2012-07-06T12:16:44-05:00 2011-09-30 MOSS ADAMS LLP 101 SECOND STREET 9TH FLOOR SAN FRANCISCO CA 94105 990 2010-10-01 951643347 REDLANDS COMMUNITY HOSPITAL REDL 9093356438 350 TERRACINA BLVD REDLANDS CA 92373 JAMES HOLMES 9093356438 2012-06-28 1 RENIE BURBANK 4159561500 2010 2016-02-24 21:20:13Z JAMES HOLMES 350 TERRACINA BLVD REDLANDS CA 92373 291063349 0 X WWW.REDLANDSHOSPITAL.ORG X 1927 CA THE HOSPITAL'S MISSION, VISION AND VALUE STATEMENTS ARE INTEGRATED INTO THE HOSPITAL'S POLICY AND PLANNING PROCESSES INCLUDING THE COMMUNITY BENEFIT PLAN. A PART OF THIS PLANNING PROCESS WAS TO INCORPORATE COMMUNITY BENEFITS IN THE HOSPITAL'S STRATEGIC PLANS. OUR MISSION IS TO PROMOTE AN ENVIRONMENT WHERE MEMBERS OF OUR COMMUNITY CAN RECEIVE HIGH QUALITY CARE AND SERVICE SO THEY CAN BE RESTORED TO GOOD HEALTH BY WORKING IN CONCERT WITH PATIENTS, PHYSICIANS, RCH STAFF, ASSOCIATES AND THE COMMUNITY. 20 18 1712 19 0 0 75367 793048 230766773 259277858 210545 605798 541744 315850 231594429 260992554 0 0 0 0 95678267 102396065 0 0 0 133477061 157153470 229155328 259549535 2439101 1443019 166469949 185199015 116971897 135628409 49498052 49570606 X OUR MISSION IS TO PROMOTE AN ENVIRONMENT WHERE MEMBERS OF OUR COMMUNITY CAN RECEIVE HIGH QUALITY CARE AND SERVICES SO THEY CAN MAINTAIN AND BE RESTORED TO GOOD HEALTH. 0 0 72514263 61461715 UNREIMBURSED MEDICAL CARE: THE HOSPITAL IS COMMITTED TO PROVIDING QUALITY MEDICAL CARE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. COST OF CARE FOR PATIENTS THAT MEET THE CHARITY CARE POLICY OF THE HOSPITAL ARE CLASSIFIED AS CHARITY. RCH HAD 443 CHARITY DISCHARGES, 1,894 MEDICARE DISCHARGES AND 2,204 MEDICAID AND COUNTY INDIGENT DISCHARGES. THE TOTAL ESTIMATED COST OF CHARITY CARE SERVICES AND UNPAID COST OF SERVICES ASSOCIATED WITH MEDICARE, MEDICAID AND COUNTY INDIGENT PROGRAMS AS WELL AS THE ESTIMATED COST ASSOCIATED WITH UNCOLLECTABLE ACCOUNTS WERE $11,053,000. 1096481 364776 THE REDLANDS FAMILY CLINIC AND THE COMMUNITY BASED PERINATAL SERVICES PROGRAM (MATERNAL INFANT HEALTH) SERVE THE COMMUNITIES OF REDLANDS, LOMA LINDA, SAN BERNARDINO, HIGHLAND, YUCAIPA AND MENTONE, SUPPORTING THE HEALTHY START PROGRAMS IN THE REDLANDS UNIFIED SCHOOL DISTRICT IN ADDITION TO PROVIDING HIGH-QUALITY, LOW-COST HEALTH CARE SERVICES TO PEOPLE WHO DO NOT OTHERWISE HAVE ACCESS WHICH MAY BE DUE TO FINANCIAL, CULTURAL, LIFESTYLE OR PSYCHOLOGICAL BARRIERS. FOR FISCAL YEAR 2011, REDLANDS FAMILY CLINIC HAD 5,653 VISITS AND PERINATAL SERVICES HAD 1,429 VISITS. 109000000 122488737 FOUNDED IN 1904, REDLANDS COMMUNITY HOSPITAL IS A NON-PROFIT, 189-BED HEALTHCARE FACILITY LOCATED IN THE EAST SAN BERNARDINO VALLEY OF SOUTHERN CALIFORNIA. THE HOSPITAL OFFERS ACUTE HEALTHCARE, DIAGNOSTIC AND HOME HEALTHCARE SERVICES. AS A COMMUNITY HOSPITAL, WE TAKE PRIDE IN OUR PERSONAL CARE AND COMPREHENSIVE, HIGH QUALITY SERVICES. OUR COMMUNITY SERVICE NURSES, EMERGENCY DEPARTMENT, FAMILY CLINIC, PERINATAL SERVICES PROGRAM, PARISH NURSE PROGRAM, AND SEVERAL OTHER DEPARTMENTS THROUGHOUT THE HOSPITAL ARE INVOLVED IN OFFERING A VARIETY OF COMMUNITY SERVICES AND CHARITY CARE. PEOPLE FROM THROUGHOUT OUR LARGE SERVICE AREA DEPEND ON US FOR 24 HOUR EMERGENCY CARE, PROFESSIONAL HEALTHCARE AND A VARIETY OF COMMUNITY SERVICE OUTREACH PROGRAMS. ADDITIONALLY, RCH IN PARTNERSHIP WITH TWO LOCAL MEDICAL GROUPS, CONTRACTS WITH VARIOUS HEALTH PLANS TO PROVIDE FULL-SERVICE HEALTH CARE TO APPROXIMATELY 62,000 COMMUNITY MEMBERS ON A CAPITATED BASIS. 