The Fremont-Rideout Health Group: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- The Fremont-Rideout Health Group (EIN 94-2917251)
- Tax period
- 2014-07-01 to 2015-06-30
- Filed
- 2016-05-13
- IRS object ID
- 201641349349307254
- Schema version
- 2014v6.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-05-13T16:38:38-05:00 | ReturnTs |
| Tax Period End | 2015-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 910189318 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3121 W MARCH LN STE 200 | AddressLine1Txt |
| City | STOCKTON | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 952192367 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 942917251 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FREMONT-RIDEOUT HEALTH GROUP | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FREM | BusinessNameControlTxt |
| Phone | 5307401920 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 989 PLUMAS STREET | AddressLine1Txt |
| City | YUBA CITY | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95991 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANTHONY RISPOLI | PersonNm |
| Person Title | INTERIM CFO | PersonTitleTxt |
| Phone | 5307401920 | PhoneNum |
| Signature | 2016-05-04 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | TRACY S PAGLIA | PreparerPersonNm |
| PTIN | P00366884 | PTIN |
| Phone | 2099556100 | PhoneNum |
| Preparation | 2016-05-04 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RIDEOUT HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ANTHONY RISPOLI | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 989 PLUMAS STREET | AddressLine1Txt |
| City | YUBA CITY | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95991 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $28,214,513 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTP://WWW.FRHG.ORG/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1984 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE THE WELLBEING OF EVERYONE IN OUR COMMUNITY THROUGH QUALITY AND COMPASSIONATE HEALTH CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 157 | TotalEmployeeCnt |
| Total Volunteers | 177 | TotalVolunteersCnt |
| Total Gross UBI | $44,421 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$41,335 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,271 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $28,865,514 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $27,948,329 | CYProgramServiceRevenueAmt |
| PY Investment Income | $119,480 | PYInvestmentIncomeAmt |
| CY Investment Income | $263,913 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $28,984,994 | PYTotalRevenueAmt |
| CY Total Revenue | $28,214,513 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $15,142,413 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $15,752,644 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $47,536 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $47,536 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $8,829,965 | PYOtherExpensesAmt |
| CY Other Expenses | $13,791,821 | CYOtherExpensesAmt |
| PY Total Expenses | $23,972,378 | PYTotalExpensesAmt |
| CY Total Expenses | $29,592,001 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $5,012,616 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,377,488 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $47,062,161 | TotalAssetsBOYAmt |
| Total Assets EOY | $45,144,804 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $34,179,298 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $33,639,429 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $12,882,863 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $11,505,375 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO IMPROVE THE WELLBEING OF EVERYONE IN OUR COMMUNITY THROUGH QUALITY AND COMPASSIONATE HEALTH CARE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $20,818,333 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $27,948,329 | RevenueAmt |
| Desc | PROVIDING SHARED MANAGEMENT SERVICES FOR RELATED TAX EXEMPT ENTITIES - RIDEOUT MEMORIAL HOSPITAL AND UNITED COM-SERVE. | Desc |
| Total Program Service Expenses | $20,818,333 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (1) | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | Yes (1) | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 346 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 157 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ED GONZALEZ | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5307401922 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 614 J STREET | AddressLine1Txt |
