2016-06-27T17:50:41-05:00 2015-09-30 910189318 MOSS ADAMS LLP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2014-10-01 951643347 REDLANDS COMMUNITY HOSPITAL REDL 9093355500 350 TERRACINA BLVD REDLANDS CA 92373 JAMES HOLMES PRESIDENT/CEO 9093355500 2016-06-01 1 RENIE BURBANK P00159653 4159561500 2014 2016-09-27 15:27:22Z JAMES HOLMES 350 TERRACINA BLVD REDLANDS CA 92373 339040785 0 X WWW.REDLANDSHOSPITAL.ORG X 1927 CA THE HOSPITAL'S MISSION, VISION AND VALUE STATEMENTS ARE INTEGRATED INTO THE HOSPITAL'S POLICY AND PLANNING PROCESSES INCLUDING THE COMMUNITY BENEFIT PLAN. A PART OF THIS PLANNING PROCESS WAS TO INCORPORATE COMMUNITY BENEFITS IN THE HOSPITAL'S STRATEGIC PLANS. OUR MISSION IS TO PROMOTE AN ENVIRONMENT WHERE MEMBERS OF OUR COMMUNITY CAN RECEIVE HIGH QUALITY CARE AND SERVICE SO THEY CAN BE RESTORED TO GOOD HEALTH BY WORKING IN CONCERT WITH PATIENTS, PHYSICIANS, RCH STAFF, ASSOCIATES AND THE COMMUNITY. 18 16 1854 17 0 0 2783845 1600465 284199506 312332455 152363 149886 1202319 1177334 288338033 315260140 15000000 110422 0 0 113651371 114154599 0 0 0 175379892 192011129 304031263 306276150 -15693230 8983990 164002442 172082529 112688355 111394041 51314087 60688488 X OUR MISSION IS TO PROMOTE AN ENVIRONMENT WHERE MEMBERS OF OUR COMMUNITY CAN RECEIVE HIGH QUALITY CARE AND SERVICES SO THEY CAN MAINTAIN AND BE RESTORED TO GOOD HEALTH. 0 0 113840618 81602659 UNREIMBURSED MEDICAL CARE: THE HOSPITAL IS COMMITTED TO PROVIDING QUALITY MEDICAL CARE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. COST OF CARE FOR PATIENTS THAT MEET THE CHARITY CARE POLICY OF THE HOSPITAL ARE CLASSIFIED AS CHARITY. RCH HAD 3,556 INPATIENT/OUTPATIENT CHARITY ENCOUNTERS, 1,725 MEDICARE DISCHARGES AND 2,710 MEDICAID AND COUNTY INDIGENT DISCHARGES. THE TOTAL ESTIMATED COST OF CHARITY CARE SERVICES AND UNPAID COST OF SERVICES ASSOCIATED WITH MEDICARE, MEDICAID AND COUNTY INDIGENT PROGRAMS AS WELL AS THE ESTIMATED COST ASSOCIATED WITH UNCOLLECTABLE ACCOUNTS WERE $32,238,000. 1696694 398141 AN ON-GOING GOAL OF THE HOSPITAL'S FAMILY CLINICS IS TO PROVIDE HIGH-QUALITY, LOW-COST HEALTH CARE SERVICES TO PEOPLE WHO DO NOT OTHERWISE HAVE ACCESS TO HEALTH CARE, WHICH MAY BE DUE TO FINANCIAL, CULTURAL, LIFESTYLE OR PSYCHOLOGICAL BARRIERS. EQUALLY IMPORTANT IS THE DESIRE TO PROVIDE DISEASE SPECIFIC PATIENT/FAMILY EDUCATION, WITH EMPHASIS ON PROMOTING HEALTH AND WELLNESS AND THE SUPPORT NECESSARY TO PROMOTE INDIVIDUALIZED HEALTH CARE DECISION MAKING. THE REDLANDS AND YUCAIPA FAMILY CLINICS AND THE COMMUNITY BASED PERINATAL SERVICES PROGRAM (MATERIAL INFANT HEALTH) SERVE THE COMMUNITIES OF REDLANDS, LOMA LINDA, SAN BERNARDINO, HIGHLAND, YUCAIPA AND MENTONE, SUPPORTING THE HEALTHY START PROGRAMS IN THE REDLANDS UNIFIED SCHOOL DISTRICT IN ADDITION TO PROVIDING AN OPPORTUNITY FOR LOW-INCOME, THE UNINSURED AND UNDER-INSURED TO RECEIVE PRIMARY AND PREVENTIVE CARE, EARLY MEDICAL PROBLEM IDENTIFICATION, TREATMENT AND ASSISTANCE WITH THE APPLICATION PROCESS AND OBTAINING OF ELIGIBILITY FOR PUBLIC ASSISTANCE PROGRAMS. GOALS AND ACCOMPLISHMENTS IN 2015: 1) ENHANCED PRIMARY CARE SERVICES, 2) PROVIDED AND FACILITATED COMMUNITY EDUCATIONAL OFFERINGS AND HEALTH CARE SCREENINGS, 3) PROVIDED NO-COST SEASONAL FLU VACCINATIONS TO THE COMMUNITY, 4) EXPANDED AWARENESS OF THE SERVICES PROVIDED BY THE FAMILY CLINICS, 5) SUPPORTED REDLANDS UNIFIED SCHOOL DISTRICT BY PROVIDING EMPLOYEE TB SCREENING. FOR FISCAL YEAR 2015, REDLANDS AND YUCAIPA FAMILY CLINICS HAD 6,931 VISITS AND PERINATAL SERVICES HAD 1,435 VISITS. 141369928 110422 143622413 FOUNDED IN 1904, REDLANDS COMMUNITY HOSPITAL IS A NON-PROFIT, 229-BED HEALTHCARE FACILITY LOCATED IN THE EAST SAN BERNARDINO VALLEY OF SOUTHERN CALIFORNIA. THE HOSPITAL OFFERS ACUTE HEALTHCARE, DIAGNOSTIC AND HOME HEALTHCARE SERVICES. AS A COMMUNITY HOSPITAL, WE TAKE PRIDE IN OUR PERSONAL CARE AND COMPREHENSIVE, HIGH QUALITY SERVICES. OUR COMMUNITY SERVICE NURSES, EMERGENCY DEPARTMENT, FAMILY CLINICS, PERINATAL SERVICES PROGRAM, AND SEVERAL OTHER DEPARTMENTS THROUGHOUT THE HOSPITAL ARE INVOLVED IN OFFERING A VARIETY OF COMMUNITY SERVICES AND CHARITY CARE. PEOPLE FROM THROUGHOUT OUR LARGE SERVICE AREA DEPEND ON US FOR 24 HOUR EMERGENCY CARE, PROFESSIONAL HEALTHCARE AND A VARIETY OF COMMUNITY SERVICE OUTREACH PROGRAMS. ADDITIONALLY, RCH IN PARTNERSHIP WITH TWO LOCAL MEDICAL GROUPS, CONTRACTS WITH VARIOUS HEALTH PLANS TO PROVIDE FULL-SERVICE HEALTH CARE TO APPROXIMATELY 74,000 COMMUNITY MEMBERS ON A CAPITATED BASIS. 