2011-12-14T08:06:48-08:00 2011-01-31 TCA Partners LLP 1111 East Herndon Avenue Suite 211 Fresno CA 93720 990 2010-02-01 952082686 Ridgecrest Regional Hospital RIDG 7604463551 1081 North China Lake Blvd Ridgecrest CA 93555 Lois Johnson 2011-12-14 Inger Sullenger CPA 5594317708 X 2010 2016-02-24 21:20:13Z Lois Johnson 1081 North China Lake Blvd Ridgecrest CA 93555 69282933 false false X www.rrh.org X 1965 CA Ridgecrest Regional Hospital is a community-based organization that provides and promotes comprehensive quality healthcare for the people of the Southern Sierra Region. 9 9 536 142 0 524694 205840 61358729 67895094 246815 222043 213539 606645 62343777 68929622 0 0 29053958 30442273 0 0 29176199 35964306 58230157 66406579 4113620 2523043 134980813 140542177 81054791 84093112 53926022 56449065 Ridgecrest Regional Hospital is a community-based organization that provides and promotes comprehensive quality healthcare for the people of the Southern Sierra Region. false false 56047205 67895094 Ridgecrest regional hospital provides inpatient and outpatient care. Charity care is provided to qualified patients with minimum or no charge. Care accomplishments for the year are as follows:Number of visits 41,353Number of patients 2,881 Home Health visits 4,534Hospice Routine Care Days 2,040During October 2010, the Hospital opened a Rural Health Clinic. 56047205 true true false false false false false false false false true false false true true false true false false false false false false false false false true true false false true true true false false false false false false true true false false false false false false false false false false false true 123 0 true 536 true false false false false false false false false false false false 0 false false false false false false false false false false false X 9 9 true false false false true true true true true false false false true true true true true true true true false false X Lois Johnson 7604993040 1081 N China Lake Blvd Ridgecrest CA 93555 X William Ferguson MD 1.00 X 0 0 0 Sukhum Chaewchansilp 40.00 X 137431 0 24339 Stephen Redmond 1.00 X 0 0 0 Scott Davis 40.00 X 124117 0 31841 Sandra Gilliam 40.00 X 160603 0 27612 Sally Kennedy 0.00 X 124474 0 21282 Randy Ferguson 40.00 X 103347 0 12358 Peter Wolsiffer 51.00 X 120111 0 30131 Patricia Mullis 1.00 X 0 0 0 Michael Mower 1.00 X 0 0 0 Lois Johnson 40.00 X 125673 0 25283 Kathy Arzamendi 40.00 X 148822 0 31123 James Suver 40.00 X 272095 0 18344 Jalene S Martin 40.00 X 149743 0 17893 Harriet Luzinas-Smith 1.00 X 0 0 0 Dana Lyons 1.00 X 0 0 0 Cornelis Vanderhoek 1.00 X 5800 0 0 Cecile Biery 1.00 X 0 0 0 Cameron Bruce 1.00 X 0 0 0 Ann Kapernick 40.00 X 156116 0 1588 1628332 241794 32 false true false Trane US Inc 3600 Pammel Creek Rd La Cross WI 54601 Cooler & Heating Sys 869249 Sisk Enterprises 1932 Blackbird Inyokern CA 93527 Lic Bldg Contractor 584171 Quantum Plus Inc PO Box 634850 Cincinnati OH 45263 Contracted Physician 904718 McCarthy Building Companies Inc 20401 SW Birch St Ste 300 Newport Beach CA 92660 Bldg Construction 4825465 Cardinal Health Pharmacy Mgmt 21377 Network Place Chicago IL 60673 ContractedConsulting 593527 40 14932 190908 205840 Net Patient Service Rev 67895094 67895094 67895094 222043 222043 0 0 511082 353311 157771 157771 157771 0 0 0 0 Mmbr Svcs and Other 448874 448874 448874 68929622 67895094 828688 0 0 0 0 1070589 884842 185747 0 21989818 18174585 3815233 666205 550618 115587 5059982 4182075 877907 1655679 1368419 287260 662642 547674 114968 349025 288469 60556 74602 61659 12943 0 0 0 3668081 3031669 636412 0 323335 267236 56099 0 0 0 132253 109307 22946 0 145959 120635 25324 938736 775865 162871 0 3476258 2873127 603131 966875 799122 167753 Supplies 7769956 6421869 1348087 Purchased Services 4081997 3373771 708226 Provision for Bad Debts 6698366 6698366 Miscellaneous 1574193 1301071 273122 Contract Services 3612938 2986093 626845 1489090 1230733 258357 66406579 56047205 10359374 0 375000 2208274 15725157 13979366 0 8191878 7631573 0 0 0 1254073 1370766 872282 1347939 129666680 32438028 79627598 97228652 0 0 0 0 28934825 16775607 134980813 140542177 6732215 7362132 72215000 72215000 2107576 4515980 81054791 84093112 X 53926022 56449065 53926022 56449065 134980813 140542177 2523043 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 790834 790834 101763614 12704860 89058754 366784 270387 96397 24347088 19462781 4884307 2398360 2398360 97228652 Other Deferred Financing Fees 1430523 HUD proceeds held by trustee 15345084 16775607 Estimated Third Party Payor Settlements 4515980 4515980 68929622 66406579 2523043 2523043 68929622 68929622 68929622 66406579 66406579 66406579 true true X true X 300.000000000 true X true true true false false false 866337 866337 0.01300 3466212 1099293 2366919 0.03560 4332549 1099293 3233256 0.04860 34671 34671 0.00050 163638 163638 0.00250 198309 198309 0.00300 4530858 1099293 3431565 0.05160 2159 2159 5603 5603 0.00010 514070 514070 0.00770 521832 521832 0.00780 true 1759997 440000 11725865 11571870 153995 X true false 1 0 Ridgecrest Regional Hospital