42221737 74962630 HEALTH MINISTRY PROGRAM AND PASTORAL CARE SERVICES: THE HEALTH MINISTRY PROGRAM IMPACTS COMMUNITY HEALTH BY PROVIDING FREE BLOOD PRESSURE SCREENINGS, CHOLESTEROL SCREENINGS, GLUCOSE SCREENINGS, PERSONAL HEALTH COUNSELING, COMMUNITY RESOURCES AND REFERRAL, AND FLU VACCINATIONS AT CHURCHES, COMMUNITY FOOD DISTRIBUTION CENTERS, SOUP KITCHENS AND OTHERCOMMUNITY LOCATIONS. FROM INDIVIDUALIZED PERSONAL CARE TO LARGE GROUP EDUCATION AND INTERVENTIONS, HEALTH MINISTRY SERVICES PROMOTE THE HEALTH AND WELL BEING OF THE LOCAL COMMUNITY. IN ADDITION, THE RCH CLINICAL CHAPLAIN PERFORMS AND SUPERVISES MULTIPLE SERVICES WHICH CONTRIBUTE TO THE SPIRITUAL WELL BEING OF THOSE WITHIN THE HOSPITAL.PASTORAL CARE SERVICES ADDRESSES THE SPIRITUAL CONCERNS OF RCH PREOPERATIVE, AS WELL AS OTHER PATIENTS WHO REQUEST PASTORAL SUPPORT, SEEING AN AVERAGE OF 12 PATIENTS PER DAY. THE CHAPLAIN ADDITIONALLY SERVES AS A PART OF THE ICU CLINICAL TEAM, PROVIDING PROFESSIONAL SPIRITUAL ASSESSMENT AND SUPPORT FOR PATIENTS AND FAMILIES. THE CHAPLAIN ALSO RESPONDS TO REFERRALS FROM HEALTH CARE PROFESSIONALS THROUGHOUT THE HOSPITAL TO ASSIST WITH ADDRESSING LIFE THREATENING ILLNESSES, END OF LIFE CONCERNS AND ISSUES OF SPIRITUAL DISTRESS. OTHER SERVICES INCLUDE PARTICIPATION IN COMMUNITY HEALTH FAIRS, FREE FLU SHOTS, COMMUNITY HEALTH EDUCATION LECTURES, AND FUNDING TOWARD SENIOR CITIZEN HEALTH NEWSLETTERS. 42221737 74962630 224832481 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 1 396 0 1 1712 1 0 0 0 0 0 0 0 0 0 0 X 20 18 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 CA X SABI DADABHAI 9093355500 350 TERRACINA BLVD REDLANDS CA 923730742 X JAMES HOLMES 40.00 X X 680526 0 23928 ROBERT HODGES 1.00 X X 0 0 0 MARVIN HUDSON 1.00 X 0 0 0 STANLEY WEISSER 1.00 X X 0 0 0 BILL HEITRITTER 1.00 X 0 0 0 PHIL DOOLITTLE 1.00 X 0 0 0 RON JEFFREY 1.00 X 0 0 0 LARRY PYLE 1.00 X 0 0 0 THEODORE SHANKEL MD 1.00 X 0 0 0 PETER DAVIS 1.00 X X 0 0 0 YOLANDA CONTRERAS 1.00 X 0 0 0 WILLIAM HATFIELD 1.00 X 0 0 0 PRANAV MEHTA MD 1.00 X 0 0 0 KATE SALVESEN 1.00 X 0 0 0 ALVIN UMEDA 1.00 X 0 0 0 BRAD BASINGER MD 1.00 X 0 0 0 RICHARD BEEMER 1.00 X 0 0 0 LINDA SERROS 1.00 X 0 0 0 SAM RACADIO 1.00 X 0 0 0 DENNIS HILLIARD MD 1.00 X 0 0 0 SABBIR DADHABAI 40.00 X 264614 0 14941 HARVEY HANSEN 40.00 X 302298 0 11824 LAUREN SPILSBURY 40.00 X 248439 0 13152 KATHI SANKEY ROBINSON 40.00 X 238440 0 12284 DIANNE COX 40.00 X 233574 0 18394 LAVONNE HANSEN 40.00 X 191740 0 10846 2159631 0 105369 119 0 1 0 SODEXO INC DEPT 43283 LOS ANGELES CA 900883283 FOOD SERVICES 2073866 SELECT SPECIALTY 2504 BELMONT ST SAN BERNARDINO CA 92407 CONSTRUCTIONS 613711 ALLHEALTH SECURITY PO BOX 511310 LOS ANGELES CA 90051 SECURITY SERVICES 435660 CROTHALL LAUNDRY SERVICES INC 13028 COLLECTIONS CENTER DR CHICAGO IL 60693 LAUNDRY & LINEN SERVICES 408925 MCDERMOTT WILL & EMERY PO BOX 894549 LOS ANGELES CA 901894549 LEGAL SERVICES 200189 121 379050 413498 500 793048 NET PATIENT SERVICES 621400 136789121 136789121 CAPITATION PREMIUM 621400 122488737 122488737 259277858 1087783 1087783 29586776 2034 30063864 6931 -477088 -4897 -481985 -481985 OTHER REVENUE 900099 960963 960963 REBATES AND REFUNDS 900099 194826 194826 INTEREST FROM LOANS 900099 53410 53410 -893349 -893349 315850 260992554 259277858 0 921648 1262432 1262432 74387569 70666169 3721400 2255677 2155007 100670 18161840 17568230 593610 6328547 6181072 147475 20822721 20822721 167403 167403 125605 125605 3121380 3121380 711287 709007 2280 37475739 37416184 59555 1438868 1438868 2403669 2403669 258126 258126 377157 377157 2758738 2758738 6440450 5670400 770050 2333489 1995492 337997 OUTSIDE PROVIDERS 