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RIDEOUT MEMORIAL HOSPITAL: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
RIDEOUT MEMORIAL HOSPITAL (EIN 94-1387866)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-06
IRS object ID
201441269349301249
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-06T16:52:25-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN910189318EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MOSS ADAMS LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line13121 WEST MARCH LANE SUITE 100AddressLine1
CitySTOCKTONCity
StateCAState
ZIP Code952192303ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN941387866EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1RIDEOUT MEMORIAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlRIDENameControl
Phone5307401920Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1989 PLUMAS STREETAddressLine1
CityYUBA CITYCity
StateCAState
ZIP Code95991ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameL WAYNE MILLSName
TitleCHIEF FINANCIAL OFFICERTitle
Phone5307401920Phone
Date Signed2014-05-02DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTRACY S PAGLIAName
PTINP00366884PTIN
Phone2099556100Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonL WAYNE MILLSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1989 PLUMAS STREETAddressLine1
CityYUBA CITYCity
StateCAState
ZIP Code95991ZIPCode
FieldValueIRS element (for citing)
Gross Receipts392511973GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteHTTP://WWW.FRHG.ORG/WebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1955YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE COMPASSIONATE AND SUPERIOR HEALTHCARE TO EVERYONE IN OUR COMMUNITY AND REGION, REGARDLESS OF THE ABILITY TO PAY.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees1559TotalNbrEmployees
Total Nbr Volunteers169TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year48839ContributionsGrantsPriorYear
Contributions Grants Current Year113390ContributionsGrantsCurrentYear
Program Service Revenue Prior Year324580569ProgramServiceRevenuePriorYear
Program Service Revenue CY336823917ProgramServiceRevenueCY
Investment Income Prior Year4891498InvestmentIncomePriorYear
Investment Income Current Year5465115InvestmentIncomeCurrentYear
Other Revenue Prior Year190789OtherRevenuePriorYear
Other Revenue Current Year-312912OtherRevenueCurrentYear
Total Revenue Prior Year329711695TotalRevenuePriorYear
Total Revenue Current Year342089510TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year774872GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year103453774SalariesEtcPriorYear
Salaries Etc Current Year107397437SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year202413058OtherExpensePriorYear
Other Expenses Current Year220319827OtherExpensesCurrentYear
Total Expenses Prior Year306641704TotalExpensesPriorYear
Total Expenses Current Year327717264TotalExpensesCurrentYear
Revenues Less Expenses Prior Year23069991RevenuesLessExpensesPriorYear
Revenues Less Expenses CY14372246RevenuesLessExpensesCY
Total Assets BOY516407598TotalAssetsBOY
Total Assets EOY526052267TotalAssetsEOY
Total Liabilities BOY204515041TotalLiabilitiesBOY
Total Liabilities EOY189195838TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY311892557NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY336856429NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE COMPASSIONATE AND SUPERIOR HEALTHCARE TO EVERYONE IN OUR COMMUNITY AND REGION, REGARDLESS OF THE ABILITY TO PAY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense244847599Expense
Grants0Grants
Revenue336823917Revenue
DescriptionRIDEOUT MEMORIAL HOSPITAL CONSISTS OF TWO CAMPUSES: - RIDEOUT MEMORIAL HOSPITAL (RMH) LOCATED IN MARYSVILLE, CA IS A 173-LICENSED-BED ACUTE CARE FACILITY WHICH INCLUDES A TRAUMA LEVEL-3 EMERGENCY DEPARTMENT, A STATE-OF-THE-ART CARDIAC UNIT AND A FREESTANDING CANCER CENTER WHICH IS AN AFFILIATION BETWEEN THE FREMONT RIDEOUT HEALTH GROUP AND UC-DAVIS HEALTH SYSTEM. THE EMERGENCY DEPARTMENT, LOCATED INSIDE RMH IS THE ONLY EMERGENCY ROOM BETWEEN SOUTHERN BUTTE COUNTY AND SACRAMENTO. - FREMONT MEDICAL CENTER (FMC) LOCATED IN YUBA CITY, CA IS A 60-LICENSED-BED ACUTE CARE FACILITY WHICH INCLUDES PERINATAL AND PEDIATRIC CARE.Description
Total Program Service Expense244847599TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees1559NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1CHRIS ROBERTSBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5307401920TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1614 J STREETAddressLine1
CityMARYSVILLECity
StateCAState
ZIP Code95901ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
RONALD M SWEENEY
DIRECTOR / CHAIRMAN5.007.00XX000
JOHN WRIGHT
DIRECTOR / VICE CHAIRMAN5.007.00XX024290
JOHN WEILER
DIRECTOR / PAST CHAIRMAN5.007.00X000
LISA DEL PERO
DIRECTOR/SECRETARY5.007.00XX0246220
JANICE S NALL
DIRECTOR / ASST. SECRETARY5.007.00XX0171510
JOHN W CARY
DIRECTOR/TREASURER5.007.00XX0100980
RUPINDER BRAR
DIRECTOR5.007.00X0566000
ROBERT CHASON
DIRECTOR5.007.00X000
JAMES KENNEDY
DIRECTOR5.007.00X000
ALEXANDRA REICHMAN
DIRECTOR5.007.00X0171510
DAVID TARKE
DIRECTOR5.007.00X000
DAVE VAUGHN
DIRECTOR5.007.00X000
FLOYD BURTON
DIRECTOR (THROUGH 8/2012)5.007.00X000
THERESA HAMILTON
CHIEF EXECUTIVE OFFICER40.0030.00X0229312728291
L WAYNE MILLS
CHIEF FINANCIAL OFFICER30.0030.00X034607826681
CHANCE WHITE
SR. VP / CHIEF CLINICAL OFFICER40.0020.00031645126523X
ROBERT BONACCI
PHYSICIANS'S ASSISTANT40.000.00261257024308X
ART ORTEZA
REGISTERED NURSE40.000.00182508011073X
CHRISTINA FERRERO
DIRECTOR OF PHARMACY40.000.00184014021515X
JOHN RUST
DIRECTOR OF EMERGENCY40.000.0018617205340X
BRIAN DAVIS
IMAGE CL SYS SUPERVISOR40.000.00184642016003X
THOMAS HAYES
FORMER CEO0.008.00028335517151X
FieldValueIRS element (for citing)
Total Reportable Comp From Org998593TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3367062TotalReportableCompFrmRltdOrgs
Total Other Compensation176885TotalOtherCompensation
Number Individuals GT100 K228NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
TRUSTAFF
PO BOX 73426CLEVELANDOH44193PROFESSIONAL PLACEMENT SERVICES15217254
HURON CONSULTING GROUP INC
3005 MOMENTUM PLACECHICAGOIL60689CONSULTING FEES12348545
HERRICK CORPORATION
PO BOX 8429STOCKTONCA95208STRUCTURAL STEEL CONTRACTOR6620903
SUTTER BUTTE ANESTHESIA ASSOCIATES
1190 CIVIC CENTER BLVDYUBA CITYCA95993MEDICAL AND HEALTH CARE SERVICES3329219
SODEXO INC AND AFFILIATES
DEPT NO 880328LOS ANGELESCA90088MANAGEMENT SERVICES2817678
FieldValueIRS element (for citing)
