2011-11-14T17:50:38-06:00 2010-12-31 MOSS ADAMS LLP 3121 WEST MARCH LANE SUITE 100 STOCKTON CA 952192303 990 2010-01-01 770258013 CENTRAL CALIF FOUNDATION FOR HEALTH CENT 6617254800 1401 GARCES HWY DELANO CA 93215 BAHRAM GHAFFARI 6617215229 2011-11-11 1 TRACY S PAGLIA 2099556100 2010 2016-03-07 17:11:31Z WILLIAM NOBLE 881 ALMA REAL DR STE 301 PACIFIC PALISADES CA 90272 98365146 0 X N/A X 1990 CA TO PROVIDE HEALTHCARE TO THE DELANO, CA AND SURROUNDING AREAS IN BOTH A HOSPITAL AS WELL AS OUT PATIENT SERVICES 7 3 718 46 60325 0 31875 108294 65196980 75774893 1035134 1199380 471955 457800 66735944 77540367 0 0 0 0 31038039 34440622 0 0 0 32596607 36942568 63634646 71383190 3101298 6157177 100565148 104465645 56218540 54082829 44346608 50382816 X TO PROVIDE HEALTHCARE TO THE DELANO, CA AND SURROUNDING AREAS IN BOTH A HOSPITAL AS WELL AS OUT PATIENT SERVICES 0 0 56986721 0 75774893 CENTRAL CALIFORNIA FOUNDATION FOR HEALTH OPERATES DELANO REGIONAL MEDICAL CENTER (THE HOSPITAL).ON MAY 29, 1992 THE COMPANY ACQUIRED THE OPERATIONS OF THE HOSPITAL. THE HOSPITAL IS A 111-BED ACUTE CARE AND 45-BED SKILLED NURSING FACILITY IN DELANO, CALIFORNIA SERVING A PRIMARILY RURAL POPULATION OF APPROXIMATELY 80,000. THE HEALTH FACILITIES PROVIDE A FULL RANGE OF PRIMARY AND SECONDARY ACUTE CARE SERVICES, SUB ACUTE,SKILLED NURSING, AND COMPREHENSIVE EMERGENCY, OUTPATIENT AND AMBULATORY CARE SERVICES.TO MEET THE NEEDS OF THE RESIDENTS OF ITS SERVICE AREA, THE HOSPITAL HAS STEADILY EXPANDED ITS SERVICES OVER TIME SINCE IT WAS FIRST OPENED. THE HOSPITAL'S PRIMARY HEALTH FACILITY, DELANO REGIONAL MEDICAL CENTER, WAS ORIGINALLY CONSTRUCTED AS AN ACUTE CARE HOSPITAL. SINCE ITS OPENING, ADDITIONS TO THE HOSPITAL AND THE EXPANSION INTO OTHER FACILITIES IN THE SURROUNDING AREA HAVE INCLUDED A WOMEN'S CLINIC IN DOWNTOWN DELANO AND THE WASCO MEDICAL PLAZA IN WASCO, CA. 56986721 1 1 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 1 1 1 0 0 1 141 0 1 718 1 1 1 0 0 0 0 0 0 0 0 0 X 7 3 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 X KEN SNYDER 6617254800 1401 GARCES HWY DELANO CA 93215 WILLIAM NOBLE 20.00 X 245000 0 0 ROSEMARIE BANS 1.00 X 0 0 0 DILBAGH GEHLAWAT MD 1.00 X 46740 0 0 LYNOUS HALL MD 1.00 X 45875 0 0 BRIAN KOMOTO 1.00 X 0 0 0 SHERYL WIGGINS 1.00 X 6000 0 0 LYNDA HYLTON 1.00 X 0 0 0 BAHRAM GHAFFARI 40.00 X 567243 0 3412 TERRY MONRIAN 40.00 X 218043 0 3412 MEE YOUNG LEE 40.00 X 171040 0 3412 JENNIFER TELAN 40.00 X 165594 0 3412 ROGER OSWALD 40.00 X 167567 0 3412 KEVIN DO 40.00 X 161507 0 3412 1794609 0 20472 24 0 1 0 DELANO HEALTH ASSOCIATES 1401 GARCES HWY DELANO CA 93215 REGISTRY SERVICES 1212311 SUNG HYUN PO BOX 7096 STOCKTON CA 95267 ANESTHESIOLOGIST 707396 HEALTHCARE PERFORMANCE GROUP PO BOX 588 SPRINGHILL KS 66083 INFORMATION SYSTEM CONSULTANT 380404 DEBBIE DENNIS JOHNSON 8766 SUNSET AVE FAIR OAKS CA 95628 CLINIC PHYSICIAN 255097 OPTIMA HEALTHCARE 9229 SIERRA COLLEGE BLVD ROSEVILLE CA 95661 NURSE REGISTRY 245540 19 106610 1684 108294 MEDICARE/MEDICAL PMTS 621400 62013785 62013785 PATIENT SERVICES REV. 621400 13761108 13761108 75774893 1199380 1199380 104810 104810 104810 104810 20824779 20824779 