2017-05-15T14:06:01-05:00 2016-06-30 910189318 MOSS ADAMS LLP 3121 W MARCH LN STE 200 STOCKTON CA 952192367 990 2015-07-01 941387866 RIDEOUT MEMORIAL HOSPITAL RIDE 5307401920 989 PLUMAS STREET YUBA CITY CA 95991 DIANE MOON CHIEF FINANCIAL OFFICER 5307401920 2017-05-15 1 TRACY S PAGLIA P00366884 2099556100 2017-05-15 2015 2021-01-29 14:40:06Z DIANE MOON 989 PLUMAS STREET YUBA CITY CA 95991 535739898 0 X HTTP://WWW.FRHG.ORG/ X 1955 CA TO IMPROVE THE WELLBEING OF EVERYONE IN OUR COMMUNITY THROUGH QUALITY AND COMPASSIONATE HEALTH CARE. 12 10 1966 154 0 0 52299 32008 360405494 365223141 29297526 419272 -316082 -348450 389439237 365325971 0 0 0 0 136309715 159102291 0 0 0 244116307 232954188 380426022 392056479 9013215 -26730508 548215387 528901717 193852245 201597153 354363142 327304564 TO IMPROVE THE WELLBEING OF EVERYONE IN OUR COMMUNITY THROUGH QUALITY AND COMPASSIONATE HEALTH CARE. 0 0 290789843 0 365223141 RIDEOUT 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. 290789843 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 0 0 1966 1 0 0 0 0 0 0 0 0 0 0 X 12 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X ED GONZALEZ 5307401922 614 J STREET MARYSVILLE CA 95901 JOHN WRIGHT DIRECTOR / CHAIRMAN 5.00 7.00 X X 0 1301 0 JANICE NALL DIRECTOR / VICE CHAIRMAN 5.00 7.00 X X 0 22070 0 RONALD M SWEENEY DIRECTOR / PAST CHAIRMAN 5.00 7.00 X 0 0 0 LISA DEL PERO DIRECTOR / SECRETARY 5.00 7.00 X X 0 10544 0 RUPINDER BRAR DIRECTOR 5.00 7.00 X 0 60600 0 JOHN W CARY DIRECTOR 5.00 7.00 X 0 945 0 JOHN MILLER DIRECTOR 5.00 7.00 X 0 945 0 ALEXANDRA REICHMAN DIRECTOR 5.00 7.00 X 0 0 0 DAVID TARKE DIRECTOR 5.00 7.00 X 0 0 0 GARY THIARA DIRECTOR 5.00 7.00 X 0 31943 0 DOUGLAS TOLLEY DIRECTOR 5.00 7.00 X 0 0 0 JOHN WEILER DIRECTOR 5.00 7.00 X 0 14504 0 ROBERT CHASON THRU 113015 DIRECTOR / CHIEF EXECUTIVE OFFICER 40.00 30.00 X X 0 532886 17473 GINO PATRIZIO CHIEF EXECUTIVE OFFICER 40.00 30.00 X 0 188638 6516 TARUN GHOSH THRU 21216 CHIEF FINANCIAL OFFICER 30.00 30.00 X 0 337776 27742 KATHY WHREN THRU 123115 PHARMACY MANAGER 40.00 X 211889 0 14896 RHONDA CRAWFORD THRU 6115 VP ASSISTANT ADMIN OPERATIONS 40.00 X 202269 0 9343 DORIS BACOLOD REGISTERED NURSE 40.00 X 191896 0 31697 STEPHEN HAMMARSTROM VP OUTPATIENT CLINICS 40.00 X 192031 0 31391 ART ORTEZA REGISTERED NURSE 40.00 X 192183 0 32556 THERESA HAMILTON THRU 83014 FORMER CHIEF EXECUTIVE OFFICER 0.00 X 0 472337 0 L WAYNE MILLS THRU 101714 FORMER CHIEF FINANCIAL OFFICER 0.00 X 0 290769 0 990268 1965258 171614 437 1 1 0 RIDEOUT MEDICAL ASSOCIATES INC 989 PLUMAS STREET YUBA CITY CA 95991 MED & HEALTHCARE SERVICES 17271828 TRUSTAFF TRAVEL NURSES LLC 4270 GLENDALE MILFORD RD CINCINNATI OH 45242 TEMPORARY STAFFING 12086071 MODERN BUILDING INC PO BOX 772 CHICO CA 95927 CONSTRUCTION CONTRACTOR 11151217 BERGELECTRIC CORP 5650 W CENTINELA AVE LOS ANGELES CA 90045 CONSTRUCTION CONTRACTOR 8091966 JACOBS PROJECT MANAGEMENT CO 