36952737 86709242 OTHER PROGRAMS: THE COMMUNITY CASE MANAGEMENT PROGRAM ADDRESSES THE NEEDS FOR AT-RISK, UNDERINSURED AND COMPLEX HEALTHCARE ISSUES AS WELL AS EDUCATION ON DISEASE MANAGEMENT AND COMMUNITY RESOURCES. THE PURPOSE OF THE COMMUNITY CASE MANAGEMENT IS TO PROVIDE HIGH-QUALITY SERVICE TO PEOPLE WHO DO NOT KNOW HOW TO NAVIGAGE THE HEALTHCARE SYSTEM DUE TO FINANCIAL, CULTRUAL, LIFESTYLE, OR PSYCHOLOGICAL BARRIERS. AN EQUALLY IMPORTANT FOCUS IS EMPOWERING THE PATIENT AND FAMILY WITH DISEASE SPECIFIC EDUCATION EMPHASIZING PROMOTION OF HEALTH, WELLNESS AND THE TOOLS NECESSARY TO PROMOTE INDIVIDUALIZED HEALTH CARE DECISIONMAKING. THE GOALS OF THE PROGRAM ARE TO DECREASE THE INCIDENCE OF READMISSION, TO EDUCATE REGARDING DISEASE PROCESS AND MANAGEMENT, TO PROVIDE COMMUNITY RESOURCES, TO FACILITATE THE RELATIONSHIP BETWEEN THE PATIENT AND THEIR HEALTHCARE PROVIDERS AND IMPROVE PATIENT HEALTHCARE OUTCOMES.PASTORAL CARE SERVICE - LAY MINISTRY - GRIEF PROGRAMS ADDRESSES THE SPIRITUAL CONCERNS OF RCH PREOPERATIVE, AS WELL AS OTHER PATIENTS WHO REQUEST PASTORAL SUPPORT. THE CHAPLAIN ALSO SERVES AS A PART OF THE ICU CLINICAL TEAM, PROVIDING PROFESSIONAL SPIRITUAL ASSESSMENT AND SUPPORT FOR PATIENTS AND FAMILIES. THE CHAPLAIN ALSO RESPONDS TO REFERRALS FROM HEALTH CARE PROFESSIONALS THROUGHOUT THE HOSPITAL TO ASSIST WITH ADDRESSING LIFE THREATENING ILLNESSES, END OF LIFE CONCERNS AND ISSUES OF SPIRITUAL DISTRESS. IN ADDITION, PASTORAL CARE SERVICES OFFERS THE OPPORTUNITY TO PERSONS OF ALL FAITH TRADITIONS TO BECOME A PASTORAL CARE VISITOR. THE CHAPLAIN PROVIDES INITIAL TRAINING AND ON-GOING EVALUATION OF PASTORAL CARE VISITORS.OTHER SERVICES INCLUDE PARTICIPATION IN COMMUNITY HEALTH FAIRS, FREE FLU SHOTS, COMMUNITY HEALTH EDUCATION LECTURES, AND FUNDING TOWARD SENIOR CITIZEN HEALTH NEWSLETTERS. 36952737 86709242 293859977 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 469 0 1 1854 1 0 0 0 0 0 0 0 0 0 0 X 18 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X MICHELLE MOK 9093355516 350 TERRACINA BLVD REDLANDS CA 923730742 WILLIAM D HATFIELD CHAIRMAN 3.00 1.00 X X 0 0 0 KATE SALVESEN VICE CHAIRMAN 3.00 1.00 X X 0 0 0 STAN WEISSER SECRETARY 3.00 1.00 X X 0 0 0 RICHARD BEEMER TREASURER 3.00 1.00 X X 0 0 0 YOLANDA CONTRERAS DIRECTOR 3.00 1.00 X 0 0 0 PETER DAVIS DIRECTOR 3.00 1.00 X 0 0 0 PHILIP DOOLITTLE DIRECTOR 3.00 1.00 X 0 0 0 ENRIQUE GIL MD CHIEF OF STAFF 3.00 1.00 X 0 0 0 ROBERT J HODGES DIRECTOR 3.00 1.00 X 0 0 0 MARVIN HUDSON DIRECTOR 3.00 1.00 X 0 0 0 LINDA MARTIN MD VICE CHIEF OF STAFF 3.00 1.00 X 0 0 0 PRANAV MEHTA MD DIRECTOR 3.00 1.00 X 0 0 0 LARRY PYLE DIRECTOR 3.00 1.00 X 0 0 0 SAM J RACADIO DIRECTOR 3.00 1.00 X 0 0 0 DAVID RAFF DIRECTOR 3.00 4.00 X 0 0 0 CAROL SNODGRESS DIRECTOR 3.00 1.00 X 0 0 0 ALVIN UMEDA MD DIRECTOR 3.00 1.00 X 0 0 0 JAMES HOLMES PRESIDENT/CEO 40.00 3.00 X X 816089 0 25943 MICHELLE MOK CHIEF FINANCIAL OFFICER 40.00 X 0 0 0 HARVEY HANSEN VP/PROFESSIONAL & GEN.SERV 40.00 X 375625 0 16932 LAUREN SPILSBURY VP/PATIENT CARE SERVICES 40.00 X 319893 0 16334 KATHI SANKEY ROBINSON VP/BUSINESS DEVELOPMENT 40.00 X 319607 0 14476 DIANNE COX VP/HUMAN RESOURCES 40.00 X 304456 0 26935 CAROL KREUTHER INFORMATICS PHARMACIST 40.00 X 236235 0 13961 2371905 0 114581 164 0 1 0 SODEXO INC DEPT 43283 LOS ANGELES CA 900663283 FOOD SERVICE 659142 HAMS ELECTRIC 1848 W 11TH ST STE J UPLAND CA 91786 CONSTRUCTION 523137 ALLIED BARTON SECURITY SERVICES PO BOX 628854 PHILADELPHIA PA 191828854 SECURITY SERVICE 488410 CROTHALL LAUNDRY SERVICES PO BOX 511310 LOS ANGELES CA 90051 LAUNDRY AND LINEN SERVICE 483646 NUANCE COMMUNICATIONS INC ONE WAYSIDE ROAD BURLINGTON MA 01803 TRANSCRIPTION SERVICES 325237 25 343865 1248560 8040 1600465 NET PATIENT SERVICES 621400 168710042 168710042 CAPITATION PREMIUM 621400 143622413 143622413 312332455 180431 180431 -18168 -18168 23745060 23208 23765294 15351 -20234 7857 -12377 -12377 OTHER REVENUE 900099 943893 943893 REBATES AND REFUNDS 900099 660660 660660 