50015080 50015080 OTHER EXPENSES 11225462 11135007 90455 BAD DEBTS 10126745 10126745 PURCHASED SERVICES 7351551 7351551 259549535 224832481 34717054 0 7372242 9224122 5193611 5076348 13880458 13136399 166667 490767 2032796 2221741 2118115 2122038 224272531 122656306 97269454 101616225 30966962 45524189 3209967 7469644 2577219 166469949 185199015 21600430 23306375 62417846 59416668 6278448 5088648 26675173 47816718 116971897 135628409 X 49005065 49107100 492987 463506 49498052 49570606 166469949 185199015 X 1443019 -1370465 X X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 31408 31408 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: 23.72% OF DUES PAID TO THE HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA AND CALIFORNIA HOSPITAL ASSOCIATION WERE EXPENDED FOR SPECIFIC LOBBYING PURPOSES. 75010 75010 74735 275 75010 74365 370 74735 1.00000 0 0 2605694 2605694 135114898 68081288 67033610 66437777 54575018 11862759 20114162 20114162 101616225 LIABILITIES ASSOCIATED WITH CAPITATED PROGRAMS 19240487 OTHER LIABILITIES 9383770 ESTIMATED THIRD PARTY SETTLEMENTS 1691286 INTERCOMPANY LIABILITIES 1175 LONG-TERM LIAB. LEGAL JUDGEMENT 17500000 47816718 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE INCOME FROM THESE FUNDS WILL BE USED TO ASSIST AND AID INDIGENT PERSONS IN MEDICAL SERVICES THEY RECEIVE FROM THE HOSPITAL. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE HOSPITAL RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY TAX AUTHORITIES BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. 1 1 X 1 X 300.000000000000 1 X 1 0 1 1 687230 687230 0.00280 29452451 25881185 3571266 0.01430 623911 240894 383017 0.00150 30763592 26122079 4641513 0.01860 385831 385831 0.00150 1096481 364776 731705 0.00290 1482312 364776 1117536 0.00440 32245904 26486855 5759049 0.02300 0 2256781 1173526 25212891 31623926 -6411035 X 1 1 1 1 REDLANDS COMMUNITY HOSPITAL

350 TERRACINA BLVD REDLANDS CA 92373

X X X NOT REQUIRED FOR 2010 1 PART I, LINE 7: COST-TO-CHARGE RATIOS WERE USED IN DETERMINING COST. IN ADDITION, FOR MEDICARE RELATED COST, THE STEP-DOWN METHOD OF COST FINDING WAS USED. FOR THIS METHOD, ALL COSTS OF NON-REVENUE PRODUCING CENTERS ARE ALLOCATED TO ALL CENTERS WHICH THEY SERVE, REGARDLESS OF WHETHER OR NOT THESE CENTERS PRODUCE REVENUE. PART I, L7 COL(F): BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN A, BUT EXCLUDED FOR PURPOSES OF CALCULATING THE PERCENTAGES ON SCHEDULE H, PART I, LINE 7, COLUMN F TOTALED $10,126,745. PART III, LINE 4: NET PATIENT SERVICES IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHERS FOR SERVICES RENDERED. WHEN WE HAVE EXHAUSTED OUR INTERNAL COLLECTION PROCESS INCLUDING STATEMENTS AND PHONE CALLS, RCH WILL TRANSFER THE NET ACCOUNTS RECEIVABLE BALANCE TO A BAD DEBT FILE AND THE RESERVE FOR BAD DEBT WILL BE CHARGED. COST WAS ARRIVED AT BY APPLYING THE COST TO CHARGE RATIO TO THE AGGREGATE, NET ACCOUNTS RECEIVABLE (NOT THE CHARGES) FOR THE ACCOUNTS TRANSFERRED TO BAD DEBTS.DISCOUNTS ARE DEDUCTED IN DETERMINING THE NET AMOUNT REALIZABLE PER AGREEMENTS. PAYMENTS ARE DEDUCTED FROM THE NET REALIZABLE AMOUNT, AND THE UNPAID BALANCE IS WHAT GETS TRANSFERRED TO THE RESERVE FOR BAD DEBT AND BECOMES THE BAD DEBT EXPENSE.APPROXIMATELY 62% OF THE BAD DEBT EXPENSE IS ATTRIBUTIBLE TO SELF PAY (UNINSURED) PATIENTS. BY SUBMITTING A RANDOM SAMPLING OF THESE PATIENTS TO ESPERIAN FOR INCOME PREDICTION, WE ESTIMATED THAT 84% WOULD HAVE QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY. THE RESULTING 52% (84% OF 62%) WAS APPLIED TO THE ESTIMATED COST OF