STRATEGY STUDIO / PUBLIC DATA EXPLORER

RIDEOUT MEMORIAL HOSPITAL: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
RIDEOUT MEMORIAL HOSPITAL (EIN 94-1387866)
Tax period
2015-07-01 to 2016-06-30
Filed
2017-05-15
IRS object ID
201711359349308101
Schema version
2015v3.0
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)
Return2017-05-15T14:06:01-05:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

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 Begin2015-07-01TaxPeriodBeginDt

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)
PersonDIANE MOONPersonNm
Person TitleCHIEF FINANCIAL OFFICERPersonTitleTxt
Phone5307401920PhoneNum
Signature2017-05-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTRACY S PAGLIAPreparerPersonNm
PTINP00366884PTIN
Phone2099556100PhoneNum
Preparation2017-05-15PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDIANE MOONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1989 PLUMAS STREETAddressLine1Txt
CityYUBA CITYCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95991ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$535,739,898GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTP://WWW.FRHG.ORG/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1955FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTO IMPROVE THE WELLBEING OF EVERYONE IN OUR COMMUNITY THROUGH QUALITY AND COMPASSIONATE HEALTH CARE.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee1966TotalEmployeeCnt
Total Volunteers154TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$52,299PYContributionsGrantsAmt
CY Contributions Grants$32,008CYContributionsGrantsAmt
PY Program Service Revenue$360,405,494PYProgramServiceRevenueAmt
CY Program Service Revenue$365,223,141CYProgramServiceRevenueAmt
PY Investment Income$29,297,526PYInvestmentIncomeAmt
CY Investment Income$419,272CYInvestmentIncomeAmt
PY Other Revenue-$316,082PYOtherRevenueAmt
CY Other Revenue-$348,450CYOtherRevenueAmt
PY Total Revenue$389,439,237PYTotalRevenueAmt
CY Total Revenue$365,325,971CYTotalRevenueAmt
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$136,309,715PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$159,102,291CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$244,116,307PYOtherExpensesAmt
CY Other Expenses$232,954,188CYOtherExpensesAmt
PY Total Expenses$380,426,022PYTotalExpensesAmt
CY Total Expenses$392,056,479CYTotalExpensesAmt
PY Revenues Less Expenses$9,013,215PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$26,730,508CYRevenuesLessExpensesAmt
Total Assets BOY$548,215,387TotalAssetsBOYAmt
Total Assets EOY$528,901,717TotalAssetsEOYAmt
Total Liabilities BOY$193,852,245TotalLiabilitiesBOYAmt
Total Liabilities EOY$201,597,153TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$354,363,142NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$327,304,564NetAssetsOrFundBalancesEOYAmt
MissionTO IMPROVE THE WELLBEING OF EVERYONE IN OUR COMMUNITY THROUGH QUALITY AND COMPASSIONATE HEALTH CARE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$290,789,843ExpenseAmt
Grant$0GrantAmt
Revenue$365,223,141RevenueAmt
DescRIDEOUT MEMORIAL HOSPITAL CONSISTS OF TWO CAMPUSES: - RIDEOUT MEMORIAL HOSPITAL (RMH) LOCATED IN MARYSVILLE, CA IS A 173-LICENSED-BED ACUTE CARE FACILITY WHICH INCLUDES A TRAUMA LEVEL-3 EMERGENCY DEPARTMENT, A STATE-OF-THE-ART CARDIAC UNIT AND A FREESTANDING 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. - FREMONT MEDICAL CENTER (FMC) LOCATED IN YUBA CITY, CA IS A 46-LICENSED-BED ACUTE CARE FACILITY WHICH INCLUDES PERINATAL AND PEDIATRIC CARE.Desc
Total Program Service Expenses$290,789,843TotalProgramServiceExpensesAmt
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 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
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 EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee1966EmployeeCnt
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 Members12GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
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 BodyYes (1)Form990ProvidedToGvrnBodyInd
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 CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ED GONZALEZBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5307401922PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JOHN WRIGHT
DIRECTOR / CHAIRMAN5.007.00Yes (X)Yes (X)$0$1,301$0
JANICE NALL
DIRECTOR / VICE CHAIRMAN5.007.00Yes (X)Yes (X)$0$22,070$0
RONALD M SWEENEY
DIRECTOR / PAST CHAIRMAN5.007.00Yes (X)$0$0$0
LISA DEL PERO
DIRECTOR / SECRETARY5.007.00Yes (X)Yes (X)$0$10,544$0
RUPINDER BRAR
DIRECTOR5.007.00Yes (X)$0$60,600$0
JOHN W CARY
DIRECTOR5.007.00Yes (X)$0$945$0
JOHN MILLER
