2016-02-15T00:00:00-06:00 2015-03-31 910189318 MOSS ADAMS LLP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2014-04-01 953655256 CASA COLINA INC CASA 9095967733 255 E BONITA AVE POMONA CA 917696001 FELICE L LOVERSO PRESIDENT/CEO 9095967733 2016-02-16 1 RENIE BURBANK P00159653 4159561500 2014 2016-08-17 19:52:53Z FELICE L LOVERSO PHD 255 E BONITA AVE POMONA CA 917696001 46868079 0 X WWW.CASACOLINA.ORG X 1981 CA IT IS THE MISSION OF CASA COLINA, INC. AND ITS AFFILIATES TO PROVIDE INDIVIDUALS THE OPPORTUNITY TO MAXIMIZE THEIR REHABILITATION POTENTIAL EFFICIENTLY AND EFFECTIVELY IN AN ENVIRONMENT THAT RECOGNIZES THEIR UNIQUENESS, DIGNITY AND SELF ESTEEM. 21 20 884 186 0 0 65295 103439 6616840 7589271 0 0 36915766 39175369 43597901 46868079 0 0 0 0 41599903 44844967 0 0 0 1997998 2023112 43597901 46868079 0 0 7956392 8513789 7104172 7661569 852220 852220 X IT IS THE MISSION OF CASA COLINA, INC. AND ITS AFFILIATES TO PROVIDE INDIVIDUALS THE OPPORTUNITY TO MAXIMIZE THEIR REHABILITATION POTENTIAL EFFICIENTLY AND EFFECTIVELY IN AN ENVIRONMENT THAT RECOGNIZES THEIR UNIQUENESS, DIGNITY AND SELF ESTEEM.TO ACHIEVE THESE OBJECTIVES CASA COLINA, INC. MANAGES ITS RESOURCES IN TERMS OF STAFF, SERVICES AND QUALITY CARE BOTH EFFECTIVELY AND EFFICIENTLY. IN ORDER TO MAINTAIN FINANCIAL STRENGTH CASA COLINA, INC. CONTINUES TO STRATEGICALLY REPOSITION ITSELF AT THE FOREFRONT OF THE POST ACUTE CONTINUUM BY BECOMING THE CENTER OF EXCELLENCE IN THE PROVISION OF SERVICES TO PERSONS WHO CAN BENEFIT FROM SUCH CARE. 0 0 41091301 46764640 SEE SCHEDULE O 41091301 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 147 0 1 884 1 0 0 0 0 0 0 0 0 0 0 X 21 20 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 0 0 CA X FELICE L LOVERSO PHD 9095967733 255 E BONITA AVE POMONA CA 917671923 STEVE NORIN CHAIRMAN 0.50 2.50 X X 0 0 0 STEPHEN W GRAEBER VICE CHAIRMAN 0.50 2.50 X X 0 0 0 RANDY BLACKMAN TREASURER 0.50 2.50 X X 0 0 0 MARY LOU JENSEN SECRETARY 0.50 2.50 X X 0 0 0 ELMER PINEDA MD CHIEF MED STAFF 0.50 2.50 X X 0 0 0 FRANK S ALVAREZ DIRECTOR-AT-LARGE 0.50 2.50 X 0 0 0 ROBERT BALZER DIRECTOR-AT-LARGE 0.50 2.50 X 0 0 0 GARY CRIPE DIRECTOR-AT-LARGE 0.50 2.50 X 0 0 0 SAMUEL P CROWE ESQ DIRECTOR-AT-LARGE 0.50 2.50 X 0 0 0 DONALD DRIFTMIER DIRECTOR-AT-LARGE 0.50 0.00 X 0 0 0 WILLIAM P DWRYE DIRECTOR-AT-LARGE 0.50 2.50 X 0 0 0 GERALD GALIPEAU DIRECTOR-AT-LARGE 0.50 0.00 X 0 0 0 JAMES HENWOOD DIRECTOR-AT-LARGE 0.50 2.50 X 0 0 0 DEVORAH LIEBERMAN PHD DIRECTOR-AT-LARGE 0.50 2.50 X 0 0 0 THOMAS REH DIRECTOR-AT-LARGE 