0 0 CAFETERIA SALES 722100 252576 252576 MANAGEMENT FEES - DHA 561000 60325 60325 EDUCATION 611710 11920 11920 28169 28169 352990 77540367 75774893 60325 1596855 815655 815655 26225300 20563629 5661671 5309779 3413038 1896741 2089888 1583509 506379 260722 260722 110000 110000 4844307 3470453 1373854 7758943 6689751 1069192 584120 350472 233648 1086080 52749 1033331 64516 15345 49171 50647 9714 40933 2179573 2179573 5814266 5814266 779193 470954 308239 QUALITY ASSURANCE FEE S 6240507 6240507 PROVISION FOR BAD DEBT 5286739 5286739 REPAIRS AND MAINTENANCE 1181553 846022 335531 701402 701402 71383190 56986721 14396469 0 508655 506053 5200095 4413215 12939765 11075845 164581 840903 795451 585467 621792 94572803 42665615 52228804 51907188 26150908 30475205 118354 182572 1827616 4488324 100565148 104465645 4191171 4575948 354453 332184 50687080 48228200 7257 6228 978579 940269 56218540 54082829 X 44346608 50382816 44346608 50382816 100565148 104465645 X 6157177 -120969 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3639495 3639495 52901101 24703831 28197270 37358277 17722721 19635556 673930 239063 434867 51907188 ACCRUED BOND INTEREST 940269 940269 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE FOUNDATION ADOPTED THE PROVISIONS OF FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC) 740-10, INCOME TAXES, RELATING TO ACCOUNTING FOR UNCERTAIN TAX POSITIONS ON JANUARY 1, 2007, WHICH HAD NO FINANCIAL STATEMENT IMPACT TO THE FOUNDATION. THE FOUNDATION 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 THE 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. THE FOUNDATION RECOGNIZES INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS IN OTHER DIRECT EXPENSES. 1 1 1 X 1 X 1 0 1 1 1541 658477 658477 0.01000 23109142 14591904 8517238 0.12890 1541 23767619 14591904 9175715 0.13890 14 1237 39731 39731 0.00060 14 1237 39731 39731 0.00060 14 2778 23807350 14591904 9215446 0.13950 1 2046483 2000000 7002389 5283532 1718857 X 1 1 1 1 DELANO REGIONAL MEDICAL CENTER

1401 GARCES HWY DELANO CA 93215

X X X DELANO REGIONAL MEDICAL CENTER 1 PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 5286739. PART I, LINE 6: OUR COMMUNITY REPORT IS PUBLISHED AND DISTRIBUTED TO THE PUBLIC BY MAIL AND IS AVAILABLE FOR REVIEW AT OUR FACILITIES. A COPY IS ALSO SUBMITTED TO STATE AGENCIES THAT MAKES THE REPORT AVAILABLE TO THE PUBLIC. PART III, LINE 4: WE ARE A LOW INCOME AREA OF KERN COUNTY. MOST OF THE PATIENTS THAT DO NOT QUALIFY FOR GOVERNMENTAL ASSISTANCE ARE FARM WORKERS AND OTHER LOW INCOME PEOPLE. MANY TIMES THEY CANNOT BE FOLLOWED UP WITH TO GET MINIMAL DOCUMENTATION THAT WOULD INDICATE THEIR POVERTY OR BELOW POVERTY STATUS.COSTING METHODOLOGY: AVERAGE PERCENTAGE OF EXPENSE OF HOSPITAL AS A PERCENTAGE OF GROSS REVENUE.FOOTNOTES FROM AUDITED FINANCIAL STATEMENTS:CHARITY AND INDIGENT CARE - THE FOUNDATION PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY AND INDIGENT CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE FOUNDATION DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS NET PATIENT SERVICE REVENUES. CHARGES FOREGONE FOR CHARITY AND INDIGENT CARE APPROXIMATED $2,056,000 AND $2,327,000 IN 2010 AND 2009, RESPECTIVELY. PART III, LINE 8: DEPENDING ON UTILIZATION AND CMI AVERAGE OF THE PATIENTS WE MAY BE EITHER ABOVE OR BELOW COSTCOSTING METHODOLOGY: TOTAL COST AS A PERCENTAGE OF TOTAL NET REVENUE AND APPLY TOTAL COST TO THE NET REVENUE FOR MEDICARE. PART III, LINE 9B: ONCE A PATIENT IS IDENTIFIED AS A CHARITY CARE PATIENT ALL COLLECTION EFFORTS CEASE. PART VI, LINE 2: DELANO REGIONAL MEDICAL CENTER IS PART OF A CORE GROUP OF LOCAL HEALTHCARE AND COMMUNITY AGENCIES, THAT ASSESSES THE COMMUNITY NEEDS WE SERVE. THROUGH THE CREATION OF A WEB BASED INTERACTIVE NEEDS ASSESSMENT (WWW.HEALTHYKERN.ORG) NEEDS ARE ASSESSED THROUGH A CONSTANTLY UPDATED NEEDS ASSESSMENT WITH REPORTING AND TRACKING TOOLS. THIS WEB BASED ASSESSMENT PROVIDES A TOOL FOR COMMUNITY STRATEGIC PLANNING, BRINGS US TOGETHER WITH OTHER STAKEHOLDERS IN OUR COMMUNITY FOR PARTNERSHIP IN DETERMINING THE NEEDS AS WELL AS DEFINING BEST PRACTICES. PART VI, LINE 3: BY LETTER AND AT ADMISSION, WE INFORM PATIENTS ABOUT THE AVAILABILITY TO HELP APPLY FOR SPECIFIC GOVERNMENTAL PROGRAM ASSISTANCE AND THE PATIENTS' ABILITY TO APPLY FOR CHARITY CONSIDERATION. ALSO, POSTERS IN BOTH ENGLISH AND SPANISH ARE DISPLAYED IN THE ER, WAITING AREA, CLINICS AND HOSPITAL ADMISSION AREAS INFORMING OF THE AVAILABILITY OF THE HOSPITAL'S PROGRAM TO ASSIST THROUGH THE CHARITY OR SLIDING FEE SCALE FOR THEIR BILL. PART VI, LINE 4: THE HOSPITAL SERVES A CULTURALLY ABUNDANT AND DIVERSE POPULATION OF APPROXIMATELY 130,000 PEOPLE FROM THREE PRIMARY CULTURAL GROUPS: HISPANIC, FILIPINO AND CAUCASIAN. DRMC IS THE SOLE HOSPITAL PROVIDER WITHIN A 30 MILE RADIUS. OVER THE YEARS, THE HOSPITAL'S SERVICE AREA HAS BEEN FACED WITH MANY CHALLENGES. THESE INCLUDE HIGH RATES OF UNEMPLOYMENT, OBESITY, TEEN PREGNANCY, DIABETES, ASTHMA, POVERTY, SUBSTANCE ABUSE, LOW EDUCATIONAL ATTAINMENT, AND LIMITED ACCESS TO HEALTHCARE SERVICES. ALTHOUGH THESE ISSUES ARE NOT UNIQUE TO OUR SERVICE AREA, DATA SHOW THAT OUR COMMUNITIES ARE MUCH WORSE THAN THE AVERAGE COMMUNITY IN KERN COUNTY OR CALIFORNIA AS A WHOLE.THE FOLLOWING STATISTICS PRESENT A PICTURE OF THE COMMUNITIES WE SERVE.ETHNIC COMPOSITION: HISPANIC 68.47% WHITE 9.2% ASIAN/PACIFIC ISLANDER 15.9% BLACK 5.07% AMERICAN INDIAN 1.4%UNEMPLOYMENT RATE: OUR COMMUNITIES RANK #7 OUT OF THE 101 COMMUNITIES IN THE US FOR THE HIGHEST UNEMPLOYMENT RATE AT 35.2% (SEASONALLY ADJUSTED)ECONOMIC LEVELS: ACCORDING TO 2007 DATA, 28.2% OF OUR POPULATION FALL BELOW THE NATIONAL POVERTY LEVELS. THE CALIFORNIA STATE AVERAGE IS 14.2%EDUCATION: DESPITE GOOD API SCORES, 52% OF FAMILIES CONTINUE TO HAVE AN EDUCATION ATTAINMENT AND READING LEVEL AT THE THIRD GRADE LEVEL OR LOWER.PUBLIC ASSISTANCE: 285 OF FAMILIES RECEIVE AFDC AND 85% OF STUDENTS, DEPENDING ON SEASON, QUALIFY FOR FREE OR REDUCED PRICE LUNCHES AT SCHOOL.CULTURAL: OVER 20% OF FAMILIES ARE MIGRANT FARM WORKERS. 