DIRECTOR5.007.00Yes (X)$0$945$0
ALEXANDRA REICHMAN
DIRECTOR5.007.00Yes (X)$0$0$0
DAVID TARKE
DIRECTOR5.007.00Yes (X)$0$0$0
GARY THIARA
DIRECTOR5.007.00Yes (X)$0$31,943$0
DOUGLAS TOLLEY
DIRECTOR5.007.00Yes (X)$0$0$0
JOHN WEILER
DIRECTOR5.007.00Yes (X)$0$14,504$0
ROBERT CHASON THRU 113015
DIRECTOR / CHIEF EXECUTIVE OFFICER40.0030.00Yes (X)Yes (X)$0$532,886$17,473
GINO PATRIZIO
CHIEF EXECUTIVE OFFICER40.0030.00Yes (X)$0$188,638$6,516
TARUN GHOSH THRU 21216
CHIEF FINANCIAL OFFICER30.0030.00Yes (X)$0$337,776$27,742
KATHY WHREN THRU 123115
PHARMACY MANAGER40.00$211,889$0$14,896Yes (X)
RHONDA CRAWFORD THRU 6115
VP ASSISTANT ADMIN OPERATIONS40.00$202,269$0$9,343Yes (X)
DORIS BACOLOD
REGISTERED NURSE40.00$191,896$0$31,697Yes (X)
STEPHEN HAMMARSTROM
VP OUTPATIENT CLINICS40.00$192,031$0$31,391Yes (X)
ART ORTEZA
REGISTERED NURSE40.00$192,183$0$32,556Yes (X)
THERESA HAMILTON THRU 83014
FORMER CHIEF EXECUTIVE OFFICER0.00$0$472,337$0Yes (X)
L WAYNE MILLS THRU 101714
FORMER CHIEF FINANCIAL OFFICER0.00$0$290,769$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$990,268TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,965,258TotReportableCompRltdOrgAmt
Total Other Compensation$171,614TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K437IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
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 STREETYUBA CITYCA95991MED & HEALTHCARE SERVICES$17,271,828
TRUSTAFF TRAVEL NURSES LLC
4270 GLENDALE MILFORD RDCINCINNATIOH45242TEMPORARY STAFFING$12,086,071
MODERN BUILDING INC
PO BOX 772CHICOCA95927CONSTRUCTION CONTRACTOR$11,151,217
BERGELECTRIC CORP
5650 W CENTINELA AVELOS ANGELESCA90045CONSTRUCTION CONTRACTOR$8,091,966
JACOBS PROJECT MANAGEMENT CO
800 MARKET ST LOCKBOX 18713FST LOUISMO63150CONSTRUCTION CONTRACTOR$5,720,230
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K163CntrctRcvdGreaterThan100KCnt
Related Organizations$32,008RelatedOrganizationsAmt
Total Contributions$32,008TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE621400$304,506,854$304,506,854
OTHER PROGRAM REVENUE900099$35,700,925$35,700,925
CANCER CENTER REVENUE621990$24,820,789$24,820,789
PROGRAM RELATED RENT532000$194,573$194,573
FieldValueIRS element (for citing)
Total Program Service Revenue$365,223,141TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,292,287TotalRevenueColumnAmt
Exclusion$2,292,287ExclusionAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$348,450RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$348,450RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$348,450TotalRevenueColumnAmt
Exclusion-$348,450ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$168,189,862SecuritiesAmt
Other$2,600OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$170,065,477SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$1,875,615SecuritiesAmt
Other$2,600OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,873,015TotalRevenueColumnAmt
Exclusion-$1,873,015ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$365,325,971TotalRevenueColumnAmt
Related Or Exempt Func Income$365,223,141RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$70,822ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$6,843TotalAmt
Management And General$6,843ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$119,367,348TotalAmt
Program Services$92,369,725ProgramServicesAmt
Management And General$26,997,623ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,740,698TotalAmt
Program Services$2,894,489ProgramServicesAmt
Management And General$846,209ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$26,837,705TotalAmt
Program Services$20,665,033ProgramServicesAmt
Management And General$6,172,672ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$9,149,697TotalAmt
Program Services$6,968,626ProgramServicesAmt
Management And General$2,181,071ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$29,434,994TotalAmt
Management And General$29,434,994ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$18,002TotalAmt
Management And General$18,002ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$298,507TotalAmt
Management And General$298,507ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$66,625,323TotalAmt
Program Services$50,348,610ProgramServicesAmt
Management And General$16,276,713ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$78,065TotalAmt
Program Services$76,801ProgramServicesAmt
Management And General$1,264ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$46,971,413TotalAmt
Program Services$41,221,891ProgramServicesAmt
Management And General$5,749,522ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,919,008TotalAmt
Program Services$795,082ProgramServicesAmt