800 MARKET ST LOCKBOX 18713F ST LOUIS MO 63150 CONSTRUCTION CONTRACTOR 5720230 163 32008 32008 NET PATIENT REVENUE 621400 304506854 304506854 OTHER PROGRAM REVENUE 900099 35700925 35700925 CANCER CENTER REVENUE 621990 24820789 24820789 PROGRAM RELATED RENT 532000 194573 194573 365223141 2292287 2292287 348450 -348450 -348450 -348450 168189862 2600 170065477 0 -1875615 2600 -1873015 -1873015 365325971 365223141 0 70822 X 6843 6843 119367348 92369725 26997623 3740698 2894489 846209 26837705 20665033 6172672 9149697 6968626 2181071 29434994 29434994 18002 18002 298507 298507 66625323 50348610 16276713 78065 76801 1264 46971413 41221891 5749522 3919008 795082 3123926 124472 63099 61373 10617 10617 12540822 12540822 2607608 2607608 CANCER CENTER 24632859 24632859 HOSPITAL FEE 24345402 24345402 BAD DEBT 11028716 11028716 REPAIRS 5484142 2392618 3091524 4834238 446070 4388168 392056479 290789843 101266636 0 26431789 8474329 69607961 70915321 6088852 4763006 5758237 5212696 545825885 196960621 287443944 348865264 144898801 82717251 7985803 7953850 548215387 528901717 48629204 53166195 137275 249997 124750662 122347098 20335104 25833863 193852245 201597153 X 354363142 327304564 354363142 327304564 548215387 528901717 X -26730508 -328325 255 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 18002 18002 0 PART II-B, LINE 1: RIDEOUT 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. 14239836 14239836 102119014 76353893 25765121 8255349 6954845 1300504 142391122 113651883 28739239 278820564 278820564 348865264 DUE TO RELATED ENTITIES 17685114 MALPRACTICE INSURANCE 7810869 ASBESTOS ABATEMENT 337880 25833863 X PART X, LINE 2: IN 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. 1 1 X 1 X 1 X 1 1 1 0 1 1 892460 892460 0.00230 108621230 67645945 40975285 0.10750 13668 13668 0.00000 109527358 67645945 41881413 0.10980 252529 112495 140034 0.00040 1500 1500 0.00000 29324 29324 0.00010 283353 112495 170858 0.00050 109810711 67758440 42052271 0.11030 1 2937835 892460 102754767 129490196 -26735429 X 1 1 2 1 RIDEOUT MEMORIAL HOSPITAL 726 4TH STREET MARYSVILLE CA 95901 WWW.FRHG.ORG 230000126 X X X A 2 FREMONT MEDICAL CENTER 970 PLUMAS STREET YUBA CITY CA 95991 WWW.FRHG.ORG 230000126 X X A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 15 1 1 0 1 X HTTP://WWW.FRHG.ORG 1 15 1 WWW.FRHG.ORG/COMMUNITYRELATIONS/COMMUNITYBENEFIT 0 0 1 X 200.000000000000 350.000000000000 1 1 X X X 1 X WWW.FRHG.ORG X X X 1 X 0 X X X X 1 X 0 1 PART V, SECTION B FACILITY 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. 