Number Of Contractors GT100 K142NumberOfContractorsGT100K
Related Organizations86433RelatedOrganizations
All Other Contributions26957AllOtherContributions
Total Contributions113390TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT REVENUE621400312269236312269236
CANCER CENTER REVENUE6219902169454321694543
OTHER PROGRAM REVENUE90009928017112801711
PROGRAM RELATED RENT5320005842758427
FieldValueIRS element (for citing)
Total Program Service Revenue336823917TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5202705TotalRevenueColumn
Exclusion$5,202,705ExclusionAmount

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real313051Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-313051Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-313051TotalRevenueColumn
Exclusion-$313,051ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities50354752Securities
Other17070Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities50109412Securities
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities245340Securities
Other17070Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column262410TotalRevenueColumn
Exclusion$262,410ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column139TotalRevenueColumn
Exclusion$139ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue139TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column342089510TotalRevenueColumn
Related Or Exempt Function Income336823917RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$5,152,203ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total133200Total
Program Services133200ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total81182804Total
Program Services63332400ProgramServices
Management And General17850404ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1966713Total
Program Services1534036ProgramServices
Management And General432677ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total17662138Total
Program Services13776468ProgramServices
Management And General3885670ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total6452582Total
Program Services5033014ProgramServices
Management And General1419568ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total24283425Total
Management And General24283425ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total567454Total
Management And General567454ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total61060341Total
Program Services40821707ProgramServices
Management And General20238634ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total25912Total
Program Services16468ProgramServices
Management And General9444ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total40280455Total
Program Services35788027ProgramServices
Management And General4492428ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3247821Total
Program Services472254ProgramServices
Management And General2775567ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total149469Total
Program Services95947ProgramServices
Management And General53522ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1859914Total
Management And General1859914ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total8745543Total
Program Services8745543ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total2201190Total
Management And General2201190ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT3353657533536575
CANCER CENTER2125249121252491
HOSPITAL FEE1802159518021595
REPAIRS436274021694462193294

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total724902Total
Program Services118428ProgramServices
Management And General606474ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total327717264Total
Program Services244847599ProgramServices
Management And General82869665ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY46368322BOY
EOY45991689EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY64242668BOY
EOY49144586EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY10769BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3446300BOY
EOY3984228EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2743549BOY
EOY2706669EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis336828200LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec173038333LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY116908373BOY
EOY163789867EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY274854434BOY
EOY253290603EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY7833183BOY
EOY7144625EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY516407598BOY
EOY526052267EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY56718679BOY
EOY47296845EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY98740BOY
EOY86514EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY131550884BOY
EOY129351686EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY16146738BOY
EOY12460793EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY204515041BOY
EOY189195838EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY311892557BOY
EOY336856429EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY311892557BOY
EOY336856429EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY516407598BOY
EOY526052267EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses14372246ReconcilationRevenueExpenses
Reconciliation Unrealized Invest7197565ReconciliationUnrealizedInvest
Reconcilation Other Changes3394061ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis12989581OtherCostOrOtherBasis
Book Value12989581BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis91615489OtherCostOrOtherBasis
Depreciation72196462Depreciation
Book Value19419027BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis6906154OtherCostOrOtherBasis
Depreciation2797768Depreciation
Book Value4108386BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis118874640OtherCostOrOtherBasis
Depreciation98044103Depreciation
Book Value20830537BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis106442336OtherCostOrOtherBasis
Book Value106442336BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings163789867TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
INTEREST SWAP$8,511,440
DUE TO RELATED ENTITIES$2,343,903
MALPRACTICE INSURANCE$1,267,570
ASBESTOS ABATEMENT$337,880
FieldValueIRS element (for citing)
Total Of Amounts12460793TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationIN THE EVENT THE ASSOCIATION 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, 2013 AND 2012.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent350XPcent350