Management And General$3,123,926ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$124,472TotalAmt
Program Services$63,099ProgramServicesAmt
Management And General$61,373ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$10,617TotalAmt
Management And General$10,617ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$12,540,822TotalAmt
Program Services$12,540,822ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,607,608TotalAmt
Management And General$2,607,608ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CANCER CENTER$24,632,859$24,632,859
HOSPITAL FEE$24,345,402$24,345,402
BAD DEBT$11,028,716$11,028,716
REPAIRS$5,484,142$2,392,618$3,091,524

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,834,238TotalAmt
Program Services$446,070ProgramServicesAmt
Management And General$4,388,168ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$392,056,479TotalAmt
Program Services$290,789,843ProgramServicesAmt
Management And General$101,266,636ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$26,431,789BOYAmt
EOY$8,474,329EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$69,607,961BOYAmt
EOY$70,915,321EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$6,088,852BOYAmt
EOY$4,763,006EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$5,758,237BOYAmt
EOY$5,212,696EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$545,825,885LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$196,960,621LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$287,443,944BOYAmt
EOY$348,865,264EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$144,898,801BOYAmt
EOY$82,717,251EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$7,985,803BOYAmt
EOY$7,953,850EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$548,215,387BOYAmt
EOY$528,901,717EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$48,629,204BOYAmt
EOY$53,166,195EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$137,275BOYAmt
EOY$249,997EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$124,750,662BOYAmt
EOY$122,347,098EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$20,335,104BOYAmt
EOY$25,833,863EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$193,852,245BOYAmt
EOY$201,597,153EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$354,363,142BOYAmt
EOY$327,304,564EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$354,363,142BOYAmt
EOY$327,304,564EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$548,215,387BOYAmt
EOY$528,901,717EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$26,730,508ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$328,325NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$255OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

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$18,002OtherActivitiesAmt
Total Lobbying Expenditures$18,002TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationRIDEOUT MEMORIAL HOSPITAL PAID $153,078 IN DUES TO HOSPITAL COUNCIL OF NORTHERN & CENTRAL CALIFORNIA (CHA). 11.76% OF THE DUES ARE FOR DIRECT LOBBYING EXPENSES.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,239,836OtherCostOrOtherBasisAmt
Book Value$14,239,836BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$102,119,014OtherCostOrOtherBasisAmt
Depreciation$76,353,893DepreciationAmt
Book Value$25,765,121BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,255,349OtherCostOrOtherBasisAmt
Depreciation$6,954,845DepreciationAmt
Book Value$1,300,504BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$142,391,122OtherCostOrOtherBasisAmt
Depreciation$113,651,883DepreciationAmt
Book Value$28,739,239BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$278,820,564OtherCostOrOtherBasisAmt
Book Value$278,820,564BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$348,865,264TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
DUE TO RELATED ENTITIES$17,685,114
MALPRACTICE INSURANCE$7,810,869
ASBESTOS ABATEMENT$337,880
FieldValueIRS element (for citing)
Total Liability$25,833,863TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationIN THE EVENT THE GROUP HAD A TAX PROVISION THAT WAS UNCERTAIN OF BEING SUSTAINED, THE GROUP WOULD APPLY THE MINIMUM PROBABILITY THRESHOLD SPECIFIED IN THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES TOPIC OF THE ACCOUNTING STANDARDS CODIFICATION TO DETERMINE WHETHER A FINANCIAL STATEMENT LIABILITY OR BENEFIT SHOULD BE RECOGNIZED. THERE WERE NO UNCERTAIN TAX POSITIONS AT JUNE 30, 2016 AND 2015.ExplanationTxt

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$892,460TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$892,460NetCommunityBenefitExpnsAmt