EDUCATION 900099 78687 78687 -505906 -505906 1177334 315260140 312332455 0 1327220 110422 110422 896236 896236 92329502 88650499 3679003 1797792 1710822 86970 12140914 11733682 407232 6990155 6780450 209705 2351283 2351283 197252 197252 175686 175686 2350264 2350264 832863 832863 5202989 4786750 416239 1894468 1894468 7557634 7557634 357955 357955 456987 456987 1841107 1841107 9250381 7862824 1387557 2220826 1909910 310916 OUTSIDE PROVIDERS 86765592 86765592 MEDICAL SUPPLIES 40111570 40111570 QUALITY ASSURANCE FEE 20976973 20976973 PURCHASED SERVICES 7489079 7489079 1978220 1978220 306276150 293859977 12416173 0 4848759 15115746 4597873 3551763 14058680 14203775 520849 342161 2462743 2670395 3905361 9215694 258390802 150417296 114035572 107973506 13358562 16852500 3789645 2424398 2156989 164002442 172082529 27018944 31356163 48493425 45920551 3532514 2911981 33643472 31205346 112688355 111394041 X 50896547 60381979 417540 306509 51314087 60688488 164002442 172082529 X 8983990 84482 305929 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 111705 111705 0 PART II-B, LINE 1: 100% OF DUES PAID TO THE CALIFORNIA HOSPITAL ASSOCIATION TO FUND SPECIFIC LOBBYING PURPOSES. 75010 75010 75010 75010 75010 75010 75010 75010 75010 75010 1.00000 0 0 3093241 3093241 170880714 83626614 87254100 79391877 66790682 12601195 5024970 5024970 107973506 LIABILITIES ASSOCIATED WITH CAPITATED PROGRAMS 28613786 OTHER LIABILITIES 793152 ESTIMATED THIRD PARTY SETTLEMENTS 1798408 31205346 X PART V, LINE 4: THE INCOME FROM THESE FUNDS WILL BE USED TO ASSIST AND AID INDIGENT PERSONS IN MEDICAL SERVICES THEY RECEIVE FROM THE HOSPITAL. PART X, LINE 2: THE HOSPITAL RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY TAX AUTHORITIES BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. 1 1 X 1 X 299.000000000000 1 X 1 0 1 0 1 1 2125238 2125238 0.00690 72584116 45714167 26869949 0.08770 74709354 45714167 28995187 0.09460 304448 304448 0.00100 1696694 398141 1298553 0.00420 2001142 398141 1603001 0.00520 76710496 46112308 30598188 0.09980 0 5432627 724180 29521426 35274108 -5752682 X 1 1 1 1 REDLANDS COMMUNITY HOSPITAL 350 TERRACINA BLVD REDLANDS CA 92373 REDLANDSHOSPITAL.ORG X X X REDLANDS COMMUNITY HOSPITAL 1 0 0 1 X X X X X X X X 13 1 0 0 1 X WWW.REDLANDHOSPITAL.ORG X X 1 14 1 WWW.REDLANDHOSPITAL.ORG 0 0 1 X 299.000000000000 350.000000000000 X X X X 1 1 X X X X 1 X X X X 1 X 0 X X X 1 X 0 0 REDLANDS COMMUNITY HOSPITAL PART V, SECTION B, LINE 5: TO EXPAND OUR KNOWLEDGE OF THE COMMUNITY, HOSPITAL STAFF OBTAINED THE BELIEFS AND PERCEPTIONS OF COMMUNITY MEMBERS AT-LARGE AND SELECTED KEY COMMUNITY LEADERS VIA FOCUS GROUPS. KEY COMMUNITY LEADERS WERE CAREFULLY CHOSEN FOR PARTICIPATION AT FOCUS GROUPS DUE TO THEIR COMMUNITY INVOLVEMENT AND DEMONSTRATED LEADERSHIP EXPERIENCE. THE GOAL WAS TO OBTAIN BOTH PERCEPTION AND KNOWLEDGE OF HEALTH NEEDS, RESOURCE AVAILABILITY, BARRIERS AND SOLUTIONS.COMPLETING THE 2013 COMMUNITY HEALTHCARE NEEDS ASSESSMENT INVOLVED COORDINATING AND CONDUCTING TWO FOCUS GROUPS AND DISTRIBUTING AN ANONYMOUS SURVEY. THE ANONYMOUS SURVEY WAS DEVELOPED USING AVAILABLE DATA FROM COUNTY, STATE AND OTHER RELEVANT DATABASES. THE TOOL WAS PROFESSIONALLY TRANSLATED INTO SPANISH AND DISTRIBUTED IN BOTH ENGLISH AND SPANISH AT VARIOUS LOCATIONS THROUGHOUT OUR PRIMARY AND SECONDARY SERVICE AREAS. FOCUS GROUPS WERE HELD ON-SITE, IN ORDER TO MEET THE INTENDED GOALS OF THE ASSESSMENT.A TOTAL OF 23 PEOPLE PARTICIPATED IN TWO FOCUS GROUPS AND 168 ANONYMOUS SURVEYS WERE RECEIVED FROM COMMUNITY PARTICIPANTS.FOCUS GROUPS WERE CONDUCTED WITH THE FOLLOWING KEY COMMUNITY LEADERS:REDLANDS COMMUNITY HOSPITAL FOUNDATION BOARD (N=18)REDLANDS COMMUNITY HOSPITAL COMMUNITY ADVISORY COMMITTEE (N=5)ANONYMOUS COMMUNITY HEALTHCARE NEEDS ASSESSMENT SURVEYS WERE DISTRIBUTED TO COMMUNITY MEMBERS AT LARGE AT THE FOLLOWING LOCATIONS:BANNING COMMUNITY CENTER, BANNING CABLESSED KETERI CHURCH, BEAUMONT CAREDLANDS COMMUNITY HOSPITAL, REDLANDS CAREDLANDS FAMILY CLINIC, REDLANDS CAYUCAIPA FAMILY CLINIC, YUCAIPA CASALVATION ARMY, REDLANDS, CATHROUGH THE CITY OF REDLANDS AT VARIOUS VENUES INCLUDING MARKET NIGHT REDLANDS COMMUNITY HOSPITAL PART V, SECTION B, LINE 7D: THE CHNA IS SUBMITTED TO THE OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT (OSHPD) AND THEY MAKE IT AVAILABLE ON THE OSHPD WEBSITE. REDLANDS COMMUNITY HOSPITAL PART V, SECTION B, LINE 11: HEALTHCARE FOR THE ELDERLY, UNINSURED, UNDERINSURED AND WORKING POOR:CONTINUE OUR COMMITMENT TO OWN AND OPERATE COMMUNITY-BASED PRIMARY CARE CLINICS AND THE PERINATAL SERVICES PROGRAM LOCATED IN SERVICE NEED AREAS OF REDLANDS AND YUCAIPA. CONTINUE TO PROVIDE COMMUNITY BASED NO-COST FLU VACCINES TO REACH THE MOST VULNERABLE POPULATIONS AND THE UNDERSERVED.EXPLORE THE POTENTIAL FOR ESTABLISHING ADDITIONAL PRIMARY CARE CLINICS IN RESPONSE TO THE PROJECTED INCREASE IN INSURANCE AND MEDI-CAL MANAGED CARE CLIENTELE DUE TO REGULATORY CHANGES OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010.CONTINUE TO EVALUATE AND ASSESS DEMAND AND CAPACITY OF PATIENT FLOW AND ACCESS TO AND THROUGH THE HOSPITAL'S EMERGENCY DEPARTMENT IN CONSIDERATION FOR RENOVATION OR EXPANSION.PARTNER WITH COMMUNITY ORGANIZATIONS:CONTINUE OUR COMMITMENT SUPPORT THE WORK OF COMMUNITY ORGANIZATIONS. THE HOSPITAL HAS A LONG-HISTORY OF PARTICIPATION WITH BUILDING A GENERATION AND FAMILY SERVICE ASSOCIATION OF REDLANDS (FSA). EXPLORE OPPORTUNITIES AND SECURE GRANT FUNDING TO STRENGTHEN THE PROVISION OF CLINICAL SERVICES FOR CLIENTELE OF THE FSA.MENTAL HEALTHCARE ACCESS:CONTINUE SUPPORT OF INDIVIDUALS SUFFERING FROM MENTAL HEALTH ISSUES WITHIN THE COMMUNITIES SERVED BY THE HOSPITAL THROUGH THE PROVISION OF BEHAVIORAL MEDICINE PROGRAMS AND SERVICES.COMMUNITY OUTREACH/COMMUNITY EDUCATION:DURING 2013 THE HOSPITAL EXPANDED PARTICIPATION AT HEALTH FAIRS, PROVIDED COMMUNITY-BASED HEALTH SCREENING, AND FOCUSED COMMUNITY EDUCATION IN THE SENIOR COMMUNITY. THE HOSPITAL PROVIDES COMMUNITY EDUCATION VIA DISSEMINATION OF A COMMUNITY-WIDE NEWSLETTER (WELL AWARE) AND CONDUCTED COMMUNITY HEALTH SEMINARS AT VARIOUS LOCATIONS. THE HOSPITAL PROVIDED COMMUNITY EDUCATION USING LOCAL MEDIA OUTLETS, SUCH AS THE AMERICAN HEALTH JOURNAL. THE HOSPITAL PLANS TO CONTINUE AND EXPAND COMMUNITY-BASED EDUCATION PROGRAMS.SINCE 2010 THE HOSPITAL IS A MEMBER OF THE HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA SPONSORED COLLABORATIVE, THE COMMUNITY BENEFITS STAKEHOLDER MEETING. THIS COLLABORATIVE INCLUDES MEMBERSHIP FROM AREA HOSPITALS ALONG WITH THE SAN BERNARDINO COUNTY PUBLIC HEALTH DEPARTMENT HEALTH OFFICER AND PUBLIC HEALTH STAFF. MEETING ON A REGULAR BASIS, THE GOAL OF THE COLLABORATIVE IS TO DISCUSS HEALTHCARE ISSUES, COLLABORATION OPPORTUNITIES, AND IMPLEMENTATION OF REGIONAL STRATEGIES TO IMPROVE HEALTH AND WELLNESS OF THE COMMUNITIES.THE HOSPITAL IS A TJC DESIGNATED PRIMARY STOKE CENTER AND A ICEMA NEUROVASCULAR STROKE RECEIVING CENTER LEVEL II FOR SAN BERNARDINO COUNTY. COMMUNITY EDUCATION WILL CONTINUE ON TOPICS SUCH AS DIABETES PREVENTION AND TREATMENT, OBESITY, STROKE, CANCER, HEART HEALTH AND OTHER PREVENTION EDUCATION TOPICS. REDLANDS COMMUNITY HOSPITAL PART V, SECTION B, LINE 13B: FEDERAL POVERTY GUIDELINES (FPG), WITH FPG FAMILY INCOME LIMIT FOR ELIGIBILITY FOR FREE CARE FPG FAMILY INCOME LIMIT FOR ELIGIBILITY FOR DISCOUNTED CARE. REDLANDS COMMUNITY HOSPITAL PART V, SECTION B, LINE 18D: REDLANDS COMMUNITY HOSPITAL MAKES NUMEROUS EFFORTS TO DETERMINE THE INDIVIDUAL'S ELIGIBILITY UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. REDLANDS COMMUNITY HOSPITAL DID NOT TAKE ANY EXTRAORDINARY MEASURES AND MAKES A REASONABLE EFFORT TO DETERMINE THE INDIVIDUAL'S ELIGIBILITY. REDLANDS COMMUNITY HOSPITAL PART V, SECTION B, LINE 22D: THE MAXIMUM REIMBURSEMENT EXPECTED FROM FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE IS THE HIGHEST GOVERNMENT FEE SCHEDULE. PART I, LINE 7: COST-TO-CHARGE RATIOS WERE USED IN DETERMINING COST. IN ADDITION, FOR MEDICARE RELATED COST, THE STEP-DOWN METHOD OF COST FINDING WAS USED. FOR THIS METHOD, ALL COSTS OF NON-REVENUE PRODUCING CENTERS ARE ALLOCATED TO ALL CENTERS WHICH THEY SERVE, REGARDLESS OF WHETHER OR NOT THESE CENTERS PRODUCE REVENUE. PART III, LINE 4: NET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHERS FOR SERVICES RENDERED. WHEN WE HAVE EXHAUSTED OUR INTERNAL COLLECTION PROCESS INCLUDING STATEMENTS AND PHONE CALLS, RCH WILL TRANSFER THE NET ACCOUNTS RECEIVABLE BALANCE TO A BAD DEBT