| City | MARYSVILLE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95901 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| RONALD M SWEENEY | ||||||||||
| DIRECTOR/PAST CHAIRMAN | 5.00 | 7.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN WRIGHT | ||||||||||
| DIRECTOR / CHAIRMAN | 5.00 | 7.00 | Yes (X) | $1,406 | $0 | $0 | Yes (X) | |||
| JOHN WEILER | ||||||||||
| DIRECTOR | 5.00 | 7.00 | Yes (X) | $11,995 | $0 | $0 | ||||
| LISA DEL PERO | ||||||||||
| DIRECTOR / SECRETARY | 5.00 | 7.00 | Yes (X) | $20,559 | $0 | $0 | Yes (X) | |||
| JANICE S NALL | ||||||||||
| DIRECTOR / ASST. SECRETARY | 5.00 | 7.00 | Yes (X) | $20,559 | $0 | $0 | Yes (X) | |||
| JOHN W CARY | ||||||||||
| DIRECTOR | 5.00 | 7.00 | Yes (X) | $0 | $0 | $0 | ||||
| RUPINDER BRAR | ||||||||||
| DIRECTOR | 5.00 | 7.00 | Yes (X) | $61,325 | $0 | $0 | ||||
| ROBERT CHASON | ||||||||||
| DIRECTOR/ VICE CHAIRMAN / CEO | 16.00 | 54.00 | Yes (X) | $165,877 | $0 | $6,253 | Yes (X) | |||
| ALEXANDRA REICHMAN | ||||||||||
| DIRECTOR | 5.00 | 7.00 | Yes (X) | $0 | $0 | $0 | ||||
| DAVID TARKE | ||||||||||
| DIRECTOR | 5.00 | 7.00 | Yes (X) | $0 | $0 | $0 | ||||
| GARY THIARA | ||||||||||
| DIRECTOR | 5.00 | 7.00 | Yes (X) | $17,375 | $0 | $0 | ||||
| JOHN MILLER | ||||||||||
| DIRECTOR | 5.00 | 7.00 | Yes (X) | $0 | $0 | $0 | ||||
| THERESA HAMILTON THRU 83014 | ||||||||||
| CHIEF EXECUTIVE OFFICER | 16.00 | 54.00 | $457,448 | $0 | $24,756 | Yes (X) | ||||
| L WAYNE MILLS THRU 101714 | ||||||||||
| CHIEF FINANCIAL OFFICER | 16.00 | 44.00 | $437,365 | $0 | $28,183 | Yes (X) | ||||
| TARUN GHOSH | ||||||||||
| CFO / CIO | 16.00 | 44.00 | $339,039 | $0 | $25,301 | Yes (X) | ||||
| CHANCE WHITE THRU 11814 | ||||||||||
| CHIEF CLINICAL OFFICER | 10.00 | 50.00 | $336,768 | $0 | $2,366 | Yes (X) | ||||
| ROBERT PLASS THRU 11814 | ||||||||||
| CHIEF MEDICAL OFFICER | 40.00 | $425,840 | $0 | $2,514 | Yes (X) | |||||
| THERESA GRASSAU THRU 82214 | ||||||||||
| CHIEF NURSING OFFICER | 40.00 | $476,107 | $0 | $20,000 | Yes (X) | |||||
| ISTIKRAM QADERI THRU 11514 | ||||||||||
| CHIEF QUALITY OFFICER | 40.00 | $330,448 | $0 | $13,287 | Yes (X) | |||||
| KURT SCHAEFER | ||||||||||
| VP OF PROJECTS & FACILITIES | 40.00 | $255,302 | $0 | $17,191 | Yes (X) | |||||
| ROBERT EPLEY THRU 10314 | ||||||||||
| LEGAL COUNSEL | 40.00 | $239,219 | $0 | $22,027 | Yes (X) | |||||
| THOMAS HAYES | ||||||||||
| FORMER CEO | 8.00 | $152,831 | $0 | $0 | Yes (X) | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,749,463 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $161,878 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 27 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MCKESSON TECHNOLOGIES DBA RELAY HEALTH | |||||
| PO BOX 98347 | CHICAGO | IL | 60693 | SUPPORT & MAINTENANCE SERVICES | $1,673,894 |
| TOYON ASSOCIATES INC | |||||
| 1800 SUTTER STREET STE 600 | CONCORD | CA | 94520 | PROFESSIONAL SERVICES | $606,997 |
| HCT EXECUTIVE INTERIM SOLUTION | |||||
| 70 WEST MADISON SUITE 140 | CHICAGO | IL | 60602 | TEMPORARY STAFFING | $462,278 |
| SUNQUEST INFORMATION SYSTEMS | |||||
| PO BOX 75214 | CHARLOTTE | NC | 28275 | SUPPORT & MAINTENANCE SERVICES | $354,182 |
| MICROSOFT LICENSING GP | |||||
| 1950 N STEMMONS FWY ST | DALLAS | TX | 75207 | SOFTWARE LICENSING | $337,850 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 19 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $2,271 | AllOtherContributionsAmt |
| Total Contributions | $2,271 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| MANAGEMENT FEES | 541610 | $25,283,789 | $25,239,368 | $44,421 |
| INC/(LOSS) FROM FRD MGMT | 541610 | $2,875,834 | $2,875,834 | |
| INC/(LOSS) FROM MSO | 541610 | -$279,282 | -$279,282 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $67,988 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $67,988 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $27,948,329 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $263,913 | TotalRevenueColumnAmt |
| Exclusion | $263,913 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $28,214,513 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $27,903,908 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $44,421 | UnrelatedBusinessRevenueAmt |
| Exclusion | $263,913 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,777,862 | TotalAmt |