BAD DEBT EXPENSE (AT COST) ATTRIBUTABLE TO PATIENT ACCOUNTS TO ARRIVE AT THE ESTIMATED AMOUNT OF THE ORGANIZATION'S AMOUNT OF BAD DEBT EXPENSE (AT COST) ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY. PART III, LINE 8: INDIVIDUALS 65 YEARS AND OLDER ARE THE FASTEST GROWING AGE GROUP IN REDLANDS COMMUNITY HOSPITAL'S PRIMARY SERVICE AREA, WITH PROJECTED GROWTH ESTIMATED AT 14.4% OVER THE NEXT 5 YEARS. PROVIDING NECESSARY HEALTHCARE SERVICES TO THIS GROWING POPULATION OF MEDICARE BENEFICIARIES IS ESSENTIAL TO PROMOTING THE HEALTH OF THE COMMUNITY AS A WHOLE.HOSPICE REVENUE OF $1,914,166 IS FROM THE PR&R REPORT. REVENUE DERIVED FROM FEE REIMBURSED MEDICARE SERVICES, NOT INCLUDED IN THE COST REPORT, WAS $473,396 AND THE ASSOCIATED COST OF THESE SERVICES WAS $720,328 CREATING A SHORTFALL OF ($246,932). IN ADDITION, REVENUE FROM SERVICES PROVIDED TO NON-RCH CAPITATED SENIOR HMO PATIENTS WAS $19,977,387 WITH ASSOCIATED COSTS OF $15,735,491 FOR A SURPLUS OF $4,241,896.THE MEDICARE COST REPORT USES PATIENT DAYS TO APPORTION ROUTINE, SPECIAL CARE, SNF AND PSYCHIATRIC NURSING COSTS TO THE MEDICARE PROGRAM. ANCILLARY COSTS ARE APPORTIONED USING GROSS CHARGES. HOME HEALTH AND HOSPICE COSTS ARE APPORTIONED USING PATIENT VISITS AND UNDUPLICATED DAYS. PART III, LINE 9B: IF A PATIENT DEMONSTRATES THAT THEY HAVE INCOME LEVELS AT OR BELOW 350% OF THE FEDERAL POVERTY LIMIT, THEY WOULD BE SCREENED FOR CHARITY CARE AND TAKEN OUT OF THE COLLECTION PROCESS PROVIDED THEY COMPLETED OUR CHARITY CARE APPLICATION AND SUBMITTED THE REQUIRED VERIFICATION AND DOCUMENTATION TO SUPPORT THEIR CLAIM. PART VI, LINE 2: NEEDS ASSESSMENT: TO EXPAND OUR KNOWLEDGE OF THE COMMUNITY, HOSPITAL STAFF OBTAINED THE BELIEFS AND PERCEPTIONS OF COMMUNITY MEMBERS AT-LARGE AND SELECT KEY COMMUNITY LEADERS VIA FOCUS GROUPS. KEY COMMUNITY LEADERS WERE CAREFULLY CHOSEN FOR PARTICIPATION AT FOCUS GROUPS DUE TO THEIR COMMUNITY INVOLVEMENT AND DEMONSTRATED LEADERSHIP EXPERIENCE. THE GOAL WAS TO OBTAIN BOTH PERCEPTION AND KNOWLEDGE OF HEALTH NEEDS, RESOURCE AVAILABILITY, BARRIERS AND SOLUTIONS. COMPLETING THE 2010 COMMUNITY HEALTHCARE NEEDS ASSESSMENT INVOLVED COORDINATING AND CONDUCTING FOCUS GROUPS AND DISTRIBUTING AN ANONYMOUS SURVEY. THE ANONYMOUS SURVEY WAS DEVELOPED USING AVAILABLE DATA FROM COUNTY, STATE AND OTHER RELEVANT DATABASES. THE TOOL WAS PROFESSIONALLY TRANSLATED INTO SPANISH AND WAS DISTRIBUTED IN BOTH ENGLISH AND SPANISH AT VARIOUS LOCATIONS THROUGHOUT OUR PRIMARY AND SECONDARY SERVICE AREAS. FOCUS GROUPS WERE HELD ON- AND OFF-SITE, IN ORDER TO MEET THE INTENDED GOALS OF THE ASSESSMENT. A TOTAL OF 54 PEOPLE PARTICIPATED IN THE FOUR FOCUS GROUPS, AND 406 ANONYMOUS SURVEYS WERE RECEIVED FROM COMMUNITY PARTICIPANTS. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: ALL SELF PAY PATIENTS RECEIVE INFORMATION REGARDING OUR FINANCIAL ASSISTANCE AND DISCOUNT POLICIES AT THE TIME OF TREATMENT AT OUR FACILITY. THEY ARE ALSO PROVIDED WITH INFORMATION REGARDING ANY POSSIBLE FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAM THAT THEY MAY BE ELIGIBLE FOR AT THE TIME OF ADMISSION. ADDITIONALLY THEY RECEIVE DUPLICATES OF THIS INFORMATION AT THE TIME OF 1ST BILLING. SIGNS REGARDING OUR POLICY ARE PLACED THROUGHOUT THE FACILITY IN AN ATTEMPT TO INFORM PATIENTS AND THEIR FAMILIES ABOUT OUR ASSISTANCE PROGRAMS. PART VI, LINE 4: COMMUNITY INFORMATION: LOCATED IN THE MOST DENSELY POPULATED AREA OF SAN BERNARDINO COUNTY, COMMUNITIES IDENTIFIED AS BEING IN THE PRIMARY SERVICE AREA OF THE HOSPITAL ARE BANNING, BEAUMONT, CALIMESA, HIGHLAND, LOMA