FILE AND THE RESERVE FOR BAD DEBT WILL BE CHARGED. DISCOUNTS ARE DEDUCTED IN DETERMINING THE NET AMOUNT REALIZABLE PER AGREEMENTS. PAYMENTS ARE DEDUCTED FROM THE NET REALIZABLE AMOUNT, AND THE UNPAID BALANCE IS WHAT GETS TRANSFERRED TO THE RESERVE FOR BAD DEBT AND BECOMES THE BAD DEBT EXPENSE.APPROXIMATELY 62% OF THE BAD DEBT EXPENSE IS ATTRIBUTIBLE TO SELF PAY (UNINSURED) PATIENTS. BY SUBMITTING A RANDOM SAMPLING OF THESE PATIENTS TO EXPERIAN FOR INCOME PREDICTION, WE ESTIMATED THAT 84% WOULD HAVE QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY. THE RESULTING 52% (84% OF 62%) WAS APPLIED TO THE ESTIMATED COST OF BAD DEBT EXPENSE (BAD DEBT EXPENSE TIMES THE COST TO CHARGE RATIO) TO ARRIVE AT THE AMOUNT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY. PART III, LINE 8: INDIVIDUALS 65 YEARS AND OLDER ARE THE FASTEST GROWING AGE GROUP IN REDLANDS COMMUNITY HOSPITAL'S PRIMARY SERVICE AREA, WITH PROJECTED GROWTH ESTIMATED AT 14.4% OVER THE NEXT 5 YEARS. PROVIDING NECESSARY HEALTHCARE SERVICES TO THIS GROWING POPULATION OF MEDICARE BENEFICIARIES IS ESSENTIAL TO PROMOTING THE HEALTH OF THE COMMUNITY AS A WHOLE. HOSPICE REVENUE OF $2,673,951 IS FROM THE PS&R REPORT. REVENUE DERIVED FROM FEE REIMBURSED MEDICARE SERVICES, NOT INCLUDED IN THE COST REPORT, WAS $186,593 AND THE ASSOCIATED COST OF THESE SERVICES WAS $323,753 CREATING A SHORTFALL OF ($137,160). IN ADDITION, REVENUE FROM SERVICES PROVIDED TO NON-RCH CAPITATED SENIOR HMO PATIENTS WAS $45,350,283 WITH ASSOCIATED COSTS OF $54,949,952 FOR A SHORTFALL OF $9,599,669.THE STEP-DOWN METHOD OF COST FINDING WAS USED. ALL COSTS OF NON-REVENUE PRODUCING CENTERS ARE ALLOCATED TO ALL CENTERS WHICH THEY SERVE, REGARDLESS OF WHETHER OR NOT THESE CENTERS PRODUCE REVENUE. THE MEDICARE COST REPORT USES PATIENT DAYS TO APPORTION ROUTINE, SPECIAL CARE, SNF AND PSYCHIATRIC NURSING COSTS TO THE MEDICARE PROGRAM. ANCILLARY COSTS ARE APPORTIONED USING GROSS CHARGES. HOME HEALTH AND HOSPICE COSTS ARE APPORTIONED USING PATIENT VISITS AND UNDUPLICATED DAYS. PART III, LINE 9B: IF A PATIENT DEMONSTRATES THAT THEY HAVE INCOME LEVELS AT OR BELOW 350% OF THE FEDERAL POVERTY LIMIT, THEY WOULD BE SCREENED FOR CHARITY CARE AND TAKEN OUT OF THE COLLECTION PROCESS PROVIDED THEY COMPLETED OUR CHARITY CARE APPLICATION AND SUBMITTED THE REQUIRED VERIFICATION AND DOCUMENTATION TO SUPPORT THEIR CLAIM. PART VI, LINE 2: NEEDS ASSESSMENT: SEE RESPONSE TO COMMUNITY NEEDS ASSESSMENT, PART V, SECTION B, LINE 3 PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: ALL SELF PAY PATIENTS RECEIVE INFORMATION REGARDING OUR FINANCIAL ASSISTANCE AND DISCOUNT POLICIES AT THE TIME OF TREATMENT AT OUR FACILITY. THEY ARE ALSO PROVIDED WITH INFORMATION REGARDING ANY POSSIBLE FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAM THAT THEY MAY BE ELIGIBLE FOR AT THE TIME OF ADMISSION. ADDITIONALLY THEY RECEIVE DUPLICATES OF THIS INFORMATION AT THE TIME OF 1ST BILLING. SIGNS REGARDING OUR POLICY ARE PLACED THROUGHOUT THE FACILITY IN AN ATTEMPT TO INFORM PATIENTS AND THEIR FAMILIES ABOUT OUR ASSISTANCE PROGRAMS. PART VI, LINE 4: COMMUNITY INFORMATION: LOCATED IN THE MOST DENSELY POPULATED AREA OF SAN BERNARDINO COUNTY, COMMUNITIES IDENTIFIED AS BEING IN THE PRIMARY SERVICE AREA OF THE HOSPITAL ARE BANNING, BEAUMONT, CALIMESA, HIGHLAND, LOMA LINDA, MENTONE, REDLANDS AND YUCAIPA. THE SECONDARY SERVICE AREA IS COMPRISED OF THE CITIES OF COLTON, CRESTLINE, FONTANA, GRAND TERRACE, RIALTO, SAN BERNARDINO, AND SEVERAL MOUNTAIN COMMUNITIES. THE HISPANIC POPULATION CONTINUES TO BE THE FASTEST GROWING POPULATION IN OUR PRIMARY SERVICE AREA. THE HISPANIC POPULATION IN OUR PRIMARY SERVICE AREA WAS REPORTED AS 33% IN 2010 AND IS PROJECTED TO INCREASE TO 37.3% IN 2015. THE PERCENTAGE OF THE POPULATION OVER THE AGE OF 45 IN THE PRIMARY SERVICE AREA IS ESTIMATED TO INCREASE 26% OVER THE NEXT FIVE YEARS, WITH THE LARGEST GROWTH ESTIMATED AT 14.4% FOR INDIVIDUALS 65 YEARS AND OLDER. THIS GROWTH WILL REQUIRE SUSTAINED HEALTHCARE SERVICES AND AVAILABILITY. THE POPULATION GROWTH IN OUR PRIMARY SERVICE AREA IS EXPECTED TO GROW BY 10.5% OVER THE NEXT FIVE YEARS AND THE HOUSEHOLD SIZE WILL REMAIN CONSTANT AT 2.8 PEOPLE PER HOUSEHOLD. ALTHOUGH HOUSEHOLD INCOME GROWTH IS