| Program Services | $1,357,753 | ProgramServicesAmt |
| Management And General | $420,109 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,284,195 | TotalAmt |
| Program Services | $7,854,040 | ProgramServicesAmt |
| Management And General | $2,430,155 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $334,259 | TotalAmt |
| Program Services | $255,274 | ProgramServicesAmt |
| Management And General | $78,985 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,503,225 | TotalAmt |
| Program Services | $1,911,713 | ProgramServicesAmt |
| Management And General | $591,512 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $853,103 | TotalAmt |
| Program Services | $651,515 | ProgramServicesAmt |
| Management And General | $201,588 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,065,331 | TotalAmt |
| Management And General | $2,065,331 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $204,596 | TotalAmt |
| Management And General | $204,596 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,536 | TotalAmt |
| Fundraising | $47,536 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,998,591 | TotalAmt |
| Program Services | $3,042,491 | ProgramServicesAmt |
| Management And General | $956,100 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $342,036 | TotalAmt |
| Program Services | $261,213 | ProgramServicesAmt |
| Management And General | $80,823 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,035,298 | TotalAmt |
| Program Services | $1,554,357 | ProgramServicesAmt |
| Management And General | $480,941 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $571,329 | TotalAmt |
| Program Services | $436,324 | ProgramServicesAmt |
| Management And General | $135,005 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $130,426 | TotalAmt |
| Program Services | $99,606 | ProgramServicesAmt |
| Management And General | $30,820 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,063 | TotalAmt |
| Program Services | $20,668 | ProgramServicesAmt |
| Management And General | $6,395 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,021 | TotalAmt |
| Program Services | $61,876 | ProgramServicesAmt |
| Management And General | $19,145 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| REPAIR AND MAINTENANCE | $3,580,438 | $2,734,381 | $846,057 |
| LICENSE/TAXES | $755,692 | $577,122 | $178,570 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,592,001 | TotalAmt |
| Program Services | $20,818,333 | ProgramServicesAmt |
| Management And General | $8,726,132 | ManagementAndGeneralAmt |
| Fundraising | $47,536 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,448,109 | BOYAmt |
| EOY | $2,964,025 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,313 | BOYAmt |
| EOY | $56,438 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,922,032 | BOYAmt |
| EOY | $2,097,165 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,824,265 | BOYAmt |
| EOY | $17,700,101 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,817,442 | BOYAmt |
| EOY | $22,327,075 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,062,161 | BOYAmt |
| EOY | $45,144,804 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,621,747 | BOYAmt |
| EOY | $28,308,160 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,557,551 | BOYAmt |
| EOY | $5,331,269 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,179,298 | BOYAmt |
| EOY | $33,639,429 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,882,863 | BOYAmt |
| EOY | $11,505,375 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,882,863 | BOYAmt |
| EOY | $11,505,375 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,062,161 | BOYAmt |
| EOY | $45,144,804 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$1,377,488 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type2 | Yes (X) | SupportingOrgType2Ind |
| Supported Organizations | 1 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp
Supported Organization Name SupportedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RIDEOUT MEM HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 941387866 | EIN |
| Organization Type | 3 | OrganizationTypeCd |
| Governing Document Listed | 0 | GoverningDocumentListedInd |
| Support | $0 | SupportAmt |
| Other Support | $0 | OtherSupportAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 1 | SupportedOrganizationsTotalCnt |