0.50 2.50 X 0 0 0 JOSE RODRIGUEZ DIRECTOR-AT-LARGE 0.50 0.00 X 0 0 0 GENE TANZEY DIRECTOR-AT-LARGE 0.50 2.50 X 0 0 0 WENDY TUCKET DIRECTOR-AT-LARGE 0.50 0.00 X 0 0 0 JOSEPH UNIS MD DIRECTOR-AT-LARGE 0.50 2.50 X 0 0 0 MARK WARREN DIRECTOR-AT-LARGE 0.50 2.50 X 0 0 0 FELICE L LOVERSO PHD PRESIDENT/CEO 9.00 41.00 X X 1252407 0 24988 DAVID MORONY CHIEF FINANCIAL OFFICER 9.00 41.00 X 377069 0 20499 ROD PEEK VP BRAIN INJURY 1.00 44.00 X 294957 0 7980 JENNYFER PODUSKA DIRECTOR/ADMISSION 1.00 44.00 X 323563 0 11201 ROBERT BARNES DIRECTOR PROJECT DEVELOPMENT 45.00 0.00 X 303145 0 28061 ROSS LESINS CHIEF INFORMATION OFFICER 45.00 0.00 X 257634 0 20086 CHRISTOPHER CHALIAN MD MEDICAL DIRECTOR 30.00 15.00 X 251412 0 12254 BONNIE SCUDDER DIRECTOR PROGRAM DEVELOPMENT 1.00 34.00 X 251437 0 10485 3311624 0 135554 50 1 1 0 SODEXO INC & AFFILIATES 500 ROSS ST 154-04555 PITTSBURGH PA 15262 MANAGEMENT/CATERING 1551927 TELNET-RX INC 18340 YORBA LINDA BLVD 107 YORBA LINDA CA 92886 PHARMACY SERVICES 408616 MISSION LINEN SUPPLY INC 5400 ALTON STREET CHINO CA 91710 CLEANING SERVICES 276103 FITTANTE & SON PO BOX 8447 ALTA LOMA CA 91701 GROUNDSKEEPING 218838 MEDISCRIBES INC 12806 TOWNEPARK WAY LOUISVILLE KY 40243 TRANSCRIPTION SERVICES 211568 9 X 103439 103439 PROGRAM SERVICES 900099 7589271 7589271 7589271 INTERCOMPANY SERVICES 900099 39175369 39175369 39175369 46868079 46764640 0 0 1729693 256395 1473298 31115970 28668059 2447911 672903 592570 80333 8518714 7466885 1051829 2807687 2472497 335190 258725 258725 101973 101973 91059 88979 2080 199736 199736 14133 9382 4751 8086 8086 5151 5151 86935 86935 200493 200493 MISCELLANEOUS 630358 620901 9457 OUTSIDE SERVICES 376041 372989 3052 PRINTING/PUBLICATIONS 19349 19349 TELEPHONE 19260 12467 6793 11813 10427 1386 46868079 41091301 5776778 0 2615493 2984202 46083 40506 189850 79640 1265169 1115494 222100 149675 4882866 5259766 7956392 8513789 6614134 6796542 111584 109263 378454 755764 7104172 7661569 X 852220 852220 852220 852220 7956392 8513789 0 0 X X 0 1 X 1 0 X X 5 CCHRM INC 951643989 3 1 4866959 0 CCCRF 953655255 7 1 971239 0 CCCORS 953266014 7 1 267610 0 PADUA VILLAGE INC 953713170 7 0 497982 0 CCCR INC 953392219 7 0 985481 0 5 7589271 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 13304 13304 41091301 101096750 41091301 101110054 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 14223 13000 11426 13304 51953 250000 250000 250000 250000 1000000 1500000 1265169 1115494 149675 149675 CA HEALTH FACILITIES FINANCING AUTHORITY REV BONDS, SERIES 