POLICY. FORM 990, PART VI, SECTION C, LINE 19 THE AUDITED FINANCIAL STATEMENTS, GOVERNING/ORGANIZING DOCUMENTS, AND CONFLICT OF INTEREST POLICY ARE ALL AVAILABLE UPON REQUEST. REDLANDS HEALTH FOUNDATION 350 TERRACINA BLVD REDLANDS CA 92373 330900937 SUPPORT THE HOSPITAL CA 501(C)(3) 12-I REDLANDS COMMUNITY HOSPITAL 1 RHS CORP 350 TERRACINA BLVD REDLANDS CA 92373 330130773 HOSPITAL SUPPORT CORP CA 501(C)(3) 12-III-FI N/A 0 REDLANDS COMMUNITY HOSPITAL FOUNDATION 350 TERRACINA BLVD REDLANDS CA 92373 953368018 FUNDRAISING FOUNDATION CA 501(C)(3) 12-III-FI RHS CORP 0 REDLANDS COMMUNITY HOSPITAL AUXILIARY 350 TERRACINA BLVD REDLANDS CA 92373 956096710 SUPPORT THE HOSPITAL CA 501(C)(3) 12-III-FI N/A 0 REDLANDS HEALTH SERVICES 350 TERRACINA BLVD REDLANDS CA 92373 330128593 PATIENT CARE SERVICE CA N/A C 0 REDLANDS SURGICAL SERVICES 350 TERRACINA BLVD REDLANDS CA 92373 330433979 PATIENT CARE SERVICE CA N/A C 0 0 1 1 1 0 0 0 0 0 0 0 1 0 1 1 0 1 0 1 REDLANDS HEALTH FOUNDATION B 52000000 CASH VALUE