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense538954TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense538954NetCommunityBenefitExpense
Percent Of Total Expense0.00180PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense62731528TotalCommunityBenefitExpense
Direct Offsetting Revenue41103664DirectOffsettingRevenue
Net Community Benefit Expense21627864NetCommunityBenefitExpense
Percent Of Total Expense0.07350PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense12175500TotalCommunityBenefitExpense
Direct Offsetting Revenue6240695DirectOffsettingRevenue
Net Community Benefit Expense5934805NetCommunityBenefitExpense
Percent Of Total Expense0.02020PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense75445982TotalCommunityBenefitExpense
Direct Offsetting Revenue47344359DirectOffsettingRevenue
Net Community Benefit Expense28101623NetCommunityBenefitExpense
Percent Of Total Expense0.09550PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense122979TotalCommunityBenefitExpense
Direct Offsetting Revenue60652DirectOffsettingRevenue
Net Community Benefit Expense62327NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense93325TotalCommunityBenefitExpense
Direct Offsetting Revenue145DirectOffsettingRevenue
Net Community Benefit Expense93180NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense28820TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense28820NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense245124TotalCommunityBenefitExpense
Direct Offsetting Revenue60797DirectOffsettingRevenue
Net Community Benefit Expense184327NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense75691106TotalCommunityBenefitExpense
Direct Offsetting Revenue47405156DirectOffsettingRevenue
Net Community Benefit Expense28285950NetCommunityBenefitExpense
Percent Of Total Expense0.09610PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$9,403,656BadDebtExpenseAmount
Amount Attributable To538954AmountAttributableTo
Amount Reimbursed By Medicare99777301AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare111904761CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-12127460MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities2NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalEr24 HoursEr24Hours
RIDEOUT MEMORIAL HOSPITAL
1726 4TH STREETMARYSVILLECA95901XXX
FREMONT MEDICAL CENTER
2970 PLUMAS STREETYUBA CITYCA95991XX

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1RIDEOUT MEMORIAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
CHNA Conducted1CHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into Account1TakeIntoAccount
Other Facilities0OtherFacilities
CHNA Widely Available1CHNAWidelyAvailable
Own WebsiteXOwnWebsite
Other Needs AddressedXOtherNeedsAddressed
All Needs Addressed0AllNeedsAddressed
Organization Incur Excise Tax0OrganizationIncurExciseTax
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent350.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Medicare RateXMedicareRate
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges1GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (22 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
PART I, LINE 6A: RIDEOUT MEMORIAL HOSPITAL'S COMMUNITY BENEFIT REPORT IS INCLUDED IN THE COMMUNITY BENEFIT REPORT PREPARED BY FREMONT RIDEOUT HEALTH GROUP. THE COMMUNITY BENEFIT REPORT IS MADE AVAILABLE TO THE PUBLIC UPON REQUEST AND CAN ALSO BE REQUESTED THROUGH THE STATE (OSHPD ADDRESS PROVIDED BELOW).OSHPD HEALTHCARE INFORMATION RESOURCE CENTER400 R STREET, ROOM 200; SACRAMENTO, CA 95811TELEPHONE (916) 326-3802FAX (916) 324-9242
PART I, LINE 7: ACTUAL COSTS ARE USED - COST TO CHARGE RATIO METHODOLOGY
PART I, L7 COL(F): THE AMOUNT OF BAD DEBT EXPENSE REPORTED ON FORM 990, PART IX, LINE 24 ($33,536,575) IS EXCLUDED FOR PURPOSES OF CALCULATING THE PERCENTAGES REPORTED ON SCHEDULE H, PART I, LINE 7, COLUMN (F).
PART III, LINE 4: ACTUAL COSTS ARE USED - COST TO CHARGE RATIO METHODOLOGY.THE FINANCIAL COUNSELING DEPARTMENT WILL ASSIST PATIENTS WHO ARE CURRENTLY IN-HOUSE WITH COLLECTION OF ANY INSURANCE DEDUCTIBLES, CO-PAYS, OR SHARE-OF-COSTS AS WELL AS OBTAINING PAYMENT ARRANGEMENTS, ASSISTING WITH MEDI-CAL OR CMSP APPLICATION, AND APPLICATION TO THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM FOR PATIENT WITHOUT ANOTHER PAYMENT SOURCE. FINANCIAL COUNSELORS AND CREDIT & COLLECTION EMPLOYEES WILL PERFORM UNCOMPENSATED CARE FINANCIAL SCREENING AND MEANS TESTING. A PATIENT MAY BE GRANTED EITHER FULL OR PARTIAL FINANCIAL RELIEF DEPENDING UPON THEIR FINANCIAL SITUATION. ALL UNINSURED PATIENTS WHO CANNOT AFFORD TREATMENT WILL BE ASSESSED AT TIME OF ADMISSION/REGISTRATION TO DETERMINE IF THEY HAVE UNEXPLORED INSURANCE BENEFITS OR ARE ELIGIBLE FOR PUBLICLY FUNDED PROGRAMS.FOOTNOTE RELATING TO BAD DEBT EXPENSE: "FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, THE GROUP RECOGNIZES REVENUE ON THE BASIS OF ITS STANDARD RATES FOR SERVICES PROVIDED (OR ON THE BASIS OF DISCOUNTED RATES, IF NEGOTIATED OR PROVIDED BY POLICY). ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE GROUP'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, THE GROUP RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED."FOOTNOTE RELATING TO ALLOWANCE FOR DOUBTFUL ACCOUNTS: "PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE GROUP ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE GROUP ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE GROUP RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS."
PART III, LINE 8: THE MEDICARE SHORTFALL IS FULLY TREATED AS COMMUNITY BENEFIT IN THE ORGANIZATION'S COMMUNITY BENEFIT REPORT.ACTUAL COSTS ARE USED - COST TO CHARGE RATIO METHODOLOGY
PART III, LINE 9B: THE FINANCIAL COUNSELING DEPARTMENT WILL ASSIST PATIENTS WHO ARE CURRENTLY IN-HOUSE WITH COLLECTION OF ANY INSURANCE DEDUCTIBLES, CO-PAYS, OR SHARE-OF-COSTS AS WELL AS OBTAINING PAYMENT ARRANGEMENTS, ASSISTING WITH MEDI-CAL OR CMSP APPLICATION, AND APPLICATION TO THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM FOR PATIENTS WITHOUT ANOTHER PAYMENT SOURCE.
PART VI, LINE 2: THE COMMUNITY ACTION COMMITTEE, A CROSS-SECTION OF CLINICAL AND NON-CLINICAL HOSPITAL STAFF, REGULARLY REVIEW HEALTH CARE NEEDS OF THE COMMUNITY. PARTICIPANTS ARE ASKED FOR SUGGESTIONS ON NEW CLASSES, PROGRAMS AND SERVICES. FRHG REPRESENTATIVES ARE ACTIVE IN COMMUNITY GROUPS AND COLLABORATIVES, INCLUDING UNITED WAY, AMERICAN CANCER SOCIETY AND SUTTER AND YUBA COUNTY PUBLIC HEALTH DEPARTMENTS AND UC DAVIS HEALTH SYSTEM. THESE COMMITTEES AND PROGRAMS, ALONG WITH THE BOARD OF DIRECTORS, SET THE PACE FOR ASSESSING THE COMMUNITIES' NEEDS IN REGARD TOHEALTH CARE.