2001 4002 RECEIVABLE DUE FROM RELATED AFFILIATES 4500000 LONG-TERM INSURANCE RECEIVABLES 755764 5259766 LONG-TERM INSURANCE PAYABLES 755764 755764 X 103438 0 103438 46764641 46764641 46868079 103438 0 103438 46764641 46764641 46868079 PART X, LINE 2: IN ACCORDANCE WITH ACCOUNTING STANDARDS CODIFICATION (ASC) 740-10, INCOME TAXES, THE COMPANY RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. PART XI, LINE 4B - OTHER ADJUSTMENTS: INTERCOMPANY SUPPORT SERVICES 39,175,370. OPERATING TRANSFER RECLASSIFIED FROM EXPENSES 7,589,271. PART XII, LINE 4B - OTHER ADJUSTMENTS: INTERCOMPANY SUPPORT SERVICES 39,175,370. OPERATING TRANSFER RECLASSIFIED TO REVENUES 7,589,271. X X X X X 0 0 0 0 0 0 0 1 0 FELICE L LOVERSO PHD PRESIDENT/CEO 543363 0 577500 0 131544 0 7980 0 17008 0 1277395 0 0 0 DAVID MORONY CHIEF FINANCIAL OFFICER 259123 0 100000 0 17946 0 11230 0 9269 0 397568 0 0 0 ROD PEEK VP BRAIN INJURY 224994 0 40000 0 29963 0 7980 0 0 0 302937 0 0 0 JENNYFER PODUSKA DIRECTOR/ADMISSION 198342 0 97359 0 27862 0 9736 0 1465 0 334764 0 0 0 ROBERT BARNES DIRECTOR PROJECT DEVELOPMENT 251291 0 45000 0 6854 0 11230 0 16831 0 331206 0 0 0 ROSS LESINS CHIEF INFORMATION OFFICER 203414 0 40000 0 14220 0 11230 0 8856 0 277720 0 0 0 CHRISTOPHER CHALIAN MD MEDICAL DIRECTOR 238534 0 0 0 12878 0 10789 0 1465 0 263666 0 0 0 BONNIE SCUDDER DIRECTOR PROGRAM DEVELOPMENT 168703 0 70484 0 12250 0 10485 0 0 0 261922 0 0 0 PART I, LINE 7 THE BOARD OF DIRECTORS PERFORMS AN ANNUAL EVALUATION OF THE CEO BASED UPON QUALITY, PATIENT SATISFACTION AND FINANCIAL OUTCOMES IN ADDITION TO THE OVERALL OPERATING PERFORMANCE OF THE ORGANIZATION. THE CEO'S ANNUAL BONUS IS BASED ON A DISCRETIONARY DETERMINATION BY THE BOARD OF DIRECTORS. OFFICERS AND HIGHEST COMPENSATED EMPLOYEES RECEIVED NON-FIXED BONUSES AT THE DISCRETION OF MANAGEMENT BASED UPON ACHIEVEMENT OF ESTABLISHED QUALITY, PATIENT SATISFACTION AND OPERATIONAL GOALS OF THE ORGANIZATION. A CALIF HLTH FACIL FIN AUTH 521643828 2011-10-01 50000000 SEE SCHEDULE K, PART VI 0 0 0 B CALIF HLTH FACIL FIN AUTH 521643828 13033L2M8 2013-09-13 21600062 SEE SCHEDULE K, PART VI 0 0 0 A 50000000 1000000 14726119 34273881 0 0 0 1 B 21168061 21600062 432001 2013 1 0 1 0 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 1 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 1 B 1 SCHEDULE K, LINE I THE PURPOSE OF THE BOND ISSUES ARE AS FOLLOWS: FOR BOND ISSUE A: THE PURPOSE OF THE ISSUE IS TO (A) TO PAY FOR, OR REIMBURSE THE BORROWER FOR ITS PRIOR PAYMENT OF THE