| Support Sum | $0 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (1) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | 0 | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | 0 | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | 0 | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | 0 | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | 0 | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | 0 | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | 0 | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | 0 | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | 0 | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | 0 | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | 0 | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Majority Dir Trst Supported Org | Yes (1) | MajorityDirTrstSupportedOrgInd |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| INVESTMENT IN FRD MANAGEMENT LLC | $17,576,571 | F |
| CAPITAL CONTRIB CHIC | $123,530 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $17,700,101 | TotalBookValueProgramRltdAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM AFFILIATES | $20,001,739 |
| WORKERS COMPENSATION INSURANCE RECOVERIES | $2,325,336 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $22,327,075 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO AFFILIATES | $4,595,346 |
| INVESTMENT IN FREMONT-RIDEOUT MSO, INC. | $735,923 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $5,331,269 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE AFFILIATES OF THE GROUP, WITH THE EXCEPTION OF FRD AND MSO ARE TAXEXEMPT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND 23701(D) OF THE CALIFORNIA REVENUE AND TAXATION CODE. THEY ARE, HOWEVER, SUBJECT TO INCOME TAXES FROM ACTIVITIES UNRELATED TO THEIR TAXEXEMPT PURPOSE. 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, 2015 AND 2014. | ExplanationTxt |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agrmt Prof Fundraising Acty | Yes (1) | AgrmtProfFundraisingActyInd |
Fundraiser Activity Info FundraiserActivityInfoGrp
Organization Business Name OrganizationBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FUND DEVELOPMENT ASSOCIATES | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4108 T STREET | AddressLine1Txt |
| City | SACRAMENTO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95819 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activity | CONSULTING AND IMPLEMENTING A PLAN TO HELP RAISE FUNDS | ActivityTxt |
| Fundraiser Control Of Funds | 0 | FundraiserControlOfFundsInd |
| Gross Receipts | $0 | GrossReceiptsAmt |
| Retained By Contractor | $47,536 | RetainedByContractorAmt |
| Net To Organization | -$47,536 | NetToOrganizationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Retained By Contractors | $47,536 | TotalRetainedByContractorsAmt |
| Total Net To Organization | -$47,536 | TotalNetToOrganizationAmt |
| Licensed States | CA | LicensedStatesCd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE G, PART I, LINE 2B, COLUMN (III), CUSTODY OR CONTROL ARRANGEMENT: | FormAndLineReferenceDesc |
| Explanation | FUND DEVELOPMENT ASSOCIATES WAS HIRED TO PROVIDE COUNSELING, CONSULTING, AND FUNDRAISING PLANNING SERVICES FOR THE TOWER EXPANSION PROJECT. THE REVENUE/GROSS RECEIPTS RELATED TO THE FUNDRAISING ARE REPORTED ON FREMONT RIDEOUT FOUNDATION'S 990. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Housing Allowance Or Residence | Yes (X) | HousingAllowanceOrResidenceInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROBERT CHASON | ||||||||||||||
| DIRECTOR/ VICE CHAIRMAN / CEO | $157,696 | $0 | $0 | $0 | $8,181 | $0 | $4,616 | $0 | $1,637 | $0 | $172,130 | $0 | $0 | $0 |
| THERESA HAMILTON THRU 83014 | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $404,118 | $0 | $0 | $0 | $53,330 | $0 | $11,050 | $0 | $13,706 | $0 | $482,204 | $0 | $0 | $0 |
| L WAYNE MILLS THRU 101714 | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $351,545 | $0 | $15,272 | $0 | $70,548 | $0 | $11,050 | $0 | $17,133 | $0 | $465,548 | $0 | $0 | $0 |
| TARUN GHOSH | ||||||||||||||
| CFO / CIO | $313,286 | $0 | $12,892 | $0 | $12,861 | $0 | $4,742 | $0 | $20,559 | $0 | $364,340 | $0 | $0 | $0 |
| CHANCE WHITE THRU 11814 | ||||||||||||||
| CHIEF CLINICAL OFFICER | $48,570 | $0 | $0 | $0 | $288,198 | $0 | $653 | $0 | $1,713 | $0 | $339,134 | $0 | $0 | $0 |
| ROBERT PLASS THRU 11814 | ||||||||||||||
| CHIEF MEDICAL OFFICER | $64,636 | $0 | $0 | $0 | $361,204 | $0 | $801 | $0 | $1,713 | $0 | $428,354 | $0 | $0 | $0 |
