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The Fremont-Rideout Health Group: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
The Fremont-Rideout Health Group (EIN 94-2917251)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-13
IRS object ID
201121339349301947
Schema version
2009v1.7
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)
Timestamp2011-05-13T11:44:10-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

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 W March Lane Suite 100AddressLine1
CityStocktonCity
StateCAState
ZIP Code95219ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN942917251EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1FREMONT-RIDEOUT HEALTH GROUPBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlFREMNameControl
Phone5307401920Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameTheresa HamiltonName
TitleCEOTitle
Phone5307401920Phone
Date Signed2011-05-02DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTracy S PagliaName
Phone2099556100Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonTheresa HamiltonNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1989 PLUMAS STREETAddressLine1
CityYUBA CITYCity
StateCAState
ZIP Code95991ZIPCode
FieldValueIRS element (for citing)
Gross Receipts24580542GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitehttp://www.frhg.org/WebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1984YearFormation
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 Employees164TotalNbrEmployees
Total Nbr Volunteers100TotalNbrVolunteers
Total Gross UBI60434TotalGrossUBI
Net Unrelated Business Txbl Income-28348NetUnrelatedBusinessTxblIncome
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year23325449ProgramServiceRevenuePriorYear
Program Service Revenue CY24582578ProgramServiceRevenueCY
Investment Income Prior Year74151InvestmentIncomePriorYear
Investment Income Current Year39839InvestmentIncomeCurrentYear
Other Revenue Prior Year262626OtherRevenuePriorYear
Other Revenue Current Year-41875OtherRevenueCurrentYear
Total Revenue Prior Year23662226TotalRevenuePriorYear
Total Revenue Current Year24580542TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year12589363SalariesEtcPriorYear
Salaries Etc Current Year13829974SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year15469295OtherExpensePriorYear
Other Expenses Current Year9641054OtherExpensesCurrentYear
Total Expenses Prior Year28058658TotalExpensesPriorYear
Total Expenses Current Year23471028TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-4396432RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1109514RevenuesLessExpensesCY
Total Assets BOY27868927TotalAssetsBOY
Total Assets EOY22582956TotalAssetsEOY
Total Liabilities BOY24705818TotalLiabilitiesBOY
Total Liabilities EOY18320727TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3163109NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4262229NetAssetsOrFundBalancesEOY
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
Expense17133850Expense
Grants0Grants
Revenue24480269Revenue
DescriptionProviding lower cost shared management services for related tax exempt entities - Fremont Medical Center, Rideout Hospital and United Com-Serv.Description
Total Program Service Expense17133850TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
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
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096386NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees164NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
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
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 Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
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
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
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 (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Jim Kennedy
Director/Chairman10.00XX000
John Weiler
Director/Vice Chairman10.00XX000
Mallard R Huntley
Director (2009-2010)10.00X000
Lisa Del Pero
Director/Secretary10.00XX1742900
John W Cary
Director/Treasurer10.00XX000
William H Gilbert
Director (2009-2010)10.00X1829200
Tom Pfeffer
Director/Asst. Secretary10.00XX73800
Alexandra Reichman
Director10.00X000
Ronald M Sweeney
Director10.00X000
Rupinder Brar
Director10.00X000
Floyd Burton
Director10.00X1085000
Janice S Nall
Director10.00X000
David Tarke
Director10.00X000
Chuck Aldridge
Director10.00X1638700
Jerry Gross
Director10.00X1097100
Robert Chason
director10.00X000
Theresa Hamilton
CEO16.00X880416032920
Kevin Woodward
CFO16.00X241344025100
Chance White
Sr. VP/Chief Clinical Officer40.006014512208525412X
Robert Plass
Sr. VP/Chief Medical Officer40.00288611032461X
Tarun Ghosh
Sr. VP/Chief Info & System40.00267536028604X
Janice Frank
VP - Nursing40.00240351014961X
Anthony Moddesette
Sr. VP/Facilities & Projects40.00235831029934X
Christopher Parker
VP - Extended Care40.00178261029721X
Thomas Hayes
Former CEO8.00284077016041X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2751239TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs122085TotalReportableCompFrmRltdOrgs
Total Other Compensation235154TotalOtherCompensation
Number Individuals GT100 K18NumberIndividualsGT100K
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
Foley and Lardner
555 S Flower St Suite 3500Los AngelesCA90071Legal Services1377579
Seyfarth Shaw
131 S Dearborn St Suite 2400ChicagoIL60603Legal Services926808
Ernst & Young
725 South Figueroa StreetLos AngelesCA90017Accounting Services287261
LECG LLC
PO Box 952423St LouisMO63195Consulting Services221725
NERA Economic Consulting
PO Box 7247-6754PhiladelphiaPA17170Consulting Services110162
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
Management Fees5416102124621321143904102309
Income fr FRD Mgmt54161032931693293169
Other revenue9000994319643196
FieldValueIRS element (for citing)
Total Program Service Revenue24582578TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column39839TotalRevenueColumn
Exclusion$39,839ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionLoss fr Sierra HealthDescription
Business Code541610BusinessCode
Total Revenue Column-41875TotalRevenueColumn
Unrelated Business Revenue-41875UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue-41875TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column24580542TotalRevenueColumn
Related Or Exempt Function Income24480269RelatedOrExemptFunctionIncome
Unrelated Business Revenue60434UnrelatedBusinessRevenue
Exclusion$39,839ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1137204Total
Program Services830159ProgramServices
Management And General307045ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total283355Total
Program Services206849ProgramServices
Management And General76506ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total9008637Total
Program Services6576305ProgramServices
Management And General2432332ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total415721Total
Program Services303476ProgramServices
Management And General112245ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2265116Total
Program Services1653535ProgramServices
Management And General611581ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total719941Total
Program Services525557ProgramServices
Management And General194384ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1368069Total
Program Services998690ProgramServices
Management And General369379ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total299073Total
Program Services218323ProgramServices
Management And General80750ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total76000Total
Program Services55480ProgramServices
Management And General20520ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2795341Total
Program Services2040599ProgramServices
Management And General754742ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total227252Total
Program Services165894ProgramServices
Management And General61358ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2031208Total
Program Services1482782ProgramServices
Management And General548426ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total575412Total
Program Services420051ProgramServices
Management And General155361ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total220762Total
Program Services161156ProgramServices
Management And General59606ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total98707Total
Program Services72056ProgramServices
Management And General26651ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total172914Total
Program Services126227ProgramServices
Management And General46687ManagementAndGeneral