ACQUISITION, CONSTRUCTION, IMPROVEMENT, RENOVATION, AND EQUIPPING OF CERTAIN HEALTH FACILITIES OWNED BY THE HOSPITAL; (B) TO REFINANCE CERTAIN EXISTING INDEBTEDNESS INCURRED BY THE HOSPITAL TO PAY FOR THE ACQUISITION, CONSTRUCTION, IMPROVEMENT, RENOVATION, AND EQUIPPING OF CERTAIN HEALTH FACILITIES OWNED BY THE HOSPITAL; (C) TO FUND INTEREST DURING CONSTRUCTION OF A 31 BED HEALTH FACILITY AND ACQUISITION OF AN ELECTRONIC MEDICAL RECORDS SYSTEM; AND (D) TO PAY CERTAIN COSTS OF ISSUING THE BONDS FOR BOND ISSUE B: THE PURPOSE OF THE ISSUE IS TO MAKE A LOAN TO THE BORROWER FOR THE PURPOSE OF PROVIDING FUNDS TO REFUND ON A CURRENT BASIS ALL OUTSTANDING CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY REVENUE BONDS (CASA COLINA), SERIES 2001, WHICH WERE ISSUED TO FINANCE OR REFINANCE CONSTRUCTION, EXPANSION AND EQUIPPING OF THE ACUTE CARE HOSPITAL FACILITIES OWNED AND OPERATED BY CASA COLINA HOSPITAL FOR REHABILITATIVE MEDICINE AND HEALTH CARE FACILITIES OWNED AND OPERATED BY CASA COLINA CENTERS FOR REHABILITATION FOUNDATION AND CASA COLINA CENTERS FOR REHABILITATION, INC. FORM 990, PART III, LINE 4A DURING THE FISCAL YEAR CASA COLINA, INC. PROVIDED SUPPORT SERVICES TO ALL OF ITS AFFILIATES. SAID SERVICES AND SUPPORT CONSISTED OF ACCOUNTING, PAYROLL, HUMAN RESOURCES, MANAGEMENT INFORMATION SYSTEMS, CONTRACTING, PUBLIC RELATIONS, AND BILLING AND COLLECTIONS SERVICES TO THESE SIX (6) AFFILIATES. IN SUPPORT TO THE AFFILIATES CASA COLINA, INC. INCURRED $7,589,271 IN EXPENSES. THE EXPENSES ARE CHARGED TO THE AFFILIATES BASED ON A FORMULA AND USAGE OF SERVICES. AS A RESULT OF THESE NECESSARY SUPPORT SERVICES THE AFFILIATES WERE ABLE TO PROVIDE MEDICAL, RESIDENTIAL AND THERAPEUTIC SERVICES TO THE PATIENTS SERVED. THE RESULTS WERE THE FOLLOWING: HOSPITAL ACUTE INPATIENTS = 21,840 INPATIENT DAYS HOSPITAL OUTPATIENT VISITS = 76,666 VISITS OUTPATIENT SERVICES TO CHILDREN WITH VARIOUS DIAGNOSIS = 11,704 VISITS RESIDENTIAL INPATIENT SERVICES TO SHORT TERM/LONG TERM CARE = 39,525 RESIDENTIAL SERVICES OTHER OUTPATIENT REHABILITATION SERVICES FOR BRAIN INJURED PATIENT SERVICES = 4,132 VISITS ADULT DAY HEALTH CARE PERSONS SERVED = 13,956 VISITS CASA COLINA, INC. AND ITS AFFILIATES HAD 186 BEDS DURING THE FISCAL YEAR CONSISTING OF: 68 HOSPITAL ACUTE REHABILITATION BEDS; 26 SHORT TERM RESIDENTIAL; 83 LONG TERM RESIDENTIAL AND 10 LONG TERM SEMI INDEPENDENT BEDS. THE SERVICES WHICH CASA COLINA, INC. SUPPORTED CONSISTED OF: ADULT DAY HEALTH CARE WHICH PROVIDES A MEDICALLY-DIRECTED PROGRAM FOR ADULTS WITH DISABILITY