1081 North China Lake Blvd Ridgecrest CA 93555

X X X Ridgecrest Regional Hospital 1 false true true 300.0000 true 300.0000 true X X X X X true true X X X X X X X true X X true X X X X true X false true 6 Ridgecrest Regional Hospital Outpatient Svcs

1011 N China Lake Blvd Ridgecrest CA 93555

Surgical Clinic Ridgecrest Regional Hospital Sleep Lab

1111 N China Lake Blvd Ridgecrest CA 93555

Sleep Study Lab Ridgecrest Regional Hospital Urgent Care

1111 N China Lake Blvd Ridgecrest CA 93555

Urgent Care Ridgecrest Regional Hospital Home Health

1652 Triangle Dr Ridgecrest CA 93555

Home Health Ridgecrest Regional Hospital Hospice

1653 Triangle Dr Ridgecrest CA 93555

Hospice Ridgecrest Regional Hospital Rural Health Clinic

1111 N China Lake Blvd Ridgecrest CA 93555

Rural Health Clinic Part V - Explanation of Number of Facility Type Ridgecrest Regional Hospital is committed to delivering quality healthcare to its patients. To that end, we offer the following services at these types of facilities: one Rural Health Clinic, one Hospice, one Home Health Agency, one Urgent Care, one Sleep Study Clinic, and one Surgical Clinic. Part VI - Affilated Health Care System Roles and Promotion N/A Part VI - Explanation Of How Organization Furthers Its Exempt Purpose The Hospital provides classes on controlling disease; provides low cost mamography screening; helps patients to apply for Medicaid, if eligible.During the year, the Hospital opened a rural health clinic. The Clinic provides reduced fee services to personal pay patients. The accepted charge is: $40 per visit to see a mid-level, and $65 to see a Medical Doctor. If the patient qualifies under the charity care program, care is provided to uninsured patients seen at the clinic at no cost including testing performed at the Hospital. Part VI - Community Building Activities Activities include, Community Collaboration thorugh Comm Health Improvement Advocay, Physican Recruitment to ensure basic care is available locally, Sponsor Annual Health Fair with free and low cost health screening, Collaborate with other emergency services on disaster and emergency preparedness. Part VI - Community Information Rural California desert community located in Kern County; more than 50 miles from next nearest hospital. Population approximately 28,000 . Approximately 6.5% of patients are uninsured. Part VI - Patient Education of Eligibility for Assistance Signs are posted in registration areas informing them of assistance with their bills and a phone number. All Self Pay patients are sent a packet of information regarding financial assistance programs, how to contact DHR and a financial application with instructions. Part VI - Needs Assessment RRH has several vehicles for community assessment including a community needs committee of the board of directors that will direct a formal needs assessment later this year. We have recently completed in 9/11, a community study about perceptions of healthcare service provided in our community. This survey was discussed with our board and community corporation members Number of Hospital Faciltiy - 0 Part V, Line 21 - Charge Patients Amount Equal Gross Charge for Services All hospital charges are billed at gross and adjusted based on regulatory or contractual discounts or financial aid criteria. Number of Hospital Faciltiy - 0 Part V, Line 19d - Other Billing Determination of Individuals Without Insurance Offers a discount if account is paid in full. Number of Hospital Faciltiy - 0 Part V, Line 13g - Other Means Hospital Facility Publicized the Policy Financial packets are sent to each self pay patient Number of Hospital Faciltiy - 0 Part V, Line 11h - Other Factors Used in Determing Amounts Charged Patients Discount if paid in full at time of service or shortly after visit. Part III, Line 9b - Provisions On Collection Practices For Qualified Patients Patients who fall under the collection practices receive a packet to fill out for possible charity care allowance. Part III, Line 8 - Explanation Of Shortfall As Community Benefit When applicable, all shortfall should be treated as community benefits as the cossts incurred within the organization.Costing methodology used is: Medicare Cost Method. Part III, Line 4 - Bad Debt Expense Patient A/R consists of amounts owed by various governmental agencies, insurance companies and private patients. The hospital manages its receivables by regularly reviewing the accounts, inquiring with respective payors as to collectibility and providing for allowances on their accounting records for