ESTIMATED TO EXCEED THAT OF THE STATE OVERALL, THE PRIMARY SERVICE AREA MEDIAN AND AVERAGE HOUSEHOLD INCOMES ARE EXPECTED TO CONTINUE TO BE BELOW THOSE OF THE STATE IN 2015. THE HISPANIC BIRTH RATE IN SAN BERNARDINO COUNTY IS THE LARGEST AMONGST ALL ETHNIC GROUPS, MAKING UP 60% OF ALL BIRTHS (SAN BERNARDINO COUNTY 2010 COMMUNITY INDICATORS REPORT). ACCORDING TO THE SAME REPORT, HISPANIC WOMEN IN SAN BERNARDINO COUNTY ARE LESS LIKELY THAN WHITE OR ASIAN WOMEN TO RECEIVE PRENATAL CARE DURING THEIR FIRST THREE MONTHS OF PREGNANCY. ACCESS TO AND RECEIVING PRENATAL CARE CAN IMPROVE BIRTH OUTCOMES AND DECREASE NEGATIVE OUTCOMES OF PREGNANCY. IN ADDITION, SAN BERNARDINO COUNTY AT 80.6% AS A WHOLE, FALLS BELOW THE HEALTHY PEOPLE 2010 OBJECTIVE OF 90% FOR THE PRENATAL CARE DETERMINANT. ACCORDING TO THE CDC, IN THE UNITED STATES, THE INCIDENCE OF CERVICAL CANCER FOR HISPANIC WOMEN IS THE HIGHEST INCIDENCE AMONGST ALL ETHNICITIES. FOR ALL OF THESE REASONS, WOMEN'S HEALTH PROGRAMS ARE IMPERATIVE TO PREVENT MORBIDITY AND MORTALITY RELATED TO NEGATIVE OUTCOMES OF PREGNANCY AND BREAST AND CERVICAL CANCER. PRENATAL SCREENING AND EDUCATION IS A VALUABLE RESOURCE AND SHOULD BE AVAILABLE TO THE COMMUNITY-AT-LARGE. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH: THE HOSPITAL OWNS AND OPERATES THE REDLANDS FAMILY CLINIC. A GOAL OF THE FAMILY CLINIC IS TO PROVIDE HIGH-QUALITY, LOW-COST HEALTH CARE SERVICES TO PEOPLE WHO DO NOT OTHERWISE HAVE ACCESS WHICH MAY BE DUE TO FINANCIAL, CULTURAL, LIFESTYLE, OR PSYCHOLOGICAL BARRIERS. AN EQUALLY IMPORTANT GOAL IS TO PROVIDE DISEASE SPECIFIC PATIENT/FAMILY EDUCATION, WITH EMPHASIS ON PROMOTING HEALTH AND WELLNESS, AND THE SUPPORT NECESSARY TO PROMOTE INDIVIDUALIZED HEALTH CARE DECISION MAKING. OUR ONGOING OBJECTIVES ARE TO: 1) PROVIDE AN OPPORTUNITY FOR LOW-INCOME, THE UNINSURED AND UNDERINSURED TO RECEIVE PRIMARY AND PREVENTIVE CARE, EARLY MEDICAL PROBLEM IDENTIFICATION AND TREATMENT AND ACCESS TO HEALTH CARE RESOURCES; 2) REDUCE DISPARITY IN HEALTH CARE SERVICES WITHIN THE COMMUNITY; 3) DEVELOP HEALTH RELATED PROGRAMS AND ENHANCE THE QUALITY OF SERVICES PROVIDED; 4) PROVIDE HEALTH CARE FOR ALL AGES, CHILDREN TO THE ELDERLY; 5) ASSIST WITH THE APPLICATION PROCESS AND OBTAINING ELIGIBILITY FOR PUBLIC ASSISTANCE PROGRAMS; 6) PROVIDE AND PROMOTE COMMUNITY RESOURCES; AND, 7) PROVIDE AND FACILITATE COMMUNITY HEALTH SERVICES SUCH AS FLU SHOTS AND OTHER HEALTH CARE SCREENINGS. THE COMPREHENSIVE PERINATAL SERVICES PROGRAM (CPSP) PROVIDES A VARIETY OF SERVICES AND EDUCATION TO WOMEN PRIOR TO DELIVERY AND UP TO SIXTY DAYS AFTER DELIVERY. GOALS OF THE PROGRAM ARE TO DECREASE THE INCIDENCE OF LOW BIRTH WEIGHT IN INFANTS, TO IMPROVE THE OUTCOME OF EVERY PREGNANCY, TO GIVE EVERY BABY A HEALTHY START IN LIFE AND TO LOWER HEALTH CARE COSTS BY PREVENTING CATASTROPHIC AND CHRONIC ILLNESS IN INFANTS AND CHILDREN. THE COMPREHENSIVE PERINATAL SERVICES PROGRAM IS A MEDI-CAL SPONSORED PROGRAM FOR WOMEN WHO ARE PREGNANT AND ARE ENROLLED IN STRAIGHT MEDI-CAL OR A MEDI-CAL MANAGED CARE PLAN. THE DIABETES AND PREGNANCY EDUCATION PROGRAM PROVIDES EDUCATION, EVALUATION AND INTERVENTION FOR PREGNANT WOMEN WITH DIABETES OR FOR WOMEN WITH DIABETES PLANNING TO BECOME PREGNANT. THE GOAL OF THE PROGRAM IS TO IMPROVE PREGNANCY OUTCOMES FOR WOMEN AND TO REDUCE FETAL DEATHS AND NEONATAL AND MATERNAL COMPLICATIONS. SERVICES INCLUDE AN INITIAL EVALUATION AND FOLLOW-UP BY A REGISTERED NURSE AND DIETICIAN. THE BREASTFEEDING PROGRAM PROVIDES BREASTFEEDING EDUCATION AND SUPPORT FOR GROUPS, AND INDIVIDUAL ONE-ON-ONE EDUCATION. THE CHILDBIRTH PREPARATION COURSES PREPARE THE PREGNANT WOMEN AND FAMILY FOR CHILDBIRTH. CLASSES ARE DESIGNED TO PROVIDE PRACTICAL AND USEFUL TOOLS IN PREPARATION OF CHILDBIRTH. THE RCH HEALTH MINISTRY PROGRAM AIMS TO ASSIST CHURCHES IN ESTABLISHING A HEALTH CABINET AND SELECTING A HEALTH MINISTER (FAITH COMMUNITY NURSE) WHO WILL CARRY OUT THE MISSION OF HEALTH MINISTRY AS DETERMINED BY EACH CHURCH. EACH CHURCH CAN DEVELOP AN INDIVIDUALIZED MINISTRY PROGRAM TO PROMOTE HEALTHY LIVING AND WELLNESS UTILIZING DATA OBTAINED THROUGH A NEEDS ASSESSMENT. HEALTH ACTIVITIES AND EVENTS SUPPORTED BY THE HEALTH MINISTRY PROGRAM INCLUDE HEALTH SCREENINGS, HEALTH