72% OF FAMILY ARE PRIMARILY SPANISH SPEAKING. PART VI, LINE 6: DRMC'S COMMITMENT TO THE COMMUNITIES EXTENDS TO THE EMPLOYMENT OF A FULL TIME PROMOTORA (COMMUNITY HEALTH WORKER) WORKING WITHIN THE COMMUNITIES WE SERVE, AS WELL AS IN THE FARM FIELDS, ASSISTING THE MEDICALLY UNDERSERVED. THROUGH THIS PROGRAM HEALTH SCREENINGS, HEALTHSERVICES, EDUCATION, BASIC NEEDS SERVICES AND AN EXTENSIVE REFERRAL PROGRAM, HAVE BEEN PROVIDED TO 3,388 PEOPLE IN 2009.IN ADDITION TO THE PROMOTORA OUTREACHES, THE HOSPITAL ALSO CONDUCTS SEVERAL FREE HEALTH SCREENINGS, IMMUNIZATION CLINICS, AND EDUCATIONAL PROGRAMS FOR THE COMMUNITIES ANNUALLY. DRMC SUPPORTS, SPONSORS AND PARTICIPATES IN THE ACTIVITIES OF OTHER LOCAL ORGANIZATIONS AND PROJECTS THAT FOCUS ON HELPING OUR RESIDENTS. WE WORK CLOSELY WITH COMMUNITY COLLABORATIVES AND OTHER HEALTH AGENCIES TO IDENTIFY AND ADDRESS THE SOCIAL AND HEALTH CARE NEEDS OF THE COMMUNITY WHICH INCLUDE SUCH ACTIVITIES AS FUNDING THE COMMUNITY SENIOR NUTRITION PROGRAM WHICH HELPS SERVE MEALS TO LOCAL SENIORS.SERVICE TO ASSIST THE COMMUNITY MEET THEIR NUTRITIONAL NEEDS EXHIBITS ITSELF IN PROVIDING LOCAL GARDENERS LAND TO GROW FRUITS AND VEGETABLES FOR THEIR FAMILIES AT NO COST. PART VI, LINE 7: N/A REPORTS FILED WITH STATES PART VI, LINE 7 CA X X X X 0 0 0 0 0 0 0 0 0 WILLIAM NOBLE 245000 0 0 0 0 0 0 0 0 0 245000 0 0 0 BAHRAM GHAFFARI 567243 0 0 0 0 0 0 0 3412 0 570655 0 0 0 TERRY MONRIAN 218043 0 0 0 0 0 0 0 3412 0 221455 0 0 0 MEE YOUNG LEE 171040 0 0 0 0 0 0 0 3412 0 174452 0 0 0 JENNIFER TELAN 165594 0 0 0 0 0 0 0 3412 0 169006 0 0 0 ROGER OSWALD 167567 0 0 0 0 0 0 0 3412 0 170979 0 0 0 KEVIN DO 161507 0 0 0 0 0 0 0 3412 0 164919 0 0 0 CITY OF DELANO 956000702 245584BG1 2006-03-16 15375000 FINANCE THE ACQUISITION OF HOSPITAL INFORMATION SYSTEM AND EQUIPMENT 0 0 0 15486119 1657449 307500 13717551 2009 0 0 1 1 0 0 0 0 0 0.00000 0.00000 0.00000 1 0 1 0 0 0 0 PART II LINE 3 TOTAL PROCEEDS OF ISSUE THE TOTAL INCLUDES CUMULATIVE INVESTMENT EARNINGS. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS WERE APPOINTED WHEN THE ORGANIZATION WAS FORMED. UPON DEATH OR RESIGNATION OF ONE OF THE MEMBER, REMAINING MEMBERS ELECT/APPOINT NEW MEMBER. MEMBERS ARE ELECTED FOR LIFE AND CANNOT BE REMOVED UNLESS THEY CHOSE TO RESIGN. MEMBERS HAVE THE RIGHT TO NAME MEMBERS OF THE GORVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B CHANGES TO BY-LAWS BY THE GOVERNING BODY MUST BE APPROVE BY THE MEMBERS AS WELL AS THE DECISION TO SELL THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11 BEFORE FILING, FORM 990 IS REVIEWED BY THE AUDITING FIRM, CFO AND CEO. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITOR AND ENFORCE COMPLIANCE THROUGH A COMPLIANCE OFFICER MONITORING SYSTEM. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION IS BASED ON AN ANNUAL SURVEY OF THE CALIFORNIA HOSPITAL ASSN, SURVEYING RECRUITMENT AGENCIES, LEGAL COUNSEL CONSULTATION, DISCUSSION WITH BOARD COMMITTEE AND FINAL BOARD APPROVAL. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR VIEWING AT THE ADMINISTRATION OFFICE DURING BUSINESS HOURS. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -120,969. DELANO HEALTH ASSOCIATES INC 1401 GARCES HWY DELANO CA 93215 770340007 TO PROVIDE HEALTH CARE AND HEALTH RELATED SERVICES. CA N/A C 1213375 308990 1.00000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 DELANO HEALTH ASSOCIATES INC O 1212311 FMV