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionRepair and MaintenanceDescription
Total1776316Total
Program Services1296711ProgramServices
Management And General479605ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total23471028Total
Program Services17133850ProgramServices
Management And General6337178ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1623551BOY
EOY3098277EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
EOY165672EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1508644BOY
EOY952269EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY13641163BOY
EOY16898701EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY11095569BOY
EOY1468037EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY27868927BOY
EOY22582956EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY24347400BOY
EOY14612452EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY358418BOY
EOY3708275EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY24705818BOY
EOY18320727EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3163109BOY
EOY4262229EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3163109BOY
EOY4262229EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY27868927BOY
EOY22582956EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type2XSupportingOrg509a3Type2
Certification CheckboxXCertificationCheckbox
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1Rideout Mem HospitalBusinessNameLine1
FieldValueIRS element (for citing)
EIN941387866EIN
Type Of Organization3TypeOfOrganization
Listed In Governing Doc0ListedInGoverningDoc
Supported Organization Notified1SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (4 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
Investment in FRD Management LLC16505596F
Investment in Sierra HealthCare Center36483F
Investment in Fremont Rideout Int. Health Org.233092F
Capital Contrib Chic123530F
FieldValueIRS element (for citing)
Total Of Book Value Program Related16898701TotalOfBookValueProgramRelated

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionDue from AffiliatesDescription
Book Value1468037BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets1468037TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Due to affiliates$3,349,857
Investment in Drug Pharma Inc$358,418
FieldValueIRS element (for citing)
Total Of Amounts3708275TotalOfAmounts