FAIRS, HEALTH EDUCATION, AND RESOURCE AND REFERRALS. THE HEALTH MINISTRY PROGRAM EMBRACES THE SPIRITUAL DIMENSIONS IN DISEASE PREVENTION AND WELLNESS PROMOTION IN COLLABORATION WITH 31 PARTNERING CHURCHES. THE HEALTH MINISTRY PROGRAM POSITIVELY IMPACT THE COMMUNITY THROUGH HEALTH SCREENINGS, HEALTH/WELLNESS EDUCATION, ADVOCACY, REFERRAL, PERSONAL HEALTH COUNSELING, EDUCATION AND TRAINING, AND COORDINATION OF COMMUNITY VOLUNTEERS. EDUCATION AND TRAINING FOR FAITH COMMUNITY NURSES IS PROVIDED AND ROUTINELY HELD ON CAMPUS AT THE RCH WEISSER EDUCATION PAVILION. IN ADDITION, GENERAL HEALTH SCREENINGS ARE HELD IN THE LOCAL CHURCHES AND COMMUNITY SENIOR CENTERS. THE RCH CLINICAL CHAPLAIN PERFORMS AND SUPERVISES MULTIPLE SERVICES WHICH CONTRIBUTE TO THE SPIRITUAL WELL BEING OF THOSE WITHIN THE HOSPITAL. THE CHAPLAIN ADDRESSES THE SPIRITUAL CONCERNS OF RCH PREOPERATIVE PATIENTS WHO REQUEST PASTORAL SUPPORT, SEEING AN AVERAGE OF 12 PATIENTS PER DAY. THE CHAPLAIN ADDITIONALLY SERVES AS A PART OF THE ICU CLINICAL TEAM, PROVIDING PROFESSIONAL SPIRITUAL ASSESSMENT AND SUPPORT FOR PATIENTS AND FAMILIES. THE CHAPLAIN ALSO RESPONDS TO REFERRALS FROM HEALTH CARE PROFESSIONALS THROUGHOUT THE HOSPITAL TO ASSIST WITH ADDRESSING LIFE THREATENING ILLNESSES, END OF LIFE CONCERNS AND ISSUES OF SPIRITUAL DISTRESS. PASTORAL CARE ALSO PARTICIPATED IN THE PROCESS TO DEVELOP A PALLIATIVE CARE PROGRAM AND CONTINUES TO BE AN ACTIVE PART OF THE ETHICS COMMITTEE. THE HOSPICE CHAPLAIN PROVIDES SERVICES TO THOSE NEARING THE LAST DAYS OF LIFE. IN ADDITION TO MINISTERING TO THE DYING PERSON, PASTORAL SERVICES ARE PROVIDED TO THE FAMILY. GRIEF SUPPORT IS PROVIDED TO FAMILY MEMBERS UP TO ONE YEAR AFTER THE LOSS OF THE LOVED ONE. DURING 2011, THE HOSPITAL EXPANDED PARTICIPATION AT HEALTH FAIRS, PROVIDED COMMUNITY-BASED HEALTH SCREENINGS AND FOCUSED COMMUNITY EDUCATION IN THE SENIOR COMMUNITY. THE HOSPITAL JOINED THE SAN BERNARDINO COUNTY HOSPITAL COMMUNITY BENEFITS COLLABORATIVE WHOSE GOAL IS TO DISCUSS HEALTHCARE ISSUES, COLLABORATION OPPORTUNITIES, AND IMPLEMENTATION OF REGIONAL STRATEGIES TO IMPROVE HEALTH AND WELLNESS OF THE COMMUNITIES. IN RESPONSE TO UNMET HEALTH TRANSPORTATION NEEDS, REDLANDS COMMUNITY HOSPITAL USES HOSPITAL OWNED VANS TO TRANSPORT PATIENTS TO AND FROM THE BEHAVIORAL MEDICINE OUTPATIENT DAY PROGRAM. TAXI VOUCHERS, LOCAL NON-MEDICAL TRANSPORT SERVICES AND PUBLIC TRANSPORTATION ARE ROUTINELY UTILIZED AT THE HOSPITAL'S EXPENSE FOR TRANSPORTING PATIENTS AFTER RECEIVING SERVICES AT THE HOSPITAL. PART VI, LINE 7, REPORTS FILED WITH STATES CA 1 REDLANDS COMMUNITY HOSPITAL FOUNDATION 350 TERRACINA BLVD REDLANDS CA 92373 953368018 501(C)(3) 110422 SPECIFIC PURPOSE - CHAPLAINCY FUND 1 PART I, LINE 2: THERE IS NO SPECIFIC PROCUDURE FOR MONITORING THE USE OF FUNDS TO GRANTED REDLANDS COMMUNITY HOSPITAL FOUNDATION, A RELATED ORGANIZATION. AS PART OF THE OVERALL OPERATION OF THESE RELATED ORGANIZATIONS, REDLANDS COMMUNITY HOSPITAL KEEPS CAREFUL TRACK OF THE USE OF FUNDS WHICH INCLUDE GRANTS TO THE FOUNDATION. X 1 1 X X X 0 0 0 0 0 0 0 1 0 JAMES HOLMES PRESIDENT/CEO 616739 0 174781 0 24569 0 9750 0 16193 0 842032 0 0 0 HARVEY HANSEN VP/PROFESSIONAL & GEN.SERV 309627 0 64018 0 1980 0 9551 0 7381 0 392557 0 0 0 LAUREN SPILSBURY VP/PATIENT CARE SERVICES 260986 0 57180 0 1727 0 6232 0 10102 0 336227 0 0 0 KATHI SANKEY ROBINSON VP/BUSINESS DEVELOPMENT 261100 0 56796 0 1711 0 7356 0 7120 0 334083 0 0 0 DIANNE COX VP/HUMAN RESOURCES 249051 0 54285 0 1120 0 9750 0 17185 0 331391 0 0 0 CAROL KREUTHER INFORMATICS PHARMACIST 207558 0 0 0 28677 0 7062 0 6899 0 250196 0 0 0 PART I, LINE 1A TAX INDEMNIFICATION AND/OR GROSS-UP PAYMENTS ARE PROVIDED TO CEO FOR LIFE INSURANCE PREMIUMS AND AUTOMOBILE ALLOWANCE AND ARE INCLUDED IN TAXABLE COMPENSATION. PART I, LINE 7 EXECUTIVE INCENTIVE COMPENSATION AWARDS ARE DETERMINED AS A PERCENTAGE OF THE EXECUTIVE'S ANNUAL BASE SALARY, EITHER 35% (PRESIDENT/CEO) OR 20% (VICE PRESIDENTS). THIS BASE AMOUNT IS THEN SUBJECT TO FOUR PERFORMANCE MEASURES WEIGHTED AS FOLLOWS: 25% FOR ORGANIZATIONAL PERFORMANCE CONSISTING OF FINANCIAL PERFORMANCE AND STRATEGIC PLAN PERFORMANCE OF THE ORGANIZATION, AND 75% FOR INDIVIDUAL PERFORMANCE CONSITING OF INDIVIDUAL