PART VI, LINE 3: THE FINANCIAL COUNSELING DEPARTMENT WILL ASSIST PATIENTS WHO ARE CURRENTLY IN-HOUSE WITH COLLECTION OF ANY INSURANCE DEDUCTIBLES, CO-PAYS, OR SHARE-OF-COSTS AS WELL AS OBTAINING PAYMENT ARRANGEMENTS, ASSISTING WITH MEDI-CAL OR CMSP APPLICATION, AND APPLICATION TO THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM FOR PATIENTS WITHOUT ANOTHER PAYMENT SOURCE. FINANCIAL COUNSELORS AND CREDIT & COLLECTION EMPLOYEES WILL PERFORM UNCOMPENSATED CARE FINANCIAL SCREENING AND MEANS TESTING. A PATIENT MAY BE GRANTED EITHER FULL OR PARTIAL FINANCIAL RELIEF DEPENDING UPON THEIR FINANCIAL SITUATION. ALL UNINSURED PATIENTS WHO CANNOT AFFORD TREATMENT WILL BE ASSESSED AT TIME OF ADMISSION/REGISTRATION TO DETERMINE IF THEY HAVE UNEXPLORED INSURANCE BENEFITS OR ARE ELIGIBLE FOR PUBLICLY FUNDED PROGRAMS.
PART VI, LINE 4: THE SERVICE AREA OF RIDEOUT MEMORIAL HOSPITAL IS PRIMARILY COMPRISED OF THE NORTHERN CALIFORNIA COUNTIES OF YUBA AND SUTTER, WITH A COMBINED POPULATION OF APPROXIMATELY 167,500. INCOME IN BOTH COUNTIES IS BELOW THE STATEWIDE AVERAGE, AND THE POVERTY RATE IS HIGHER THAN THE STATEWIDE AVERAGE, ACCORDING TO THE FOLLOWING INCOME AND POVERTY STATISTICS FROM THE U.S. CENSUS BUREAU: THE 2012 MEDIAN PER CAPITA INCOME FOR SUTTER COUNTY WAS $34,675, FOR YUBA COUNTY THE PER CAPITA INCOME IS $30,363. THE STATEWIDE MEDIAN PER CAPITA INCOME WAS $58,328. THE PERCENTAGE OF YUBA-SUTTER'S FAMILIES FOR WHICH POVERTY STATUS IS DETERMINED, OVERALL IS HIGHER THAN THE STATE'S PERCENTAGE OF 9.8 PERCENT; 9.4 PERCENT OF SUTTER COUNTY'S FAMILIES WERE DETERMINED TO BE BELOW THE POVERTY LEVEL AS WERE 12.5 PERCENT OF YUBA COUNTY'S FAMILIES; YUBA CITY MSA'S PERCENTAGE WAS 10.7. APPROXIMATELY 16 PERCENT AND 20 PERCENT, RESPECTIVELY, OF SUTTER AND YUBA COUNTIES RESIDENTS, LIVED BELOW THE FEDERAL POVERTY LEVEL (FPL) IN 2011. ACCORDING TO THE UNITED STATES BUREAU OF LABOR STATISTICS. FROM 1990 TO 2010 THE UNEMPLOYMENT RATE FOR THE YUBA-SUTTER REGION WAS AT A HIGH OF 19.5 PERCENT IN 2010 AND DROPPED AS LOW AS 8.8 PERCENT IN 2000; THE RECENT ECONOMY HAS USHERED IN A CURRENT JOBLESS RATE OF 20.2 PERCENT FOR APRIL 2011. CALIFORNIA'S RATE FOR THE SAME PERIOD WAS 12.4 PERCENT IN 2010; 4.9 PERCENT IN 2000 AND WAS 11.7 PERCENT IN APRIL 2011. THE PERCENTAGE OF RESIDENTS WITHOUT HEALTH INSURANCE IS HIGHER IN YUBA AND SUTTER COUNTIES THAN THE NATIONAL AVERAGE, ACCORDING TO THE U.S. CENSUS BUREAU'S SMALL AREA HEALTH INSURANCE ESTIMATES. ACCORDING TO THE CENSUS BUREAU, 21.5 PERCENT OF SUTTER COUNTY RESIDENTS AND 19.1 PERCENT OF YUBA COUNTY RESIDENTS WERE WITHOUT HEALTH INSURANCE FOR ALL 12 MONTHS OF 2009, COMPARED TO THE CALIFORNIA UNINSURED RATE OF 20.1 PERCENT, AND THE NATIONAL UNINSURED RATE OF 16.3 PERCENT. RIDEOUT HEALTH PROVIDES COMMUNITY BENEFITS TO THE COMMUNITIES WE SERVE - DEMONSTRATING OUR COMMITMENT TO THE HEALTH OF RESIDENTS IN OUR SERVICE AREA. WE CREATE ACCESS TO HEALTH CARE IN OUR REGION FOR INDIVIDUALS AND FAMILIES WHO STRUGGLE AGAINST POVERTY, DISABILITY AND ISOLATION.
PART VI, LINE 5: - RIDEOUT MEMORIAL HOSPITAL ADDRESSES THE FOLLOWING COMMUNITY NEEDS: ACCESS TO INPATIENT AND OUT-PATIENT CARE FOR INDIVIDUALS WITHOUT A MEDICAL PROVIDER; EDUCATION AND SCREENING PROGRAMS FOR SPECIAL POPULATIONS AND HEALTH CONDITIONS; COMMUNITY FLU VACCINATION CLINICS; SPECIAL SUPPORT SERVICES FOR HOSPICE PATIENTS, FAMILIES AND THE COMMUNITY; SUPPORT OF COMMUNITY NONPROFIT ORGANIZATIONS; EDUCATION AND TRAINING OF HEALTH CARE PROFESSIONALS; AND COLLABORATION WITH LOCAL SCHOOLS THROUGH OUR TEEN LEADERSHIP COUNCIL PROGRAM TO PROMOTE INTEREST IN HEALTH CARE CAREERS. ADDITIONAL STEPS WERE TAKEN DURING THE CURRENT YEAR TO INCREASE PATIENT ACCESS TO MEDICAL CARE FACILITIES BY ESTABLISHING A NUMBER OF CLINICS IN THE COMMUNITY.- RIDEOUT MEMORIAL HOSPITAL REGULARLY OFFERS HEALTH SCREENINGS TO THE PUBLIC AT LITTLE OR NO CHARGE THROUGH DIABETES HEALTH FAIRE, BLESS YOUR HEART WALK & FAIRE, AND PROSTATE SCREENINGS THROUGH THE CANCER CENTER AT RIDEOUT. THE RIDEOUT MEMORIAL HOSPITAL ALSO OFFERS LOW COST MAMMOGRAM PROGRAMS DURING PINK OCTOBER. THESE SCREENINGS MAY INCLUDE: CHOLESTEROL, GLUCOSE, BLOOD PRESSURE, HEIGHT AND WEIGHT WITH BMI (BODY MASS INDEX), PROSTATE SCREENING, AND LOW COST MAMMOGRAMS.- RIDEOUT MEMORIAL HOSPITAL PROUDLY SUPPORTS MANY LOCAL ORGANIZATIONS, IN COLLABORATION WITH AGENCIES SUCH AS PEACH TREE CLINIC, AMPLA HEALTH CARE, SUTTER COUNTY HEALTH ACS, YUBA COUNTY HEALTH DEPARTMENT TO PROVIDE SERVICES AND SUPPORT GROUPS.- RIDEOUT MEMORIAL HOSPITAL IS ACTIVELY INVOLVED IN THE ECONOMIC DEVELOPMENT COMMITTEE FOR YUBA COUNTY, EXECUTIVE STEERING COMMITTEE FOR THE CITY OF MARYSVILLE, AND REPRESENTATION IN ROTARY SERVICE CLUBS IN BOTH YUBA CITY AND MARYSVILLE.- RIDEOUT MEMORIAL HOSPITAL'S COMMUNITY HEALTH EDUCATION PROGRAM PROVIDES A VARIETY OF CLASSES, SEMINARS, SUPPORT GROUPS AND EVENTS TO HELP THE RESIDENTS OF THE YUBA-SUTTER COMMUNITIES TO IMPROVE AND MAINTAIN THEIR HEALTH AND LIFESTYLE.