LINDA, MENTONE, REDLANDS AND YUCAIPA. THE SECONDARY SERVICE AREA IS COMPRISED OF THE CITIES OF COLTON, CRESTLINE, FONTANA, GRAND TERRACE, RIALTO, SAN BERNARDINO, AND SEVERAL MOUNTAIN COMMUNITIES. THE HISPANIC POPULATION CONTINUES TO BE THE FASTEST GROWING POPULATION IN OUR PRIMARY SERVICE AREA. THE HISPANIC POPULATION IN OUR PRIMARY SERVICE AREA WAS REPORTED AS 33% IN 2010 AND IS PROJECTED TO INCREASE TO 37.3% IN 2015. THE PERCENTAGE OF THE POPULATION OVER THE AGE OF 45 IN THE PRIMARY SERVICE AREA IS ESTIMATED TO INCREASE 26% OVER THE NEXT FIVE YEARS, WITH THE LARGEST GROWTH ESTIMATED AT 14.4% FOR INDIVIDUALS 65 YEARS AND OLDER. THIS GROWTH WILL REQUIRE SUSTAINED HEALTHCARE SERVICES AND AVAILABILITY. THE POPULATION GROWTH IN OUR PRIMARY SERVICE AREA IS EXPECTED TO GROW BY 10.5% OVER THE NEXT FIVE YEARS AND THE HOUSEHOLD SIZE WILL REMAIN CONSTANT AT 2.8 PEOPLE PER HOUSEHOLD. ALTHOUGH HOUSEHOLD INCOME GROWTH IS ESTIMATED TO EXCEED THAT OF THE STATE OVERALL, THE PRIMARY SERVICE AREA MEDIAN AND AVERAGE HOUSEHOLD INCOMES WILL CONTINUE TO BE BELOW THOSE OF THE STATE IN 2015.THE HISPANIC BIRTH RATE IN SAN BERNARDINO COUNTY IS THE LARGEST AMONGST ALL ETHNIC GROUPS, MAKING UP 60% OF ALL BIRTHS (SAN BERNARDINO COUNTY 2010 COMMUNITY INDICATORS REPORT). ACCORDING TO THE SAME REPORT, HISPANIC WOMEN IN SAN BERNARDINO COUNTY ARE LESS LIKELY THAN WHITE OR ASIAN WOMEN TO RECEIVE PRENATAL CARE DURING THEIR FIRST THREE MONTHS OF PREGNANCY. ACCESS TO AND RECEIVING PRENATAL CARE CAN IMPROVE BIRTH OUTCOMES AND DECREASE NEGATIVE OUTCOMES OF PREGNANCY. IN ADDITION, SAN BERNARDINO COUNTY AT 80.6% AS A WHOLE, FALLS BELOW THE HEALTHY PEOPLE 2010 OBJECTIVE OF 90% FOR THE PRENATAL CARE DETERMINANT. ACCORDING TO THE CDC, IN THE UNITED STATES, THE INCIDENCE OF CERVICAL CANCER FOR HISPANIC WOMEN IS THE HIGHEST INCIDENCE AMONGST ALL ETHNICITIES. FOR ALL OF THESE REASONS, WOMEN'S HEALTH PROGRAMS ARE IMPERATIVE TO PREVENT MORBIDITY AND MORTALITY RELATED TO NEGATIVE OUTCOMES OF PREGNANCY AND BREAST AND CERVICAL CANCER. PRENATAL SCREENING AND EDUCATION IS A VALUABLE RESOURCE AND SHOULD BE AVAILABLE TO THE COMMUNITY-AT-LARGE. PART VI, LINE 6: PROMOTION OF COMMUNITY HEALTH: THE HOSPITAL OWNS AND OPERATES THE REDLANDS FAMILY CLINIC. A GOAL OF THE FAMILY CLINIC IS TO PROVIDE HIGH-QUALITY, LOW-COST HEALTH CARE SERVICES TO PEOPLE WHO DO NOT OTHERWISE HAVE ACCESS WHICH MAY BE DUE TO FINANCIAL, CULTURAL, LIFESTYLE, OR PSYCHOLOGICAL BARRIERS. AN EQUALLY IMPORTANT GOAL IS TO PROVIDE DISEASE SPECIFIC PATIENT/FAMILY EDUCATION, WITH EMPHASIS ON PROMOTING HEALTH AND WELLNESS, AND THE SUPPORT NECESSARY TO PROMOTE INDIVIDUALIZED HEALTH CARE DECISION MAKING. OUR ONGOING OBJECTIVES ARE TO: 1) PROVIDE AN OPPORTUNITY FOR LOW-INCOME, THE UNINSURED AND UNDERINSURED TO RECEIVE PRIMARY AND PREVENTIVE CARE, EARLY MEDICAL PROBLEM IDENTIFICATION AND TREATMENT AND ACCESS TO HEALTH CARE RESOURCES; 2) REDUCE DISPARITY IN HEALTH CARE SERVICES WITHIN THE COMMUNITY; 3) DEVELOP HEALTH RELATED PROGRAMS AND ENHANCE THE QUALITY OF SERVICES PROVIDED; 4) PROVIDE HEALTH CARE FOR ALL AGES, CHILDREN TO THE ELDERLY; 5) ASSIST WITH THE APPLICATION PROCESS AND OBTAINING ELIGIBILITY FOR PUBLIC ASSISTANCE PROGRAMS; 6) PROVIDE AND PROMOTE COMMUNITY RESOURCES; AND, 7) PROVIDE AND FACILITATE COMMUNITY HEALTH SERVICES SUCH AS FLU SHOTS AND OTHER HEALTH CARE SCREENINGS.THE COMPREHENSIVE PERINATAL SERVICES PROGRAM (CPSP) PROVIDES A VARIETY OF SERVICES AND EDUCATION TO WOMEN PRIOR TO DELIVERY AND UP TO SIXTY DAYS AFTER DELIVERY. GOALS OF THE PROGRAM ARE TO DECREASE THE INCIDENCE