Total Expense0.00230TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$108,621,230TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$67,645,945DirectOffsettingRevenueAmt
Net Community Benefit Expns$40,975,285NetCommunityBenefitExpnsAmt
Total Expense0.10750TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,668TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$13,668NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$109,527,358TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$67,645,945DirectOffsettingRevenueAmt
Net Community Benefit Expns$41,881,413NetCommunityBenefitExpnsAmt
Total Expense0.10980TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$252,529TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$112,495DirectOffsettingRevenueAmt
Net Community Benefit Expns$140,034NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,500TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,500NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$29,324TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$29,324NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$283,353TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$112,495DirectOffsettingRevenueAmt
Net Community Benefit Expns$170,858NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$109,810,711TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$67,758,440DirectOffsettingRevenueAmt
Net Community Benefit Expns$42,052,271NetCommunityBenefitExpnsAmt
Total Expense0.11030TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$2,937,835BadDebtExpenseAmt
Bad Debt Expense Attributable$892,460BadDebtExpenseAttributableAmt
Reimbursed By Medicare$102,754,767ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$129,490,196CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$26,735,429MedicareSurplusOrShortfallAmt

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 Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCd
RIDEOUT MEMORIAL HOSPITAL
1726 4TH STREETMARYSVILLECA95901WWW.FRHG.ORG230000126Yes (X)Yes (X)Yes (X)A
FREMONT MEDICAL CENTER
2970 PLUMAS STREETYUBA CITYCA95991WWW.FRHG.ORG230000126Yes (X)Yes (X)A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1FACILITY REPORTING GROUP - ABusinessNameLine1Txt
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
Information GapsYes (X)InformationGapsInd
CHNA Conducted15CHNAConductedYr
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 URLHTTP://WWW.FRHG.ORGOwnWebsiteURLTxt
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.FRHG.ORG/COMMUNITYRELATIONS/COMMUNITYBENEFITStrategyWebsiteURLTxt
Strategy Attached0StrategyAttachedInd
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 Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.FRHG.ORGFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Medicare RatesYes (X)MedicareRatesInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross ChargesYes (1)GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION BFACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:- FACILITY 1: RIDEOUT MEMORIAL HOSPITAL, - FACILITY 2: FREMONT MEDICAL CENTER
FACILITY REPORTING GROUP - A PART 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. AND, 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 IS A PART OF THE RIDEOUT HEALTH SYSTEM. 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.
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6A:SUTTER SURGICAL HOSPITAL - NORTH VALLEY
FACILITY REPORTING GROUP - A PART 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 DRUGSTHE 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 FOODTHE SECOND HIGHEST PRIORITY SIGNIFICANT HEALTH NEED WAS ACCESS TO AFFORDABLE, HEALTHY FOODS. EATING A HEALTHY DIET IS IMPORTANT FOR ONE'S OVERALL HEALTH AND WELLBEING. 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 SERVICESTHE THIRD HIGHEST PRIORITY SIGNIFICANT HEALTH NEED WAS ACCESS TO MENTAL, BEHAVIORAL, AND SUBSTANCE ABUSE SERVICES. INDIVIDUAL HEALTH AND WELLBEING 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 CARETHE 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 HANDINHAND, 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 LITERACYTHE FIFTH HIGHEST PRIORITY SIGNIFICANT HEALTH NEED FOR THE HSA WAS ACCESS TO HEALTH EDUCATION AND HEALTH LITERACY. KNOWLEDGE IS IMPORTANT FOR INDIVIDUAL HEALTH AND WELLBEING, 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 MOBILITYTHE 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 PROGRAMSWHEN 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.RH HAS CHOSEN TO FURTHER ADDRESS THE HEALTH HEEDS THROUGH THE RESOURCES AND PROGRAMS IDENTIFIED BELOW:1. RH CLINIC CONTINUES TO RECRUIT PRIMARY CARE PHYSICIANS AND EMPLOYS PA'S TO HELP WITH PATIENT LOAD2. THE RH COMMUNITY GARDEN PROVIDES FREE FRESH VEGETABLES TO INDIGENT POPULATIONS IN COMMUNITIES LIVING IN "FOOD DESERTS" NEARBY3. 