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 STATES CA 1 0 0 0 0 0 0 0 0 ROBERT CHASON THRU 113015 DIRECTOR / CHIEF EXECUTIVE OFFICER 0 469241 0 0 0 63645 0 7800 0 9673 0 550359 0 0 GINO PATRIZIO CHIEF EXECUTIVE OFFICER 0 183843 0 0 0 4795 0 3808 0 2708 0 195154 0 0 TARUN GHOSH THRU 21216 CHIEF FINANCIAL OFFICER 0 323588 0 0 0 14188 0 7800 0 19942 0 365518 0 0 KATHY WHREN THRU 123115 PHARMACY MANAGER 199756 0 0 0 12133 0 4837 0 10059 0 226785 0 0 0 RHONDA CRAWFORD THRU 6115 VP ASSISTANT ADMIN OPERATIONS 78634 0 0 0 123635 0 2735 0 6608 0 211612 0 0 0 DORIS BACOLOD REGISTERED NURSE 191896 0 0 0 0 0 3117 0 28580 0 223593 0 0 0 STEPHEN HAMMARSTROM VP OUTPATIENT CLINICS 182912 0 0 0 9119 0 2811 0 28580 0 223422 0 0 0 ART ORTEZA REGISTERED NURSE 187787 0 0 0 4396 0 3976 0 28580 0 224739 0 0 0 THERESA HAMILTON THRU 83014 FORMER CHIEF EXECUTIVE OFFICER 0 0 0 0 0 472337 0 0 0 0 0 472337 0 0 L WAYNE MILLS THRU 101714 FORMER CHIEF FINANCIAL OFFICER 0 0 0 0 0 290769 0 0 0 0 0 290769 0 0 PART I, LINE 3 THE 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 4A SEVERANCE 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 A CITY OF MARYSVILLE CALIFORNIA 946000368 574340AA3 2003-12-04 13625000 CALL 1992 BONDS 0 0 0 B CITY OF MARYSVILLE CALIFORNIA 946000368 574374AN4 2011-11-15 111067641 CONSTRUCTION, IMPROVEMENT, EXPANSION, AND EQUIPPING OF A NEW TOWER 0 0 0 A 10375000 13625000 272500 297121 13055379 1 0 1 1 B 111314114 20973181 1066710 1392359 110247712 2016 0 0 1 1 B 0 0 0 0 0 0 1 A 0 0 0 1 1 0 0 0 1 B 0 0 0 1 0 0 0 0 1 A 1 B 1 DATE REBATE COMPUTATION PERFORMED ISSUER 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. ALEXANDRA I REICHMAN MD A MEDICAL CORPORATION ENTITY MORE THAN 35% OWNED BY ALEXANDRA REICHMAN, DIRECTOR 1084700 PATHOLOGY SERVICES 0 FORM 990, PART VI, SECTION A, LINE 6 ORGANIZATION HAS ONE MEMBER WITH RESERVED POWERS. FORM 990, PART VI, SECTION A, LINE 7A THE 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 7B THE 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 11 THE 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 12C DIRECTORS 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 15 THE 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 19 GOVERNING 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 11G MEDICAL 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. UNITED COM-SERVE 989 PLUMAS STREET YUBA CITY CA 95991 943015356 SKILLED NURSING/ASSISTED LIVING/HOME HEALTH CA 501(C)(3) LINE 11B, II FREMONT-RIDEOUT HEALTH GROUP 1 FREMONT-RIDEOUT HEALTH GROUP 989 PLUMAS STREET YUBA CITY CA 95991 942917251 HOSPITAL MANAGEMENT SERVICES CA 501(C)(3) LINE 11B, II N/A 0 FREMONT-RIDEOUT FOUNDATION 989 PLUMAS STREET YUBA CITY CA 95991 237366330 SUPPORT FOR FRHG AND ITS AFFILIATES CA 501(C)(3) LINE 7 FREMONT-RIDEOUT HEALTH GROUP 1 RIDEOUT MEDICAL FOUNDATION 989 PLUMAS STREET YUBA CITY CA 95991 812580691 OPERATE MULTI-SPECIALTY MEDICAL CLINICS CA 501(C)(3) LINE 11B, II FREMONT-RIDEOUT HEALTH GROUP 1 FRD MANAGEMENT LLC PO BOX 2128 MARYSVILLE CA 95901 943335136 OPERATION OF CANCER CENTER CA N/A FREMONT-RIDEOUT MANAGEMENT SERVICES ORGANIZATION INC 989 PLUMAS STREET YUBA CITY CA 95991 271350379 DME SALES CA N/A C 0 0 0 1 0 0 0 0 0 0 0 1 0 1 1 1 1 1 1 1 UNITED COM-SERVE P 979358 FMV