OF LOW BIRTH WEIGHT IN INFANTS, TO IMPROVE THE OUTCOME OF EVERY PREGNANCY, TO GIVE EVERY BABY A HEALTHY START IN LIFE AND TO LOWER HEALTH CARE COSTS BY PREVENTING CATASTROPHIC AND CHRONIC ILLNESS IN INFANTS AND CHILDREN. THE COMPREHENSIVE PERINATAL SERVICES PROGRAM IS A MEDI-CAL SPONSORED PROGRAM FOR WOMEN WHO ARE PREGNANT AND ARE ENROLLED IN STRAIGHT MEDI-CAL OR A MEDI-CAL MANAGED CARE PLAN. THE DIABETES AND PREGNANCY EDUCATION PROGRAM PROVIDES EDUCATION, EVALUATION AND INTERVENTION FOR PREGNANT WOMEN WITH DIABETES OR FOR WOMEN WITH DIABETES PLANNING TO BECOME PREGNANT. THE GOAL OF THE PROGRAM IS TO IMPROVE PREGNANCY OUTCOMES FOR WOMEN AND TO REDUCE FETAL DEATHS AND NEONATAL AND MATERNAL COMPLICATIONS. SERVICES INCLUDE AN INITIAL EVALUATION AND FOLLOW-UP BY A REGISTERED NURSE AND DIETICIAN. THE BREASTFEEDING PROGRAM PROVIDES BREASTFEEDING EDUCATION AND SUPPORT FOR GROUPS, AND INDIVIDUAL ONE-ON-ONE EDUCATION. THE CHILDBIRTH PREPARATION COURSES PREPARE THE PREGNANT WOMEN AND FAMILY FOR CHILDBIRTH. CLASSES ARE DESIGNED TO PROVIDE PRACTICAL AND USEFUL TOOLS IN PREPARATION OF CHILDBIRTH.THE RCH HEALTH MINISTRY PROGRAM AIMS TO ASSIST CHURCHES IN ESTABLISHING A HEALTH CABINET AND SELECTING A HEALTH MINISTER (FAITH COMMUNITY NURSE) WHO WILL CARRY OUT THE MISSION OF HEALTH MINISTRY AS DETERMINED BY EACH CHURCH. EACH CHURCH CAN DEVELOP AN INDIVIDUALIZED MINISTRY PROGRAM TO PROMOTE HEALTHY LIVING AND WELLNESS UTILIZING DATA OBTAINED THROUGH A NEEDS ASSESSMENT. HEALTH ACTIVITIES AND EVENTS SUPPORTED BY THE HEALTH MINISTRY PROGRAM INCLUDE HEALTH SCREENINGS, HEALTH FAIRS, HEALTH EDUCATION, AND RESOURCE AND REFERRALS. THE HEALTH MINISTRY PROGRAM EMBRACES THE SPIRITUAL DIMENSIONS IN DISEASE PREVENTION AND WELLNESS PROMOTION IN COLLABORATION WITH 31 PARTNERING CHURCHES. THE HEALTH MINISTRY PROGRAM POSITIVELY IMPACT THE COMMUNITY THROUGH HEALTH SCREENINGS, HEALTH/WELLNESS EDUCATION, ADVOCACY, REFERRAL, PERSONAL HEALTH COUNSELING, EDUCATION AND TRAINING, AND COORDINATION OF COMMUNITY VOLUNTEERS. EDUCATION AND TRAINING FOR FAITH COMMUNITY NURSES IS PROVIDED AND ROUTINELY HELD ON CAMPUS AT THE RCH WEISSER EDUCATION PAVILION. IN ADDITION, GENERAL HEALTH SCREENINGS ARE HELD IN THE LOCAL CHURCHES AND COMMUNITY SENIOR CENTERS.THE RCH CLINICAL CHAPLAIN PERFORMS AND SUPERVISES MULTIPLE SERVICES WHICH CONTRIBUTE TO THE SPIRITUAL WELL BEING OF THOSE WITHIN THE HOSPITAL. THE CHAPLAIN ADDRESSES THE SPIRITUAL CONCERNS OF RCH PREOPERATIVE PATIENTS WHO REQUEST PASTORAL SUPPORT, SEEING AN AVERAGE OF 12 PATIENTS PER DAY. THE CHAPLAIN ADDITIONALLY SERVES AS A PART OF THE ICU CLINICAL TEAM, PROVIDING PROFESSIONAL SPIRITUAL ASSESSMENT AND SUPPORT FOR PATIENTS AND FAMILIES. THE CHAPLAIN ALSO RESPONDS TO REFERRALS FROM HEALTH CARE PROFESSIONALS THROUGHOUT THE HOSPITAL TO ASSIST WITH ADDRESSING LIFE THREATENING ILLNESSES, END OF LIFE CONCERNS AND ISSUES OF SPIRITUAL DISTRESS. PASTORAL CARE ALSO PARTICIPATED IN THE PROCESS TO DEVELOP A PALLIATIVE CARE PROGRAM AND CONTINUES TO BE AN ACTIVE PART OF THE ETHICS COMMITTEE.THE HOSPICE CHAPLAIN PROVIDES SERVICES TO THOSE NEARING THE LAST DAYS OF LIFE. IN ADDITION TO MINISTERING TO THE DYING PERSON, PASTORAL SERVICES ARE PROVIDED TO THE FAMILY. GRIEF SUPPORT IS PROVIDED TO FAMILY MEMBERS UP TO ONE YEAR AFTER THE LOSS OF THE LOVED ONE.DURING 2010, THE HOSPITAL EXPANDED PARTICIPATION AT HEALTH FAIRS, PROVIDED COMMUNITY-BASED HEALTH SCREENINGS AND FOCUSED COMMUNITY EDUCATION IN THE SENIOR COMMUNITY. THE HOSPITAL JOINED THE SAN BERNARDINO COUNTY HOSPITAL COMMUNITY BENEFITS COLLABORATIVE WHOSE GOAL