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 ADDITIONAL SPECIALTY CARE CLINICS INCLUDING THE RIDEOUT UROLOGY CLINIC (FY 2015/16). FY 2016/2017 TWO NEW SPECIALTY CARE CLINICS WILL SOON CARE FOR PATIENTS LOCALLY, THE RIDEOUT NEUROLOGY CLINIC AND THE RIDEOUT GENERAL SURGERY CLINIC5. 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 AND FOR YOUNGSTERS, OUR FREE RIDEOUT HEALTHY KIDS SCHOOL ASSEMBLIES FOR K8TH GRADE STUDENTS IN YUBA, SUTTER AND COLUSA COUNTIES6. RH FOUNDATION ASSISTS CANCER CENTER PATIENTS, SENIOR CARE AND HOSPICE CARE PATIENTS WITH TRANSPORTATION NEEDS AND MORE BY PROVIDING PROVISIONS SUCH AS GAS CARDS, BUS PASSES, FOOD CARDS AND MORE TO HELP INDIGENT OR LOW INCOME PATIENTS WITH THEIR TRAVEL NEEDS7. RH COORDINATES WITH THE SUTTER AND YUBA COUNTY HEALTH AGENCIES AND LOCAL LOWINCOME HEALTH PROVIDERS TO DISTRIBUTE HEALTH INFORMATION AND ASSIST WITH HEALTH SERVICESRH'S PRIOR CHNA PLAN OF ACTIONA PLAN WAS DEVISED TO ADDRESS ISSUES FROM THE PRIOR 2013 CHNA; THESE IMPORTANT CONCERNS INCLUDED: FOOD & NUTRITION AND ADULT DENTAL- IN SEPTEMBER 2015, HEALTH FAIRS WERE HELD AS PART OF OUR OUTREACH: THE RIDEOUT HEALTH & WELLNESS FAIR OFFERED NUTRITIONAL OUTREACH, EXPERTS IN ADULT AND CHILDREN'S DENTAL EXAMS, SCREENINGS, HEALTH INFORMATION. PHYSICIANS, NURSES, NUTRITIONISTS AND OTHER HEALTHCARE PROFESSIONALS WERE ON HAND TO PRESENT INFORMATION AND SCREENINGS TO ATTENDEES- IN 2014 THE RIDEOUT HEALTHY KIDS PROGRAM PRESENTED SCHOOL ASSEMBLIES FOR K8 STUDENTS AT SCHOOLS THROUGHOUT THE YUBASUTTER REGION. IN 2015 WE EXTENDED THE PROGRAM TO NEARBY COLUSA COUNTY. MORE THAN 20,000 STUDENTS HAVE BEEN REACHED THROUGH THIS PROGRAM- A FREE DIABETES EDUCATION SERIES WAS DESIGNED TO HELP DELIVER IMPORTANT HEALTH INFORMATION. THE SERIES INCLUDED CLASSES ON: NUTRITION, ACTIVITY, MEDICATIONS AND HEALTHY COPING. CLASSES WERE HELD IN ENGLISH AND SPANISH.- FREE HEALTHY EATING CLASSES WERE PRESENTED BY A REGISTERED DIETICIAN AND CLINICAL NUTRITIONIST RH'S "RIDEOUT HEALTHY" PROGRAM OFFERS FREE COMMUNITY HEALTH EDUCATION CLASSES TO ALL COMMUNITY MEMBERS FOCUSED ON THE BENEFITS OF EATING HEALTHY, EXERCISE, AND EMOTIONAL WELLBEING. 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 YUBASUTTER SCHOOL SYSTEM STUDENTS- IN 2015 THE RIDEOUT HEALTHY KIDS PROGRAM WAS EXPANDED TO NEIGHBORING COLUSA COUNTY- 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 BUILT PLANTER BOXES, PLANTED, TENDED AND FINALLY REAPED THE REWARDS OF THEIR WORK TO SHARE WITH NEARBY FAMILIES. THE LOCATION OF THE PROPERTY IS ADJACENT TO A FOOD DESERT IDENTIFIED IN THE 2013 CHNA.
FACILITY REPORTING GROUP - A PART 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 INHOUSE OR DISCHARGE STATUS. THE FINANCIAL COUNSELING DEPARTMENT WILL ASSIST PATIENTS WHO ARE CURRENTLY INHOUSE OR PREREGISTERED WITH COLLECTION OF ANY INSURANCE DEDUCTIBLES, COPAYS, COINSURANCE OR SHAREOFCOSTS 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, COPAYS OR SHAREOFCOSTS 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 FOLLOWUP PROCESS AND BILLING CYCLE A. THE SELFPAY 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. SELFPAY 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.
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 24:ALL PATIENTS ARE CHARGED THE SAME REGARDLESS OF THEIR ABILITY TO PAY. IF THE PATIENT IS FAPELIGIBLE AND COMPLETES THE REQUIRED DOCUMENTATION, THE CHARGES ARE EITHER REDUCED OR WRITTENOFF TO CHARITY CARE.

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.FRHG.ORG. 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 $ 11,028,716.
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:FOOTNOTE RELATING TO BAD DEBT EXPENSE: "FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, THE GROUP RECOGNIZES REVENUE ON THE BASIS OF ITS STANDARD RATES FOR SERVICES PROVIDED (OR ON THE BASIS OF DISCOUNTED RATES, IF NEGOTIATED OR PROVIDED BY POLICY). ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE GROUP'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, THE GROUP RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED."FOOTNOTE RELATING TO ALLOWANCE FOR DOUBTFUL ACCOUNTS: "PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE GROUP ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRDPARTY COVERAGE, THE GROUP ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRDPARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELFPAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRDPARTY COVERAGE EXISTS FOR PART OF THE BILL), THE GROUP RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS."