CAREPORTS FILED WITH STATESPART VI, LINE 7
SEE BELOWPART V, LINE 8 FACILITY REPORTING GROUP A
THE COMMUNITY HEALTH NEEDS ASSESSMENT TOOK INTO ACCOUNT INPUT FROM THE COMMUNITY VIA HEALTH SURVEYS, FOCUS GROUPS, AND KEY INFORMANT INTERVIEWS. HEALTH SURVEYS WERE DISTRIBUTED IN VARIOUS COMMUNITY LOCATIONS THROUGHOUT SUTTER AND YUBA COUNTIES IN AN ATTEMPT TO REACH A WIDE SAMPLE OF RESIDENTS. EXAMPLES OF SITES THAT HOSTED THE SURVEY - WHICH INCLUDED PLACEMENTS INTENDED TO REACH HIGHER-RISK POPULATIONS - WERE BRANCHES OF PUBLIC LIBRARIES, FAMILY RESOURCE CENTERS, SENIOR CENTERS, MENTAL HEALTH AND ALCOHOL AND DRUG SERVICE SITES. A TOTAL OF 856 USABLE SURVEYS WERE RETURNED, 89% IN ENGLISH AND 11% IN SPANISH. TO DETERMINE THE COMMUNITY'S PERCEPTIONS ABOUT THE GREATEST HEALTH NEEDS FOR PEOPLE IN SUTTER AND YUBA COUNTIES, RESPONDENTS WERE ASKED TO RANK 12 COMMON HEALTH-RELATED NEEDS IN ORDER OF THEIR IMPORTANCE; AN OPTION OF WRITING IN AN ADDITIONAL TOP-RANKED NEED WAS AVAILABLE. THE FOCUS GROUPS WERE HELD AT A VARIETY OF HOST ORGANIZATIONS WITHIN THE TWO COUNTIES. A TOTAL OF 104 INDIVIDUALS ATTENDED ONE OF THE 8 COMMUNITY FOCUS GROUPS HELD FOR THIS NEEDS ASSESSMENT. WHILE NO ONE GROUP WAS EXPECTED TO BE REPRESENTATIVE OF SUTTER OR YUBA COUNTIES, IN THE AGGREGATE THE GROUPS REFLECTED A DIVERSITY OF RESIDENTS, PARTICULARLY THOSE WITH NEEDS MOST OFTEN ADDRESSED BY COMMUNITY NEEDS ASSESSMENTS. FINALLY, INPUT WAS OBTAINED FROM KEY INFORMANT INTERVIEWS. THE INTERVIEWEES GENERALLY REPRESENTED A CROSS-SECTION OF THE SUTTER AND YUBA COUNTIES HEALTH AND HUMAN SERVICE COMMUNITY THAT IN ADDITION TO HEALTH CARE PROFESSIONALS FROM PUBLIC AND COMMUNITY-BASED ORGANIZATIONS AS WELL AS OTHER POLICY MAKERS, ADVOCATES, AND INDIVIDUALS WITH AN INFORMED PERSPECTIVE ABOUT UNMET HEALTH NEEDS.FACILITY 1 -- RIDEOUT MEMORIAL HOSPITALPART V, SECTION B, LINE 3:
THE CHNA REPORT IS AVAILABLE AT:HTTP://WWW.FRHG.ORG/DOCUMENTS/FRHG-COMM-HEALTH-NEEDS-ASSESS-FINAL-SEPT-30-2013.PDFFACILITY 1 -- RIDEOUT MEMORIAL HOSPITALPART V, SECTION B, LINE 5C:
THE CHNA IDENTIFIED THE TOP 5 PRIORITIES IN THE COMMUNITY AS: FOOD AND NUTRITION, ADULT DENTAL SERVICES, TOBACCO PREVENTION EDUCATION, USE/ABUSE OF ILLEGAL DRUGS, AND BREASTFEEDING PROMOTION. FRHG CURRENTLY ADDRESSES 3 OF THE 5 PRIORITIES IDENTIFIED IN THE CHNA AND HAS DEVELOPED A COMMITTEE FOR THE SOLE PURPOSE OF PRIORITIZING, ADOPTING, AND EXECUTING A COMMUNITY-WIDE PLAN TO ADDRESS THE NEEDS IN THE COMMUNITY. MEMBERS OF THE COMMITTEE ARE VARIOUS LEADERS OF THE COMMUNITY ALONG WITH OTHER HEALTH CARE PROVIDERS. IN RESPONSE TO THE FOOD AND NUTRITION NEED, FRHG HAS IMPLEMENTED THE "RIDEOUT HEALTHY KIDS" PROGRAM IN PARTNERSHIP WITH LOCAL SCHOOLS THROUGHOUT THE YUBA AND SUTTER COUNTIES FOR STUDENTS GRADES K-6. AS PART OF THE PROGRAM, SCHOOLS RECEIVE A LIVE THEATER ASSEMBLY TO EDUCATE THEM ABOUT MAKING BETTER CHOICES TO EAT HEALTHY. SCHOOLS ALSO RECEIVE FOLLOW-UP MATERIALS FOR STUDENTS, TEACHERS, PARENTS, AND HEALTH STAFF TO HELP EXTEND THE NUTRITION AND HEALTH MESSAGES THROUGHOUT THE YEAR. EACH SCHOOL ALSO RECEIVES A RESOURCE KIT PROVIDING FUN, HANDS-ON LESSON PLANS AND REPRODUCIBLE ACTIVITY SHEETS TO FOLLOW UP ON THE ENTHUSIASM GENERATED BY THE SHOW. RIDEOUT HEALTHY KIDS TEACHES 4 IMPORTANT HEALTH INITIATIVES: EAT WELL, MOVE WELL, FEEL WELL, AND BE WELL. OTHER STRATEGIES ARE BEING DEVELOPED AROUND ADULT DENTAL SERVICES AND WILL FORMALIZE A PLAN OF ACTION TO ADDRESS THIS NEED IN THE NEAR FUTURE.FACILITY 1 -- RIDEOUT MEMORIAL HOSPITALPART V, SECTION B, LINE 6I:
FRHG CURRENTLY ADDRESSES 3 OF THE 5 PRIORITIES IDENTIFIED IN THE CHNA AND HAS DEVELOPED A COMMITTEE FOR THE SOLE PURPOSE OF PRIORITIZING, ADOPTING, AND EXECUTING A COMMUNITY-WIDE PLAN TO ADDRESS ALL THE NEEDS IN THE COMMUNITY.FACILITY 1 -- RIDEOUT MEMORIAL HOSPITALPART V, SECTION B, LINE 7:
ALL PATIENTS ARE CHARGED THE SAME REGARDLESS OF THEIR ABILITY TO PAY. IF THE PATIENT IS FAP-ELIGIBLE AND COMPLETES THE REQUIRED DOCUMENTATION, THE CHARGES ARE EITHER REDUCED OR WRITTEN-OFF TO CHARITY CARE.FACILITY 1 -- RIDEOUT MEMORIAL HOSPITALPART V, SECTION B, LINE 22:
THE COMMUNITY HEALTH NEEDS ASSESSMENT TOOK INTO ACCOUNT INPUT FROM THE COMMUNITY VIA HEALTH SURVEYS, FOCUS GROUPS, AND KEY INFORMANT INTERVIEWS. HEALTH SURVEYS WERE DISTRIBUTED IN VARIOUS COMMUNITY LOCATIONS THROUGHOUT SUTTER AND YUBA COUNTIES IN AN ATTEMPT TO REACH A WIDE SAMPLE OF RESIDENTS. EXAMPLES OF SITES THAT HOSTED THE SURVEY - WHICH INCLUDED PLACEMENTS INTENDED TO REACH HIGHER-RISK POPULATIONS - WERE BRANCHES OF PUBLIC LIBRARIES, FAMILY RESOURCE CENTERS, SENIOR CENTERS, MENTAL HEALTH AND ALCOHOL AND DRUG SERVICE SITES. A TOTAL OF 856 USABLE SURVEYS WERE RETURNED, 89% IN ENGLISH AND 11% IN SPANISH. TO DETERMINE THE COMMUNITY'S PERCEPTIONS ABOUT THE GREATEST HEALTH NEEDS FOR PEOPLE IN SUTTER AND YUBA COUNTIES, RESPONDENTS WERE ASKED TO RANK 12 COMMON HEALTH-RELATED NEEDS IN ORDER OF THEIR IMPORTANCE; AN OPTION OF WRITING IN AN ADDITIONAL TOP-RANKED NEED WAS AVAILABLE. THE FOCUS GROUPS WERE HELD AT A VARIETY OF HOST ORGANIZATIONS WITHIN THE TWO COUNTIES. A TOTAL OF 104 INDIVIDUALS ATTENDED ONE OF THE 8 COMMUNITY FOCUS GROUPS HELD FOR THIS NEEDS ASSESSMENT. WHILE NO ONE GROUP WAS EXPECTED TO BE REPRESENTATIVE OF SUTTER OR YUBA COUNTIES, IN THE AGGREGATE THE GROUPS REFLECTED A DIVERSITY OF RESIDENTS, PARTICULARLY THOSE WITH NEEDS MOST OFTEN ADDRESSED BY COMMUNITY NEEDS ASSESSMENTS. FINALLY, INPUT WAS OBTAINED FROM KEY INFORMANT INTERVIEWS. THE INTERVIEWEES GENERALLY REPRESENTED A CROSS-SECTION OF THE SUTTER AND YUBA COUNTIES HEALTH AND HUMAN SERVICE COMMUNITY THAT IN ADDITION TO HEALTH CARE PROFESSIONALS FROM PUBLIC AND COMMUNITY-BASED ORGANIZATIONS AS WELL AS OTHER POLICY MAKERS, ADVOCATES, AND INDIVIDUALS WITH AN INFORMED PERSPECTIVE ABOUT UNMET HEALTH NEEDS.FACILITY 2 -- FREMONT MEDICAL CENTERPART V, SECTION B, LINE 3:
THE CHNA REPORT IS AVAILABLE AT:HTTP://WWW.FRHG.ORG/DOCUMENTS/FRHG-COMM-HEALTH-NEEDS-ASSESS-FINAL-SEPT-30-2013.PDFFACILITY 2 -- FREMONT MEDICAL CENTERPART V, SECTION B, LINE 5C:
THE CHNA IDENTIFIED THE TOP 5 PRIORITIES IN THE COMMUNITY AS: FOOD AND NUTRITION, ADULT DENTAL SERVICES, TOBACCO PREVENTION EDUCATION, USE/ABUSE OF ILLEGAL DRUGS, AND BREASTFEEDING PROMOTION. FRHG CURRENTLY ADDRESSES 3 OF THE 5 PRIORITIES IDENTIFIED IN THE CHNA AND HAS DEVELOPED A COMMITTEE FOR THE SOLE PURPOSE OF PRIORITIZING, ADOPTING, AND EXECUTING A COMMUNITY-WIDE PLAN TO ADDRESS THE NEEDS IN THE COMMUNITY. MEMBERS OF THE COMMITTEE ARE VARIOUS LEADERS OF THE COMMUNITY ALONG WITH OTHER HEALTH CARE PROVIDERS. IN RESPONSE TO THE FOOD AND NUTRITION NEED, FRHG HAS IMPLEMENTED THE "RIDEOUT HEALTHY KIDS" PROGRAM IN PARTNERSHIP WITH LOCAL SCHOOLS THROUGHOUT THE YUBA AND SUTTER COUNTIES FOR STUDENTS GRADES K-6. AS PART OF THE PROGRAM, SCHOOLS RECEIVE A LIVE THEATER ASSEMBLY TO EDUCATE THEM ABOUT MAKING BETTER CHOICES TO EAT HEALTHY. SCHOOLS ALSO RECEIVE FOLLOW-UP MATERIALS FOR STUDENTS, TEACHERS, PARENTS, AND HEALTH STAFF TO HELP EXTEND THE NUTRITION AND HEALTH MESSAGES THROUGHOUT THE YEAR. EACH SCHOOL ALSO RECEIVES A RESOURCE KIT PROVIDING FUN, HANDS-ON LESSON PLANS AND REPRODUCIBLE ACTIVITY SHEETS TO FOLLOW UP ON THE ENTHUSIASM GENERATED BY THE SHOW. RIDEOUT HEALTHY KIDS TEACHES 4 IMPORTANT HEALTH INITIATIVES: EAT WELL, MOVE WELL, FEEL WELL, AND BE WELL. OTHER STRATEGIES ARE BEING DEVELOPED AROUND ADULT DENTAL SERVICES AND WILL FORMALIZE A PLAN OF ACTION TO ADDRESS THIS NEED IN THE NEAR FUTURE.FACILITY 2 -- FREMONT MEDICAL CENTERPART V, SECTION B, LINE 6I:
FRHG CURRENTLY ADDRESSES 3 OF THE 5 PRIORITIES IDENTIFIED IN THE CHNA AND HAS DEVELOPED A COMMITTEE FOR THE SOLE PURPOSE OF PRIORITIZING, ADOPTING, AND EXECUTING A COMMUNITY-WIDE PLAN TO ADDRESS ALL THE NEEDS IN THE COMMUNITY.FACILITY 2 -- FREMONT MEDICAL CENTERPART V, SECTION B, LINE 7:
ALL PATIENTS ARE CHARGED THE SAME REGARDLESS OF THEIR ABILITY TO PAY. IF THE PATIENT IS FAP-ELIGIBLE AND COMPLETES THE REQUIRED DOCUMENTATION, THE CHARGES ARE EITHER REDUCED OR WRITTEN-OFF TO CHARITY CARE.FACILITY 2 -- FREMONT MEDICAL CENTERPART V, SECTION B, LINE 22:

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
THERESA HAMILTON
CHIEF EXECUTIVE OFFICER04508820273800015684450120090162820232141800
L WAYNE MILLS
CHIEF FINANCIAL OFFICER029577404503205272010399016282037275900
CHANCE WHITE
SR. VP / CHIEF CLINICAL OFFICER027405704083701557010241016282034297400
ROBERT BONACCI
PHYSICIANS'S ASSISTANT17004102484088732080260162820285565000
ART ORTEZA
REGISTERED NURSE939280423708434303300077730193581000
CHRISTINA FERRERO
DIRECTOR OF PHARMACY16732601098405704052330162820205529000
JOHN RUST
DIRECTOR OF EMERGENCY13881601637703097905340000191512000
BRIAN DAVIS
IMAGE CL SYS SUPERVISOR8822702054094361023420136610200645000
THOMAS HAYES
FORMER CEO0283355000000017151030050600

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 1AJOHN RUST RECEIVED A HOUSING ALLOWANCE DURING THE YEAR. THE BENEFIT WAS TREATED AS TAXABLE COMPENSATION ON FORM W-2.
PART I, LINE 3THE ORGANIZATION RELIED ON A RELATED ORGANIZATION THAT USED ONE OR MORE OF THE METHODS DESCRIBED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION.
PART I, LINE 4BTHERESA 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. PART II, LINE (1), COLUMN B (III): OTHER REPORTABLE COMPENSATION FOR THERESA HAMILTON, CEO, PRIMARILY REPRESENTS THE PRESENT VALUE OF FUTURE RETIREMENT BENEFITS.
PART IIIADDITIONAL INFORMATION: 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.SUPPLEMENTAL INFORMATION

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
CITY OF MARYSVILLE CALIFORNIA
A941387866574340AA32003-12-0413625000CALL 1992 BONDS000
CITY OF MARYSVILLE CALIFORNIA
B946000368574374AN42011-11-15111067641CONSTRUCTION, IMPROVEMENT, EXPANSION, AND EQUIPPING OF A NEW TOWER000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredTotal ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestCapital ExpendituresCapitalExpenditures
A7400000136250002725002971211011
B11130892310667101392359000157555002941063152687211

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceBBondReferenceCd
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Bond Iss Meet Prvt Security Pay Test0BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop0ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs1NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
A000110001
B000100001

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A1
B1

Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SCHEDULE K PART IV, ARBITRAGE, LINE 2CDATE REBATE COMPUTATION PERFORMEDISSUER NAME: CITY OF MARYSVILLE, CALIFORNIA DATE THE REBATE COMPUTATION WAS PERFORMED: 01/25/2013 ISSUER NAME: CITY OF MARYSVILLE, CALIFORNIA DATE THE REBATE COMPUTATION WAS PERFORMED: 12/26/2012
SCHEDULE K, PART II, LINE 3:THE DIFFERENCE BETWEEN THE ISSUE PRICE REPORTED IN PART I, COLUMN (E) AND THE TOTAL PROCEEDS REPORTED ON PART II, LINE 3 IS DUE TO INTEREST EARNED.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
ANN WEILER
WIFE OF JOHN WEILER, DIRECTOR133200EMPLOYMENT0
FEATHER RIVER PATHOLOGY MEDICAL GROUP
PARTNERSHIP MORE THAN 5% OWNED BY ALEXANDRA REICHMAN, DIRECTOR1091498PHYSICAN SERVICES0
NORTH VALLEY GI ENDOSCOPY CENTER
PARTNERSHIP MORE THAN 5% OWNED BY FLOYD BURTON, DIRECTOR288000PHYSICAN COVERAGE0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6ORGANIZATION HAS ONE MEMBER WITH RESERVED POWERS.