IS TO DISCUSS HEALTHCARE ISSUES, COLLABORATION OPPORTUNITIES, AND IMPLEMENTATION OF REGIONAL STRATEGIES TO IMPROVE HEALTH AND WELLNESS OF THE COMMUNITIES.IN RESPONSE TO UNMET HEALTH TRANSPORTATION NEEDS, REDLANDS COMMUNITY HOSPITAL USES HOSPITAL OWNED VANS TO TRANSPORT PATIENTS TO AND FROM THE BEHAVIORAL MEDICINE OUTPATIENT DAY PROGRAM. TAXI VOUCHERS, LOCAL NON-MEDICAL TRANSPORT SERVICES AND PUBLIC TRANSPORTATION ARE ROUTINELY UTILIZED AT THE HOSPITAL'S EXPENSE FOR TRANSPORTING PATIENTS AFTER RECEIVING SERVICES AT THE HOSPITAL. X 1 1 X X X 0 0 0 0 0 0 0 0 0 JAMES HOLMES 543355 0 109935 0 27236 0 9447 0 14481 0 704454 0 0 0 SABBIR DADHABAI 226522 0 36629 0 1463 0 6053 0 8888 0 279555 0 0 0 HARVEY HANSEN 259784 0 40835 0 1679 0 6431 0 5393 0 314122 0 0 0 LAUREN SPILSBURY 210637 0 36930 0 872 0 1726 0 11426 0 261591 0 0 0 KATHI SANKEY ROBINSON 202981 0 34644 0 815 0 3528 0 8756 0 250724 0 0 0 DIANNE COX 199086 0 34066 0 422 0 5785 0 12609 0 251968 0 0 0 LAVONNE HANSEN 178958 0 12000 0 782 0 3189 0 7657 0 202586 0 0 0 PART I, LINE 1A TAX INDEMNIFICATION AND/OR GROSS-UP PAYMENTS ARE PROVIDED TO CEO FOR LIFE INSURANCE PREMIUMS AND AUTOMOBILE ALLOWANCE AND ARE INCLUDED IN TAXABLE COMPENSATION. CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT 680164610 130911F70 2005-04-26 66308180 CONSTRUCTION OF EIGHT NEW SURGERY SUITES AND A MATERNAL CHILD HEALTH UNIT 0 0 0 CALIF HEALTH FACILITIES FINANCING AUTHORITY 521643828 130911F70 2007-09-27 5000000 PURCHASE OF EQUIPMENT 0 0 0 7760000 68968361 4978604 1051776 2134683 60802951 345 2008 0 0 1 1 2760415 5064786 5007667 57119 2010 0 0 0 1 0 0 1 0 1 0.00000 0.00000 0.00000 1 0 0 1 0 1 0.00000 0.00000 0.00000 1 1 1 1 MERRILL LYNCH CAPITAL MARKETS 17.940000000000 0 0 0 1 0 0 0 0 0 1 0 SCHEDULE K, PART I, COLUMN (C) CUSIP#130911F70 ACCORDING TO THE TAX EXEMPT BOND ARRANGEMENT, THE 2007 QUALIFIED HOSPITAL BOND WAS NOT ISSUED A SEPARATE CUSIP NUMBER. THE CUSIP NUMBER FROM 2005 QUALIFIED HOSPITAL BOND WAS ALSO USED FOR 2007 QUALIFIED HOSPITAL BOND. REDLANDS YUCAIPA MED GRP DIRECTOR 649000 DR P. MEHTA, MD OWNS 11% OF REDLANDS YUCAIPA MEDICAL GROUP, WHICH PAID RCH APPROXIMATELY $649,000 TO PROVIDE ANCILLARY SERVICES TO ITS PATIENT/MEMBERS DURING FISCAL YEAR 2011 0 FORM 990, PART VI, SECTION B, LINE 11 AFTER THOROUGH REVIEW BY THE CFO AND PRESIDENT/CEO, THE PRESIDENT/CEO PRESENTED, IN HARD COPY FORMAT, THE DRAFT IRS FORM 990 TO THE EXECUTIVE COMMITTEE ON JUNE 15, 2012 FOR THEIR REVIEW. SUBSEQUENTLY, THE CHAIRMAN OF THE EXECUTIVE COMMITTEE PRESENTED THIS DRAFT TO THE BOARD OF DIRECTORS AT THEIR MEETING ON JULY 5, 2012. THE REVIEWS WERE CONDUCTED PRIOR TO FILING THE FORM 990 WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C COUNSEL REVIEWS RESPONSES THAT REQUIRE ADDITIONAL ACTION OR CLARIFICATION. DISCLOSURE IS A CONTINUOUS DUTY. FORM 990, PART VI, SECTION B, LINE 15 RCH USES AN INDEPENDENT CONSULTANT ON AN ANNUAL BASIS TO REVIEW TOTAL COMPENSATION, PAY AND BENEFITS, FOR THE CEO. THE CONSULTANT MAKES RECOMMENDATIONS TO THE EXECUTIVE COMMITTEE OF THE GOVERNING BOARD, AND THEY HAVE FINAL APPROVAL. THE HUMAN RESOURCES DEPARTMENT PARTICIPATES IN AN ANNUAL INDEPENDENT SALARY SURVEY. MARKET DATA IS COMPARED TO THE RCH SALARY RANGE, PRIMARILY BASED ON THE SIZE OF THE FACILITY. ACTUAL COMPENSATION IS DETERMINED BASED ON THE INDIVIDUAL'S EXPERIENCE AND PERFORMANCE WITHIN THE SALARY RANGE ESTABLISHED. THIS IS DETERMINED BASED ON HUMAN RESOURCE POLICY. FORM 990, PART VI, SECTION C, LINE 19 THE AUDITED FINANCIAL STATEMENTS, GOVERNING/ORGANIZING DOCUMENTS, AND CONFLICT OF