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:THE SERVICE AREA OF RH IS PRIMARILY COMPRISED OF THE SACRAMENTO VALLEY, CALIFORNIA COUNTIES OF YUBA AND SUTTER, WITH A COMBINED POPULATION ESTIMATE OF 170,955 (2015). BOTH YUBA AND SUTTER COUNTIES HAVE OUTPACED THE GROWTH RATE IN CALIFORNIA OVER THE PAST TWO DECADES, AND ARE PROJECTED TO CONTINUE TO OUTPACE THE STATEWIDE GROWTH RATE. OF THE TOTAL POPULATION, 26 PERCENT ARE UNDER THE AGE OF 18, AND 13.2 PERCENT ARE ELDERLY AGE 65 OR ABOVE. THE ELDERLY POPULATION IS EXPECTED TO MORE THAN DOUBLE FROM 2010 TO 2035.LIKE MANY CITIES, MARYSVILLE AND YUBA CITY ARE GRAPPLING WITH NUMEROUS SOCIOECONOMIC CHALLENGES. MANY RESIDENTS ARE ECONOMICALLY DISADVANTAGED: INCOME IN BOTH COUNTIES IS BELOW THE STATEWIDE AVERAGE, AND THE POVERTY RATE IS HIGHER THAN THE STATEWIDE AVERAGE, ACCORDING TO THE FOLLOWING INCOME AND POVERTY STATISTICS FROM THE U.S. CENSUS BUREAU: THE 2016 MEDIAN PER CAPITA INCOME FOR SUTTER COUNTY WAS $23,828 AND FOR YUBA COUNTY THE PER CAPITA INCOME WAS $19,586, COMPARED TO THE STATEWIDE PER CAPITA INCOME OF $29,906. THE PERCENTAGE OF YUBA-SUTTER'S RESIDENTS LIVING BELOW THE POVERTY LEVEL EXCEEDS THE STATEWIDE AVERAGE OF 15.3 PERCENT: THE POVERTY RATE IS AT 18.2. IN 2016, THE COMBINED POVERTY RATE FOR THE TWO COUNTIES OF 18 PERCENT EXCEEDED THE STATEWIDE AVERAGE POVERTY RATE OF 15.3 PERCENT. SIGNIFICANT HEALTH ISSUES ARE ASSOCIATED WITH POVERTY. 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 SHOWN SOME SIGNS OF IMPROVEMENT, THE ANNUAL AVERAGE RATE IN 2015 WAS 10 PERCENT, TWICE THE CALIFORNIA RATE OF 5 PERCENT, ACCORDING TO THE CALIFORNIA EMPLOYMENT DEVELOPMENT DEPARTMENT. ACCORDING TO THE 2015 UNIVERSITY OF WISCONSIN AND ROBERT J. WOOD FOUNDATION COUNTY HEALTH RANKINGS, YUBA COUNTY RANKED 46TH OUT OF 58 COUNTIES IN CALIFORNIA FOR OVERALL HEALTH AND SUTTER COUNTY WAS RANKED 27TH. ACCORDING TO THE CALIFORNIA DEPARTMENT OF PUBLIC HEALTH, YUBA COUNTY HAS THE THIRD HIGHEST MORTALITY RATE IN CALIFORNIA, AND SUTTER COUNTY HAS THE 22ND HIGHEST MORTALITY RATE. YUBA COUNTY HAS THE HIGHEST, AND SUTTER COUNTY THE SEVENTH 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 DISABILITY RATE OF 14 PERCENT, AND SUTTER COUNTY HAS A DISABILITY RATE OF 9.6 PERCENT. THE STATEWIDE AVERAGE IS 6.7 PERCENT.BEFORE THE IMPLEMENTATION OF THE AFFORDABLE CARE 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 AFFORDABLE CARE ACT, AND THE PERCENTAGE OF INDIVIDUALS WITHOUT HEALTH INSURANCE DROPPED TO 14.3 PERCENT IN YUBA COUNTY AND 14.6 PERCENT IN SUTTER COUNTY. MANY STILL STRUGGLE TO FIND MEDI-CAL PROVIDERS, HOWEVER. RH 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 NONPROFIT 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 YUBASUTTER 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 Plan0SupplementalNonqualRtrPlanInd
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 (10 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
ROBERT CHASON THRU 113015