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Written Policy Re T And E Expenses0WrittenPolicyReTAndEExpenses
Substantiation Required0SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
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)

Base 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
3535280005268880180200149000913336000
Kevin Woodward
24134400000115750135250266444000
Chance White
6014512208500001054601486608555712208500
Robert Plass
28861100000175710148900321072000
Tarun Ghosh
26753600000137380148660296140000
Janice Frank
2403510000013840011210255312000
Anthony Moddesette
23583100000150440148900265765000
Christopher Parker
17826100000115440181770207982000
Thomas Hayes
2840770000000160410300118000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
Part I, Line 1aTheresa Hamilton received tax gross up payments as part of a SERP during the year. The benefit was treated as taxable compensation on an amended Form W-2.
Part I, Line 4aKEVIN WOODWARD was paid a separation agreement payment during the year. The amount and terms of the agreement are subject to a confidentiality clause. Due to public inspection requirements of this Schedule, details have not been included, but are available upon request by the IRS. Part I, 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.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Lafayette Developers
partnership more than 5% owned by Mallard Huntley, director244800BUILDING LEASE TO FRHG0
Huntley-Sheehy Inc
entity more than 35% owned by Mallard Huntley, director1294727Insurance contract for the full Fremont-Rideout group of affiliated organizations.0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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, and the Board will approve of the returns before 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 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, Integrated Health Care Strategies, 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 VIITHERESA HAMILTON SPENDS A TOTAL AVERAGE OF 70 HOURS PER WEEK PERFORMING CEO SERVICES FOR THE FREMONT-RIDEOUT HEALTH GROUP AND AFFILIATES. Hours reflected on Form 990 part VII are for fremont-rideout health group only. KEVIN WOODWARD SPENDS A TOTAL AVERAGE OF 60 HOURS PER WEEK PERFORMING CFO SERVICES FOR THE FREMONT-RIDEOUT HEALTH GROUP AND AFFILIATES. Hours reflected on Form 990 part VII are for fremont-rideout health group only. THOMAS HAYES IS THE FORMER CEO OF FREMONT-RIDEOUT HEALTH GROUP AND AFFILIATES, AND is contractually obligated to provide services to the GROUP for an average of at least 8 HOURS PER WEEK.HOURS DEVOTED TO RELATED ORGANIZATIONS:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNA
Rideout Memorial Hospital
614 J StreetMarysvilleCA95901941387866Acute Care HospitalCA501(c)(3)Line 3N/A
United Com-Serve
614 J StreetMarysvilleCA95901943015356Skill Nursing/Assisted Living/Home HealthCA501(c)(3)Line 11b, IIN/A
FREMONT-RIDEOUT FOUNDATION
989 Plumas StreetYuba CityCA95991237366330SUPPORT FOR FRHG AND ITS AFFILIATESCA501(c)(3)Line 7N/A

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAPredominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
Sierra Health Care Center
PO Box 2128MarysvilleCA95901680040306DME SalesCAN/Aunrelated66181141898301
FRD Management LLC
PO Box 2128MarysvilleCA95901943335136Operation of cancer centerCAN/Arelated32931691647520500

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipShare Of Total IncomeShareOfTotalIncome
Drug Pharma Inc
614 J StreetMarysvilleCA95901941390716InvestmentCAN/AC1435491.00000
Fremont Rideout Integrated Health Org
614 J StreetMarysvilleCA95901680315394Promote community HealthCAN/AC2330921.000002557
Fremont-Rideout Management Services Organization Inc
989 Plumas StreetYuba CityCA95991942917251Management ServicesCAN/AS1.00000
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 Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
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 Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
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 (10 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
rideout memorial hospital
K20604072
united com-serve
K539832
Rideout memorial hospital
P141634807
United com-serve
P5538801
fremont-RIDEOUT FOUNDATION
P286000
Sierra Health Care Center
P1296390
FRD Management LLC
P967300
Rideout memorial hospital
K1941816
United com-serve
K300606
FREMONT-RIDEOUT FOUNDATION
Q81453