estimated contractual adjustments and uncollectible accounts. Line 2 and 3 are calculated by applying Medicare Cost to Charg ratio to the expenses on the financial statement. No other bad debt amounts included in the community benefits. Part I, Line 7, Column F - Explanation of Bad Debt Expense Please refer to the response provided for Part III, line 4. Part I, Line 7 - Explanation of Costing Methodology Medicare Cost Method X X X X true false false false false false false false false false Sukhum Chaewchansilp 137431 4863 19476 161770 125966 Scott Davis 124117 5068 26773 155958 157329 Sandra Gilliam 160603 6576 21036 188215 179731 Peter Wolsiffer 118988 1123 3358 26773 150242 Lois Johnson 125673 5027 20256 150956 Kathy Arzamendi 147790 1032 4389 26734 179945 169296 James Suver 236095 36000 9427 8917 290439 231860 Jalene S Martin 149743 5155 12738 167636 164708 Ann Kapernick 21124 134992 845 743 157704 151050 Sch J, Part III, Additional Information Part III, Additional Information Schedule J, Part II: James Suver is the CEO of the Hospital. His total cash compensation fell between the 10th and 25th percentile of all Southern California hospital CEO's during 2010 according to: the Allied for Health Executive Compensation Report, sponsored by the California Hospital Association. CA Statewide Dvlpmt Authority FHA Insured Mortgage 130795MR5 2007-11-08 72215000 Hospital Construction false false 74226498 5400000 1298000 1618370 52169178 2010 false false false true false false false false false true false false false NA true FSA Capital Management Services LLC 3.0000 true true false Dr Earl Ferguson Brother Brd Chair 90000 Telemed Consulting Fees false Dr William Ferguson Board Chair 77231 Medical Office Rent false The chairman of the Board (Dr. William Ferguson) had a business relationship with the Hospital, in that he leased medical office space from the Hospital. The total amount of rent paid to the Hospital during fiscal year ended 1/31/11 was: $77,231. Since the Chairman paid the Hospital fair market lease rates for the office space, he is not deemed to have a loss of independence.A family member to the Chairman of the Board (Earl Ferguson) had a business relationship with the Hospital. The Hospital compensated him for $90,000 in Telemedicine program consulting fees during the fiscal year ended 1/31/11. Form 990, Part IX, Statement of Functional Expenses Program Services and Management expenses were allocated according to the Medicare Cost Report expense allocations. Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available All public documents are made available upon request. Form 990, Part VI, Line 15b Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees For the CEO, salary was determined by market standards using an outside consulting agency. For other officers, the HASC salary survey is used to comply with prohibition from direct solicitation of salary information due to anti-trust regulations. Form 990, Part VI, Line 12c Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts There is Annual Disclosure on Conflict of Interest Policy for directors, Officers, Medical Staff Officers, and Administrative Employees. Compliance with conflict of interest policy is monitored by the CEO. Form 990, Part VI, Line 11 Form 990, Part VI, Line 11: Form 990 Review Process A copy of the 990 was provided via e-mail to each Finance Committee Member. Form 990, Part VI, Line 7a Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body The duties of Corporate Members are as follows: a) Participate in the activities of the Corporation and protect its nonprofit independent status; attend annual and special meetings of the Corporate Membership and participate in the business of the corporation; b) Attend open meetings of the Board of Directors; c) Serve on committees at the request of the Board of Directors; d) Be available to serve as a member of the Board of Directors; e) Respect the legal and ethical issues of confidentiality relating to the Hospital. Form 990, Part VI, Line 6 Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder The Corporate Members have the right to elect the members of the Board of Directors. The Corporate Membership consists of the Emeritus Members as approved by the Board of Directors, and 50 persons, who must reside in the hospital service area, elected to membership by a vote of the Corporate Members. Employees of the hospital are not eligible for Corporate Membership. Form 990, Part VI, Line 2 Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et Please refer to Schedule L.