DIRECTOR / CHIEF EXECUTIVE OFFICER$0$469,241$0$0$0$63,645$0$7,800$0$9,673$0$550,359$0$0
GINO PATRIZIO
CHIEF EXECUTIVE OFFICER$0$183,843$0$0$0$4,795$0$3,808$0$2,708$0$195,154$0$0
TARUN GHOSH THRU 21216
CHIEF FINANCIAL OFFICER$0$323,588$0$0$0$14,188$0$7,800$0$19,942$0$365,518$0$0
KATHY WHREN THRU 123115
PHARMACY MANAGER$199,756$0$0$0$12,133$0$4,837$0$10,059$0$226,785$0$0$0
RHONDA CRAWFORD THRU 6115
VP ASSISTANT ADMIN OPERATIONS$78,634$0$0$0$123,635$0$2,735$0$6,608$0$211,612$0$0$0
DORIS BACOLOD
REGISTERED NURSE$191,896$0$0$0$0$0$3,117$0$28,580$0$223,593$0$0$0
STEPHEN HAMMARSTROM
VP OUTPATIENT CLINICS$182,912$0$0$0$9,119$0$2,811$0$28,580$0$223,422$0$0$0
ART ORTEZA
REGISTERED NURSE$187,787$0$0$0$4,396$0$3,976$0$28,580$0$224,739$0$0$0
THERESA HAMILTON THRU 83014
FORMER CHIEF EXECUTIVE OFFICER$0$0$0$0$0$472,337$0$0$0$0$0$472,337$0$0
L WAYNE MILLS THRU 101714
FORMER CHIEF FINANCIAL OFFICER$0$0$0$0$0$290,769$0$0$0$0$0$290,769$0$0

Supplemental Information Detail SupplementalInformationDetail (2 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, LINE 4ASEVERANCE AMOUNTS PAID IN CY 2015 ARE AS FOLLOWS: THERESA HAMILTON, FORMER CHIEF EXECUTIVE OFFICER - $472,337 L. WAYNE MILLS, FORMER CHIEF FINANCIAL OFFICER - $290,769 RHONDA CRAWFORD, VP ASSISTANT ADMIN OPERATIONS - $108,618

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
CITY OF MARYSVILLE CALIFORNIA
A946000368574340AA32003-12-04$13,625,000CALL 1992 BONDS000
CITY OF MARYSVILLE CALIFORNIA
B946000368574374AN42011-11-15$111,067,641CONSTRUCTION, IMPROVEMENT, EXPANSION, AND EQUIPPING OF A NEW TOWER000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtOther Spent ProceedsOtherSpentProceedsAmtCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCapitalized InterestCapitalizedInterestAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYr
A$10,375,000$13,625,000$272,500$297,121$13,055,379Yes (1)0Yes (1)Yes (1)
B$111,314,114$1,066,710$1,392,35900Yes (1)Yes (1)$20,973,181$110,247,7122016

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceBBondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)Yes (1)000Yes (1)
B000Yes (1)0000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)

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: 12/15/2015 ISSUER NAME: CITY OF MARYSVILLE, CALIFORNIA DATE THE REBATE COMPUTATION WAS PERFORMED: 12/04/2015
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 L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ALEXANDRA I REICHMAN MD A MEDICAL CORPORATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionENTITY MORE THAN 35% OWNED BY ALEXANDRA REICHMAN, DIRECTORRelationshipDescriptionTxt
Transaction$1,084,700TransactionAmt
TransactionPATHOLOGY SERVICESTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6ORGANIZATION HAS ONE MEMBER WITH RESERVED POWERS.
FORM 990, PART VI, SECTION A, LINE 7ATHE SOLE MEMBER OF THE ORGANIZATION HAS THE POWER TO ELECT AND REMOVE DIRECTORS AND APPOINT THE CHIEF EXECUTIVE OFFICER.