STRATEGIC OBJECTIVES AND QUALITY PERFORMANCE THRESHOLDS. A CALIF STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY 680164610 130911F70 2005-04-26 66308180 CONSTRUCTION OF EIGHT NEW SURGERY SUITES AND A MATERNAL CHILD HEALTH UNIT 0 0 0 B CALIF STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY 680164610 130911F70 2013-04-01 43095000 CURRENT REFUNDING OF PRIOR BONDS 0 0 0 A 59655000 70683231 2810000 1055305 2134684 60803939 3879304 2008 0 0 1 1 B 43095000 771471 42323503 2013 1 0 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 1 1 1 MERRILL LYNCH CAPITAL MARKETS 17.900000000000 0 0 0 1 1 B 0 0 1 0 1 1 MERRILL LYNCH CAPITAL MARKETS 17.900000000000 0 0 0 0 0 A 1 B 1 SCHEDULE K, PART I, ISSUE A, PART I, COLUMN (E) AND PART II, LINE 3: BOND ISSUE A: DIFFERENCE BETWEEN PART I, COLUMN (E) AND PART II, LINE 3 WAS DUE TO INTEREST EARNINGS ON BOND PROCEEDS. SCHEDULE K, PART I, ISSUE B, PART I, COLUMN (E) AND PART II, LINE 3: BOND ISSUE B: DIFFERENCE BETWEEN PART I, COLUMN (E) AND PART II, LINE 3 IS DUE TO INTEREST EARNINGS ON BOND PROCEEDS. SCHEDULE K, PART III, LINE 7: AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS REPORTED IN PART III, LINE 6, IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. PART IV, QUESTION 2: THE REBATE COMPUTATION WAS PERFORMED AS OF APRIL 1, 2015. SCHEDULE K, PART IV, LINE 2: THE REBATE COMPUTATION WAS PERFORMED AS OF APRIL 1, 2015. REDLANDS YUCAIPA MED GRP DIRECTOR 517329 DR P. MEHTA, MD OWNS 11% OF REDLANDS YUCAIPA MEDICAL GROUP, WHICH PAID RCH APPROXIMATELY $517,329 TO PROVIDE ANCILLARY SERVICES TO ITS PATIENT/MEMBERS DURING FISCAL YEAR 2015. 0 FORM 990, PART VI, SECTION B, LINE 11 AFTER THOROUGH REVIEW BY THE CFO AND PRESIDENT/CEO, THE DRAFT 990 WAS PRESENTED, IN HARD COPY FORMAT, TO THE AUDIT COMMITTEE WITH THE TAX PREPARER IN ATTENDANCE. SUBSEQUENTLY THE PRESIDENT/CEO AND THE CHAIRMAN OF THE AUDIT COMMITTEE PRESENTED THIS DRAFT TO THE BOARD OF DIRECTORS. THESE REVIEWS WERE CONDUCTED PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C COUNSEL REVIEWS RESPONSES THAT REQUIRE ADDITIONAL ACTION OR CLARIFICATION. DISCLOSURE IS A CONTINUOUS DUTY. FORM 990, PART VI, SECTION B, LINE 15 RCH USES AN INDEPENDENT CONSULTANT ON AN ANNUAL BASIS TO REVIEW TOTAL COMPENSATION, PAY AND BENEFITS, FOR THE CEO. THE CONSULTANT MAKES RECOMMENDATIONS TO THE EXECUTIVE COMMITTEE OF THE GOVERNING BOARD, AND THEY HAVE FINAL APPROVAL. THE HUMAN RESOURCES DEPARTMENT PARTICIPATES IN AN ANNUAL INDEPENDENT SALARY SURVEY. MARKET DATA IS COMPARED TO THE RCH SALARY RANGE, PRIMARILY BASED ON THE SIZE OF THE FACILITY. ACTUAL COMPENSATION IS DETERMINED BASED ON THE INDIVIDUAL'S EXPERIENCE AND PERFORMANCE WITHIN THE SALARY RANGE ESTABLISHED. THIS IS DETERMINED BASED ON HUMAN RESOURCE POLICY. FORM 990, PART VI, SECTION C, LINE 19 THE AUDITED FINANCIAL STATEMENTS, GOVERNING/ORGANIZING DOCUMENTS, AND CONFLICT OF INTEREST POLICY ARE ALL AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN BOND SWAP VALUE -33,235. BOOK/TAX DIFFERENCE IN K-1 INVESTMENT INCOME 339,164. FORM 990, PART XII, LINE 2C AUDIT COMMITTEE AND OVERSIGHT OF THE AUDIT - THERE HAVE BEEN NO CHANGES TO THIS PROCESS FROM PRIOR YEAR. 245 TERRACINA BLVD LLC 350 TERRACINA BLVD REDLANDS CA 923730742 205114700 REAL ESTATE CA 256909 3324084 RHS CORP REDLANDS CALIMESA 1 LLC 350 TERRACINA BLVD REDLANDS CA 923730742 471149048 REAL ESTATE CA 15600 1118500 RHS CORP REDLANDS CALIMESA 2 LLC 350 TERRACINA BLVD REDLANDS CA 923730742 471155032 REAL ESTATE CA 0 161413 RHS CORP REDLANDS HEALTH FOUNDATION 350 TERRACINA BLVD REDLANDS CA 92373 330900937 SUPPORT THE HOSPITAL CA 501(C)(3) 11-I REDLANDS COMMUNITY HOSPITAL 1 RHS CORP 350 TERRACINA BLVD REDLANDS CA 92373 330130773 HOSPITAL SUPPORT CORP CA 501(C)(3) 11-III-FI N/A 0 REDLANDS COMMUNITY HOSPITAL FOUNDATION 350 TERRACINA BLVD REDLANDS CA 92373 953368018 FUNDRAISING FOUNDATION CA 501(C)(3) 11-III-FI RHS CORP 0 REDLANDS HEALTH SERVICES 350 TERRACINA BLVD REDLANDS CA 92373 330128593 PATIENT CARE SERVICE CA N/A C 0 REDLANDS SURGICAL SERVICES 350 TERRACINA BLVD REDLANDS CA 92373 330433979 PATIENT CARE SERVICE CA N/A C 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1 RCH FOUNDATION B 343865 CASH VALUE RCH FOUNDATION C 110422 CASH VALUE