WHO CANNOT STAY AT HOME SAFELY ON THEIR OWN DURING THE DAY, WHILE FAMILY MEMBERS OR CAREGIVERS ARE NOT AVAILABLE. A FULL DAY PROGRAM OF PHYSICAL AND COGNITIVE ACTIVITIES IS PROVIDED WITH OPPORTUNITIES FOR SOCIALIZATION AND SELF EXPRESSION. BRAIN INJURY SERVICES PROVIDE A CONTINUUM OF CARE FOR INDIVIDUALS WITH BRAIN OR SEVERE HEAD INJURIES. THE CONTINUUM INCLUDES: (A) ACUTE REHABILITATION FOR INDIVIDUALS WHO RESPOND MORE CONSISTENTLY TO STIMULATION OR ENGAGE IN SOME FORM OF COMMUNICATION, (B) RESIDENTIAL OR DAY PROGRAM TRANSITIONAL LIVING FOR PATIENTS WHO HAVE FINISHED ACUTE THERAPY BUT STILL NEED ASSISTANCE IN LEARNING THE SKILLS NECESSARY TO RE-ENTER LIVING WITH FAMILY OR ANOTHER COMMUNITY SETTING OR RETURNING WORK, (C) OUTPATIENT THERAPY THAT FOCUSES ON RESTORING PHYSICAL, COMMUNICATIVE, PSYCHOSOCIAL OR NEUROPSYCHOLOGICAL SKILLS, AND (D) RESIDENTIAL PROGRAMS FOR THOSE WHO WILL CONTINUE TO NEED A SUPERVISED LIVING SITUATION. BURN OR WOUND CARE REHABILITATION SERVICES PROVIDES REHABILITATION FOR INDIVIDUALS WHO HAVE EXPERIENCED SEVERE BURNS. SERVICES VARY, AND MULTIDISCIPLINARY CLINICS AND SERVICES SUCH AS AMPUTEE, INTERNAL MEDICINE, FOOT AND GAIT, AND WOMEN'S HEALTH ARE COORDINATED. CHILDREN'S SERVICES PROVIDES OUTPATIENT REHABILITATION SERVICES FOR CHILDREN AGE THREE MONTHS TO 16 YEARS INCLUDING SPECIALIZED PROGRAMS FOR INFANT DEVELOPMENT, AUTISM AND PEDIATRIC ORTHOPEDICS AT THE CHILDREN'S SERVICES CENTER. THE AFTER SCHOOL ACTIVITIES PROGRAM (ASAP) PROVIDES SOCIALIZATION, ENRICHMENT AND OPPORTUNITIES FOR SUCCESS FOR CHILDREN WITH DISABILITIES ATTENDING REGULAR SCHOOLS. A HIGH DEGREE OF COOPERATION IS MAINTAINED WITH ALL LOCAL SCHOOL SYSTEMS. SPECIALIZED SERVICES ARE PROVIDED FOR SPECIFIC DIAGNOSES, SUCH AS BRAIN INJURY, OSTEOGENESIS IMPERFECTA, CEREBRAL PALSY, MUSCULAR DYSTROPHY, SPINA BIFIDA AND SPINAL CORD INJURY, AS WELL AS THERAPIES FOR GENERAL REHABILITATION. GENERAL REHABILITATION PROVIDES CARE AND THERAPEUTIC INTERVENTION TO PATIENTS WHO NEED TO STRENGTHEN THEIR ABILITIES TO PERFORM ROUTINE AND WORK FUNCTIONS. THERAPIES FOCUS ON IMPROVING ENDURANCE, WORK CAPACITY, MOBILITY AND BALANCE. INDIVIDUAL REHABILITATION PROGRAMS ALSO ASSIST PEOPLE WITH DISABILITIES RESULTING FROM MULTIPLE SCLEROSIS, POST POLIO SYNDROME, CANCER, AND CEREBRAL PALSY, ORTHOPEDIC AND NEUROLOGICAL DISORDERS. HAND THERAPY OFFERS THE SERVICES OF CERTIFIED HAND THERAPIST WITH HIGHLY SPECIALIZED EXPERTISE TO WORK WITH PATIENTS TO RESTORE HAND FUNCTION AND UTILITY. PAIN MANAGEMENT PROVIDES SERVICES FOR