| THERESA GRASSAU THRU 82214 | ||||||||||||||
| CHIEF NURSING OFFICER | $209,804 | $0 | $0 | $0 | $266,303 | $0 | $6,294 | $0 | $13,706 | $0 | $496,107 | $0 | $0 | $0 |
| ISTIKRAM QADERI THRU 11514 | ||||||||||||||
| CHIEF QUALITY OFFICER | $243,499 | $0 | $10,963 | $0 | $75,986 | $0 | $4,281 | $0 | $9,006 | $0 | $343,735 | $0 | $0 | $0 |
| KURT SCHAEFER | ||||||||||||||
| VP OF PROJECTS & FACILITIES | $245,538 | $0 | $6,648 | $0 | $3,116 | $0 | $7,366 | $0 | $9,825 | $0 | $272,493 | $0 | $0 | $0 |
| ROBERT EPLEY THRU 10314 | ||||||||||||||
| LEGAL COUNSEL | $185,164 | $0 | $0 | $0 | $54,055 | $0 | $4,894 | $0 | $17,133 | $0 | $261,246 | $0 | $0 | $0 |
| THOMAS HAYES | ||||||||||||||
| FORMER CEO | $152,831 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $152,831 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | THERESA HAMILTON RECEIVED TAX GROSS UP PAYMENTS AS PART OF A SERP AND ROBERT CHASON RECEIVED HOUSING ALLOWANCE DURING THE YEAR. THE BENEFITS WERE TREATED AS TAXABLE COMPENSATION ON FORM W-2. |
| PART I, LINES 4A-B | LINE 4A : SEVERANCE AMOUNTS PAID IN CY 2014 ARE AS FOLLOWS: ROBERT EPLEY, LEGAL COUNSEL - $54,597 THERESA GRASSAU, CHIEF NURSING OFFICER - $261,206 L. WAYNE MILLS, CHIEF FINANCIAL OFFICER - $69,231 ROBERT PLASS, CHIEF MEDICAL OFFICER - $349,004 ISTIKRAM QADERI, CHIEF MEDICAL AFFAIRS OFFICER - $31,428 CHANCE WHITE, CHIEF CLINICAL OFFICER - $288,019 LINE 4B: THERESA HAMILTON, CEO, AS PART OF HER EXECUTIVE COMPENSATION PACKAGE, PARTICIPATES IN THE FRHG EXECUTIVE DEFERRED COMPENSATION PLAN - 457(F) AND THE FRHG SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP), WHICH IS PAID BY THE ORGANIZATION. FRHG DID NOT MAKE ANY SERP CONTRIBUTIONS FOR THERESA HAMILTON IN CY 2014. |
| PART I, LINE 6A | THE INCENTIVE PAY PROGRAM IS AVAILABLE FOR ALL EMPLOYEES. PAYMENTS ARE BASED ON ACTUAL PERFORMANCE EXCEEDING PRE-DEFINED FINANCIAL AND QUALITY TARGETS FOR THE FISCAL YEAR. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 | CONSULTING & OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 2,386,440. MANAGEMENT AND GENERAL EXPENSES 753,108. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,139,548. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 656,051. MANAGEMENT AND GENERAL EXPENSES 202,992. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 859,043. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| RIDEOUT MEMORIAL HOSPITAL | ||||||||||
| 989 PLUMAS STREET | YUBA CITY | CA | 95991 | 941387866 | ACUTE CARE HOSPITAL | CA | 501(C)(3) | LINE 3 | FREMONT-RIDEOUT HEALTH GROUP | Yes (1) |
| 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 | Yes (1) |
| 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 | Yes (1) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FRD MANAGEMENT LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 2128 | AddressLine1Txt |
| City | MARYSVILLE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95901 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 943335136 | EIN |
| Primary Activities | OPERATION OF CANCER CENTER | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Share Of Total Income | $2,779,270 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $17,876,927 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
| Ownership | 0.51000 | OwnershipPct |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FREMONT-RIDEOUT MANAGEMENT SERVICES ORGANIZATION INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 989 PLUMAS STREET | AddressLine1Txt |
| City | YUBA CITY | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95991 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 271350379 | EIN |
| Primary Activities | DME SALES | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FRHG | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Share Of Total Income | $718,010 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $1,072,798 | ShareOfEOYAssetsAmt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (7 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| RIDEOUT MEMORIAL HOSPITAL | ||
| Q | $254,842,403 | FMV |
| UNITED COM-SERVE | ||
| Q | $4,227,598 | FMV |
| FREMONT-RIDEOUT FOUNDATION | ||
| Q | $336,112 | FMV |
| FRD MANAGEMENT LLC | ||
| Q | $1,096,414 | FMV |
| FREMONT-RIDEOUT MANAGEMENT SERVICES ORGANIZATION INC | ||
| Q | $532,489 | FMV |
| UNITED COM-SERVE | ||
| L | $563,878 | FMV |
| RIDEOUT MEMORIAL HOSPITAL | ||
| L | $27,181,820 | FMV |