FORM 990, PART VI, SECTION A, LINE 7BTHE SOLE MEMBER OF THE ORGANIZATION HAS THE POWER TO: (A) APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE ORGANIZATION, AS WELL AS ALL PURCHASES, BORROWINGS OR FINANCINGS IN ANY AMOUNT IN EXCESS OF A DOLLAR AMOUNT ESTABLISHED BY THE MEMBER (B) APPROVE THE PURCHASE, SALE, LEASE, DISPOSITION, HYPOTHECATION, EXCHANGE, GIFT, PLEDGE OR ENCUMBRANCE OF ANY REAL OR PERSONAL PROPERTY INTEREST (C) APPROVE ANY ARTICLE OR BYLAW CHANGES ORGANIZATION, DISSOLUTION, AFFILIATION, JOINT VENTURE ACTIVITY OR ALLIANCE BETWEEN THIS ORGANIZATION AND ANY OTHER ENTITY, (D) APPROVE THE FORMATION BY THIS ORGANIZATION OF ANY NEW CORPORATION, OR ITS PARTICIPATION IN ANY OTHER CORPORATION OR ENTITY AS A SHAREHOLDER, MEMBER, PARTNER OR JOINT VENTURER (E) REVIEW, APPROVE OR DISAPPROVE ANY PROPOSED TRANSACTION OF THIS ORGANIZATION WHICH INVOLVES SIGNIFICANT QUESTIONS OF POLICY OR WHICH WOULD HAVE SUBSTANTIAL IMPACT, FINANCIAL OR OTHERWISE, UPON THE ORGANIZATION OR THE MEMBER, AND (F) APPROVE ANY TRANSACTION IN WHICH A DIRECTOR OR OFFICER OF THIS ORGANIZATION HAS A MATERIAL FINANCIAL INTEREST.
FORM 990, PART VI, SECTION B, LINE 11THE AUDIT AND COMPLIANCE COMMITTEE WILL PERFORM A DETAILED REVIEW AND BE PART OF THE PRESENTATION BY THE PREPARER (MOSS ADAMS LLP). THE AUDIT AND COMPLIANCE COMMITTEE WILL THEN MAKE A RECOMMENDATION TO THE FULL BOARD. A FULL COPY OF THE FORM 990 WILL BE MADE AVAILABLE TO THE FULL BOARD PRIOR TO FILING.
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 GOVERNANCE COMMITTEE DEVELOPS THE EXECUTIVE COMPENSATION POLICY AND STRATEGY TO BE FOLLOWED IN ESTABLISHING THE CEO'S COMPENSATION AND FOR THE CEO TO FOLLOW IN ESTABLISHING COMPENSATION FOR OTHER KEY EMPLOYEES. THE PRIMARY STRATEGY IS TO UTILIZE AN OUTSIDE FIRM TO PROVIDE EXECUTIVE SALARY MARKET DATA WITHIN THE HEALTH CARE INDUSTRY FOR COMPARABILITY WHEN SETTING EXECUTIVE COMPENSATION LEVELS. THE CEO THEN REPORTS SALARY DECISIONS FOR KEY EMPLOYEES UTILIZING THIS DATA TO THE GOVERNANCE COMMITTEE. ANNUALLY THE GOVERNANCE COMMITTEE REPORTS A SUMMARY OF ITS ACTIONS AND ESTABLISHED COMPENSATION PHILOSOPHY TO THE BOARD.
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 50,348,610. MANAGEMENT AND GENERAL EXPENSES 16,276,713. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 66,625,323.
FORM 990, PART XI, LINE 9:INTEREST SWAP 255.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
UNITED COM-SERVE
989 PLUMAS STREETYUBA CITYCA95991943015356SKILLED NURSING/ASSISTED LIVING/HOME HEALTHCA501(C)(3)LINE 11B, IIFREMONT-RIDEOUT HEALTH GROUPYes (1)
FREMONT-RIDEOUT HEALTH GROUP
989 PLUMAS STREETYUBA CITYCA95991942917251HOSPITAL MANAGEMENT SERVICESCA501(C)(3)LINE 11B, II0N/A
FREMONT-RIDEOUT FOUNDATION
989 PLUMAS STREETYUBA CITYCA95991237366330SUPPORT FOR FRHG AND ITS AFFILIATESCA501(C)(3)LINE 7FREMONT-RIDEOUT HEALTH GROUPYes (1)
RIDEOUT MEDICAL FOUNDATION
989 PLUMAS STREETYUBA CITYCA95991812580691OPERATE MULTI-SPECIALTY MEDICAL CLINICSCA501(C)(3)LINE 11B, IIFREMONT-RIDEOUT HEALTH GROUPYes (1)

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

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1FREMONT-RIDEOUT MANAGEMENT SERVICES ORGANIZATION INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1989 PLUMAS STREETAddressLine1Txt
CityYUBA CITYCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95991ZIPCd
FieldValueIRS element (for citing)
EIN271350379EIN
Primary ActivitiesDME SALESPrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
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 OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1UNITED COM-SERVEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypePTransactionTypeTxt
Involved$979,358InvolvedAmt
Method Of Amount DeterminationFMVMethodOfAmountDeterminationTxt