INDIVIDUALS WITH CHRONIC PAIN AND AN INTERVENTION PROGRAM FOR INDIVIDUALS WITH ACUTE PAIN. ONE OF THE FIRST MULTIDISCIPLINARY, COMPREHENSIVE PAIN MANAGEMENT PROGRAMS IN THE UNITED STATES, THE PROGRAM HAS DEVELOPED SEVERAL TRACKS THAT APPROACH PAIN MANAGEMENT DIFFERENTLY. FOR THOSE WITH ACUTE PAIN, THE PROGRAM INCLUDES STRESS AND PAIN MANAGEMENT TECHNIQUES, EDUCATION, MEDICATION REDUCTION, AND BIOFEEDBACK AS WELL AS PHYSICAL RESTORATION THROUGH AN EXERCISE PROGRAM. RESIDENTIAL SERVICES PROVIDES THREE SUPERVISED, LONG-TERM LIVING HOMES FOR ADULTS WITH DEVELOPMENTAL DISABILITIES IN CLAREMONT AND POMONA, CALIFORNIA. FOR ADULTS WITH BRAIN INJURY, THE OBLIGATED GROUP OFFERS LONG-TERM FACILITIES IN LUCERNE VALLEY, CALIFORNIA AND IN APPLE VALLEY, CALIFORNIA. IN ADDITION, THERE ARE SEMI-INDEPENDENT LIVING ACCOMMODATIONS AT LUCERNE VALLEY. SPINAL CORD INJURY SPECIALIZED INCLUDE INTENSIVE THERAPY, COMPREHENSIVE TREATMENT, 24 HOUR REHABILITATION NURSING AND PHYSICIAN SUPERVISION, AND A CONTINUUM OF INPATIENT AND OUTPATIENT TREATMENT DESIGNED TO MAXIMIZE PHYSICAL PROGRESS AND SAFETY. SPORT AND RECREATION SERVICES OFFERS PERSONS WITH DISABILITY IN THE COMMUNITY THE OPPORTUNITY FOR PARTICIPATION IN ADAPTIVE RECREATION AND SPORTS. THE OUTDOOR ADVENTURES PROGRAM OFFERS MORE THAN 50 DAYS A YEAR OF TRIPS AND PROVIDES SERVICES TO MORE THAN 320 PERSONS ANNUALLY. THE LAND MEETS SEA SPORTS CAMP IS HELD ANNUALLY PROVIDING A FIRST EXPOSURE TO SPORTS AND OUTDOOR RECREATION TO MORE THAN 60 PERSONS WITH DISABILITY, FROM AGE FOUR UP. THESE ACTIVITIES INTRODUCE YOUNGSTERS AND PERSONS WITH RECENT INJURIES TO SAILING, SKIING, WATERSKIING, FISHING, CAMPING AND OTHER WATER ACTIVITIES. THESE TRIPS AND SPORTS ARE AN EXTENSION OF THE REHABILITATION THERAPY PROCESS AND PLAY AN ESSENTIAL ROLE AS PEOPLE REBUILD THEIR LIVES AFTER REHABILITATION. STROKE SERVICES SPECIALIZES IN CREATING COMPREHENSIVE, PERSONALIZED TREATMENT FOR PEOPLE WHO HAVE EXPERIENCED SEVERELY DISABLING STROKES. STROKES REPRESENTS THE LARGEST DIAGNOSTIC CATEGORY OF PATIENTS ADMITTED TO THE HOSPITAL'S FACILITY. VENTILATION WEANING AND RESPIRATORY REHABILITATION SERVICES PROVIDES A PARTICULAR FOCUS ON WEANING PATIENTS FROM MECHANICAL VENTILATION, WHICH IS A MAJOR IMPEDIMENT TO THE REST OF THE REHABILITATION PROCESS. SPECIALTY CLINICS PROVIDES SERVICES TO PATIENTS WITH: MOVEMENT DISORDERS, WOUND CARE; FOOT AND ANKLE; AUDIOLOGY; MULTIPLE SCLEROSIS; URINARY DYSFUNCTION; ARTHRITIS, PULMONARY; VESTIBULAR AND BALANCE DISORDERS; AND GERIATRIC (SENIOR) EVALUATIONS. ALL