INTEREST POLICY ARE ALL AVAILABLE UPON REQUEST. HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS FORM 990, PART VII, SECTION A, COLUMN B JAMES R. HOLMES' TIME IS DIVIDED AS FOLLOWS: REDLANDS COMMUNITY HOSPITAL 40 HRS REDLANDS HEALTH FOUNDATION 1 HR RHS CORPORATION 1 HR REDLANDS COMMUNITY HOSPITAL FOUNDATION 1 HR LINDA SERROS' TIME IS DIVIDED AS FOLLOWS: REDLANDS COMMUNITY HOSPITAL 1 HR RHS CORPORATION 1 HR REDLANDS COMMUNITY HOSPITAL FOUNDATION 1 HR PETER DAVIS' TIME IS DIVIDED AS FOLLOWS: REDLANDS COMMUNITY HOSPITAL 1 HR REDLANDS HEALTH FOUNDATION 1 HR RHS CORPORATION 1 HR STANLEY WEISSER'S TIME IS DIVIDED AS FOLLOWS: REDLANDS COMMUNITY HOSPITAL 1 HR REDLANDS HEALTH FOUNDATION 1 HR RHS CORPORATION 1 HR WILLIAM HATFIELD'S TIME IS DIVIDED AS FOLLOWS: REDLANDS COMMUNITY HOSPITAL 1 HR REDLANDS HEALTH FOUNDATION 1 HR RHS CORPORATION 1 HR PHIL DOOLITTLE'S TIME IS DIVIDED AS FOLLOWS: REDLANDS COMMUNITY HOSPITAL 1 HR REDLANDS HEALTH FOUNDATION 1 HR RHS CORPORATION 1 HR ROBERT J. HODGES' TIME IS DIVIDED AS FOLLOWS: REDLANDS COMMUNITY HOSPITAL 1 HR RHS CORPORATION 1 HR KATE SALVESEN'S TIME IS DIVIDED AS FOLLOWS: REDLANDS COMMUNITY HOSPITAL 1 HR RHS CORPORATION 1 HR THEODORE L. SHANKEL'S TIME IS DIVIDED AS FOLLOWS: REDLANDS COMMUNITY HOSPITAL 1 HR RHS CORPORATION 1 HR PRANAV MEHTA'S TIME IS DIVIDED AS FOLLOWS: REDLANDS COMMUNITY HOSPITAL 1 HR RHS CORPORATION 1 HR ALVIN UMEDA'S TIME IS DIVIDED AS FOLLOWS: REDLANDS COMMUNITY HOSPITAL 1 HR RHS CORPORATION 1 HR YOLANDA CONTRERAS'S TIME IS DIVIDED AS FOLLOWS: REDLANDS COMMUNITY HOSPITAL 1 HR RHS CORPORATION 1 HR RICHARD BEEMER'S TIME IS DIVIDED AS FOLLOWS: REDLANDS COMMUNITY HOSPITAL 1 HR RHS CORPORATION 1 HR MARVIN HUDSON'S TIME IS DIVIDED AS FOLLOWS: REDLANDS COMMUNITY HOSPITAL 1 HR RHS CORPORATION 1 HR BILL HEITRITTER'S TIME IS DIVIDED AS FOLLOWS: REDLANDS COMMUNITY HOSPITAL 1 HR RHS CORPORATION 1 HR RON JEFFREY'S TIME IS DIVIDED AS FOLLOWS: REDLANDS COMMUNITY HOSPITAL 1 HR RHS CORPORATION 1 HR LARRY PYLE'S TIME IS DIVIDED AS FOLLOWS: REDLANDS COMMUNITY HOSPITAL 1 HR RHS CORPORATION 1 HR REDLANDS COMMUNITY HOSPITAL FOUNDATION 1 HR SAM RACADIO'S TIME IS DIVIDED AS FOLLOWS: REDLANDS COMMUNITY HOSPITAL 1 HR RHS CORPORATION 1 HR BRAD BASINGER'S TIME IS DIVIDED AS FOLLOWS: REDLANDS COMMUNITY HOSPITAL 1 HR RHS CORPORATION 1 HR DENNIS HILLIARD'S TIME IS DIVIDED AS FOLLOWS: REDLANDS COMMUNITY HOSPITAL 1 HR RHS CORPORATION 1 HR CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -221,642. BOND SWAP VALUE -356,918. CHANGE IN UNREALIZED INCOME (BONDS ONLY) -41,096. CHANGE IN MINIMUM PENSION LIABILITY -509,183. BOOK/TAX DIFFERENCE IN K-1 INVESTMENT INCOME -241,626. TOTAL TO FORM 990, PART XI, LINE 5: -1,370,465. AUDIT COMMITTEE AND OVERSIGHT FORM 990, PART XII, LINE 2C THERE HAVE BEEN NO CHANGES TO THIS PROCESS FROM PRIOR YEAR. REDLANDS HEALTH FOUNDATION 350 TERRACINA BLVD REDLANDS CA 92373 330900937 SUPPORT THE HOSPITAL CA 501(C)(3) 11-I REDLANDS COMMUNITY HOSPITAL 1 RHS CORP 350 TERRACINA BLVD REDLANDS CA 92373 330130773 HOSPITAL SUPPORT CORP CA 501(C)(3) 11-III-FI N/A 0 REDLANDS COMMUNITY HOSPITAL FOUNDATION 350 TERRACINA BLVD REDLANDS CA 92373 953368018 FUNDRAISING FOUNDATION CA 501(C)(3) 11-III-FI RHS CORP 0 AV ASSOCIATES 350 TERRACINA BLVD REDLANDS CA 92373 330329535 SKILLED NURSING FACILITY CA N/A REDLANDS HEALTH SERVICES 350 TERRACINA BLVD REDLANDS CA 92373 330128593 PATIENT CARE SERVICE CA N/A C REDLANDS SURGICAL SERVICES 350 TERRACINA BLVD REDLANDS CA 92373 330433979 PATIENT CARE SERVICE CA N/A C 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0