FORM 990, PART VI, SECTION A, LINE 7ATHE SOLE MEMBER OF THE ORGANIZATION HAS THE POWER TO ELECT AND REMOVE DIRECTORS AND APPOINT THE CHIEF EXECUTIVE OFFICER.
FORM 990, PART VI, SECTION A, LINE 7BTHE SOLE MEMBER OF THE ORGANIZATION HAS THE POWER TO: (A) APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE ORGANIZATION, AS WELL AS ALL PURCHASES, BORROWINGS OR FINANCINGS IN ANY AMOUNT IN EXCESS OF A DOLLAR AMOUNT ESTABLISHED BY THE MEMBER (B) APPROVE THE PURCHASE, SALE, LEASE, DISPOSITION, HYPOTHECATION, EXCHANGE, GIFT, PLEDGE OR ENCUMBRANCE OF ANY REAL OR PERSONAL PROPERTY INTEREST (C) APPROVE ANY ARTICLE OR BYLAW CHANGES ORGANIZATION, DISSOLUTION, AFFILIATION, JOINT VENTURE ACTIVITY OR ALLIANCE BETWEEN THIS ORGANIZATION AND ANY OTHER ENTITY, (E) APPROVE THE FORMATION BY THIS ORGANIZATION OF ANY NEW CORPORATION, OR ITS PARTICIPATION IN ANY OTHER CORPORATION OR ENTITY AS A SHAREHOLDER, MEMBER, PARTNER OR JOINT VENTURER (F) REVIEW, APPROVE OR DISAPPROVE ANY PROPOSED TRANSACTION OF THIS ORGANIZATION WHICH INVOLVES SIGNIFICANT QUESTIONS OF POLICY OR WHICH WOULD HAVE SUBSTANTIAL IMPACT, FINANCIAL OR OTHERWISE, UPON THE ORGANIZATION OR THE MEMBER, AND (G) APPROVE ANY TRANSACTION IN WHICH A DIRECTOR OR OFFICER OF THIS ORGANIZATION HAS A MATERIAL FINANCIAL INTEREST.
FORM 990, PART VI, SECTION B, LINE 11THE AUDIT COMMITTEE WILL PERFORM A DETAILED REVIEW AND BE PART OF THE PRESENTATION BY THE PREPARER (MOSS ADAMS LLP). THE AUDIT COMMITTEE WILL THEN MAKE A RECOMMENDATION TO THE FULL BOARD. A FULL COPY OF THE FORM 990 WILL BE MADE AVAILABLE TO THE FULL BOARD PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CDIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY. IN-HOUSE LEGAL COLLECTS AND REVIEWS THE CONFLICT OF INTEREST STATEMENTS FOR ALL BOARD MEMBERS AND KEY EMPLOYEES. BOARD MEMBERS ARE EXCUSED FROM ANY PORTION OF THE MEETINGS WHERE THEIR PERSONAL INTEREST WOULD CREATE A CONFLICT ON AN ISSUE OR INFLUENCE A VOTE.
FORM 990, PART VI, SECTION B, LINE 15THE GOVERNANCE COMMITTEE DEVELOPS THE EXECUTIVE COMPENSATION POLICY AND STRATEGY TO BE FOLLOWED IN ESTABLISHING THE CEO'S COMPENSATION AND FOR THE CEO TO FOLLOW IN ESTABLISHING COMPENSATION FOR OTHER KEY EMPLOYEES. THE PRIMARY STRATEGY IS TO UTILIZE AN OUTSIDE FIRM TO PROVIDE EXECUTIVE SALARY MARKET DATA WITHIN THE HEALTH CARE INDUSTRY FOR COMPARABILITY WHEN SETTING EXECUTIVE COMPENSATION LEVELS. THE CEO THEN REPORTS SALARY DECISIONS FOR KEY EMPLOYEES UTILIZING THIS DATA TO THE GOVERNANCE COMMITTEE. ANNUALLY THE GOVERNANCE COMMITTEE REPORTS A SUMMARY OF ITS ACTIONS AND ESTABLISHED COMPENSATION PHILOSOPHY TO THE BOARD.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST DURING NORMAL BUSINESS HOURS. CONFLICT OF INTEREST POLICY IS NOT MADE AVAILABLE TO THE PUBLIC.
FORM 990, PART IX, LINE 11GCONTRACT LABOR: PROGRAM SERVICE EXPENSES 14,298,581. MANAGEMENT AND GENERAL EXPENSES 1,644,721. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,943,302. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 22,938,418. MANAGEMENT AND GENERAL EXPENSES 1,012,801. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,951,219. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 3,584,708. MANAGEMENT AND GENERAL EXPENSES 17,581,112. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,165,820.OTHER FEES
FORM 990, PART XI, LINE 9:INTEREST SWAP 3,394,061.CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
UNITED COM-SERVE
989 PLUMAS STREETYUBA CITYCA95991943015356SKILLED NURSING/ASSISTED LIVING/HOME HEALTHCA501(C)(3)LINE 11B, IIFREMONT-RIDEOUT HEALTH GROUP1
FREMONT-RIDEOUT HEALTH GROUP
989 PLUMAS STREETYUBA CITYCA95991942917251HOSPITAL MANAGEMENT SERVICECA501(C)(3)LINE 11B, II1N/A
FREMONT-RIDEOUT FOUNDATION
989 PLUMAS STREETYUBA CITYCA95991237366330SUPPORT FOR FRHG AND ITS AFFILIATESCA501(C)(3)LINE 7FREMONT-RIDEOUT HEALTH GROUP1

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
SIERRA HEALTH CARE CENTER
PO BOX 2128MARYSVILLECA95901680040306DME SALESCAN/A
FRD MANAGEMENT LLC
PO BOX 2128MARYSVILLECA95901943335136OPERATION OF CANCER CENTERCAN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityControlled OrgControlledOrg
DRUG PHARMA INC
989 PLUMAS STREETYUBA CITYCA95991941390716INVESTMENTCAN/AC0
FREMONT-RIDEOUT MANAGEMENT SERVICES ORGANIZATION INC
989 PLUMAS STREETYUBA CITYCA95991271350379MANAGEMENT SERVICESCAN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
FRD MANAGEMENT LLC
P374126FMV
UNITED COM-SERVE
P1587385FMV
FREMONT RIDEOUT FOUNDATION
C86433FMV