THESE SERVICES ARE PROVIDED TO UNSERVED INDIVIDUALS WITHIN THE GREATER COMMUNITY. CASA COLINA INC.'S COMMUNITY BENEFIT ANALYSIS CONSISTED OF BENEFITS PROVIDED TO PATIENTS/RESIDENTS/PERSONS FOR MEDICAL AND THERAPEUTIC SERVICES AND BENEFITS PROVIDED ON A BROADER BASIS TO THE COMMUNITY AT LARGE. CASA COLINA INC. AND ITS AFFILIATES PROVIDED THE FOLLOWING BENEFITS TO PATIENTS/RESIDENTS/PERSONS, SEVERAL RESULTING IN LOSSES: -MEDI-CAL PATIENTS -SERVICES TO UNSERVED AUTISTIC CHILDREN RESULTED IN LOSSES -CHARITY CARE AND UNCOMPENSATED CARE PROVIDED TO PERSONS REQUIRING ASSISTANCE AT NO OR REDUCED CHARGE TO INDIVIDUALS -REGIONAL CENTER - UNDERFUNDING FOR RESIDENTIAL SERVICES -SPORTS/RECREATIONAL SERVICES -SERVICES TO PERSONS WITH DISABILITIES CASA COLINA INC. THROUGH ITS RELATED AFFILIATES PROVIDED CHARITY CARE AT COST OF $273,053 AND PROVIDED COMMUNITY BENEFITS AT COST OF $3,982,796. FORM 990, PART VI, SECTION B, LINE 11 THE 990 WAS REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM FOR ACCURACY AND COMPLETENESS. AFTER WHICH TIME, A PAPER COPY OF THE 990 IS MADE AVAILABLE FOR REVIEW BY THE BOARD OF DIRECTORS. EACH MEMBER OF THE BOARD OF DIRECTORS IS ENCOURAGED TO REVIEW THE 990 PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C GOVERNANCE COMMITTEE OF THE BOARD REVIEWS DISCLOSURE FORMS ON AN ANNUAL BASIS. IN ADDITION, THE RATIO OF INTERESTED AND DISINTERESTED DIRECTORS IS CLOSELY MONITORED. INTERESTED DIRECTORS ARE NOT ALLOWED TO HOLD OFFICE OR SERVE ON THE AUDIT COMMITTEE. FINALLY, A PROTOCOL HAS BEEN ESTABLISHED THAT PREVENTS THE CONVERSION OF A CURRENT DISINTERESTED DIRECTOR TO AN INTERESTED DIRECTOR. FORM 990, PART VI, SECTION B, LINE 15A ON A REGULAR BASIS, THE COMPENSATION OF THE CEO IS REVIEWED BY AN OUTSIDE INDEPENDENT FIRM. THE FIRM'S FINDINGS ARE PRESENTED TO THE COMPENSATION COMMITTEE INDICATING THE COMPENSATION REASONABLENESS. THE COMPENSATION COMMITTEE DETERMINES ANY COURSE OF ACTION NECESSARY AND PRESENTS ITS FINDINGS/RECOMMENDATIONS TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENT INFORMATION IS MADE AVAILABLE TO THE PUBLIC FOR INSPECTION VIA THE GUIDESTAR WEBSITE. IN ADDITION, AUDITED FINANCIAL INFORMATION IS PROVIDED TO THE PUBLIC FOR THE PURPOSE OF GRANT AWARDS UPON REQUEST AS NECESSARY. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. FORM 990, PART VIII, LINE 11A CASA COLINA INC., IS THE PARENT COMPANY AND AS SUCH ALL PAYROLL IS PAID BY THIS ENTITY. WHILE PAYROLL EXPENSES REMAIN WITHIN THE SUBSIDIARY ENTITY, ALL PAYMENTS PERTAINING TO THAT EXPENSE IS REFLECTED IN CASA COLINA INC.'S FORM 990 AS ALL RELATED PAYROLL TAX FILING INFORMATION IS FILED UNDER THE CASA COLINA INC'S TAX IDENTIFICATION NUMBER. AS A RESULT EACH ENTITY IS RESPONSIBLE FOR REIMBURSING CASA COLINA INC. FOR THEIR RELATED PAYROLL EXPENSES. THIS WAS REFLECTED ON FORM 990, PART VIII, LINE 11A AND IS LABELED AS INTERCOMPANY SERVICES IN THE AMOUNT OF $36,175,369. FORM 990, PART XII, LINE 2C AUDIT COMMITTEE AND OVERSIGHT - THERE HAVE BEEN NO CHANGES TO THIS PROCESS FROM PRIOR YEAR. CC HOSPITAL FOR REHABILITATIVE MEDICINE 255 E BONITA AVE POMONA CA 91767 951643989 REHABILITATION MEDICINE CA 501(C)(3) 3 CASA COLINA INC 1 CC CENTERS FOR REHABILITATION FOUNDATION 255 E BONITA AVE POMONA CA 91767 953655255 FUNDRAISING CA 501(C)(3) 7 CASA COLINA INC 1 CC COMPREHENSIVE OUTPATIENT REHABILITATION 255 E BONITA AVE POMONA CA 91767 953266014 OUTPATIENT REHABILITATION SERVICES CA 501(C)(3) 7 CASA COLINA INC 1 PADUA VILLAGE INC 255 E BONITA AVE POMONA CA 91767 953713170 LONG TERM CARE FOR TRAUMATICALLY BRAIN INJURED CA 501(C)(3) 7 CASA COLINA INC 1 CC REHABILITATION INC 255 E BONITA AVE POMONA CA 91767 953392219 TRANSITIONAL LIVING CENTER FOR TRAUMATICALLY BRAIN INJURED CA 501(C)(3) 7 CASA COLINA INC 1 DIAGNOSTIC IMAGING CENTER 255 E BONITA AVE POMONA CA 91769 134286907 RADIOLOGY CA N/A 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 CASA COLINA HOSPITAL FOR REHAB MEDICINE P 46293 ACTUAL/BOOK VA CASA COLINA HOSPITAL FOR REHAB MEDICINE Q 4866959 ACTUAL/BOOK VA CASA COLINA HOSPITAL FOR REHAB FNDN C 103438 ACTUAL/BOOK VA CASA COLINA HOSPITAL FOR REHAB FNDN K 199736 ACTUAL/BOOK VA CASA COLINA HOSPITAL FOR REHAB FNDN Q 971239 ACTUAL/BOOK VA CASA COLINA COMPREHENSIVE OUTPATIENT REH Q 267610 ACTUAL/BOOK VA PADUA VILLAGE INC Q 497982 ACTUAL/BOOK VA CASA COLINA REHABILITATION INC Q 985481 ACTUAL/BOOK VA CASA COLINA HOSPITAL FOR REHABILITATIVE MEDICINE 255 E BONITA AVE POMONA CA 917696001 951643989 X 0 13304 13304 42469689 42482993 1000000 250000 0 0 0 PADUA VILLAGE INC 255 E BONITA AVE POMONA CA 917696001 953713170 0 0 0 3904034 3904034 345202 86301 0 0 0 CASA COLINA CENTER FOR REHABILITATION INC 255 E BONITA AVE POMONA CA 917696001 953392219 0 0 0 7174797 7174797 508740 127185 0 0 0 CASA COLINA COMPREHENSIVE OUTPATIENT REHABILITATION SERVICES INC 255 E BONITA AVE POMONA CA 917696001 953266014 0 0 0 1549306 1549306 227465 56866 0 0 0 CASA COLINA CENTERS FOR REHABILITATION FOUNDATION 255 E BONITA AVE POMONA CA 917696001 953655255 0 0 0 4907623 4907623 395381 98845 0 0 0