2024-05-13T19:49:22-04:00 2023-06-30 200079326 DINGUS ZARECOR & ASSOCIATES PLLC 12015 E MAIN AVE SPOKANE VALLEY WA 99206 990 2022-07-01 680008034 SURPRISE VALLEY HEALTH CARE DISTRICT SURP 5302796111 PO BOX 246 CEDARVILLE CA 96104 FRANCES HANNAH CEO 5302796111 2024-05-13 true HANNAH FRANCES 999009999 false THOMAS DINGUS P00951009 5092420874 2024-05-13 2022 2023-04-26 12:10:37Z FRANCES HANNAH PO BOX 246 CEDARVILLE CA 96104 9627859 false X WWW.SVHOSPITAL.ORG X 1987 CA TO PROVIDE SAFE, HIGH QUALITY CARE AND PROFESSIONAL EXCELLENCE TO ALL PEOPLE. 5 4 105 0 39829 1470459 9989152 8139576 2523 3362 647631 14462 10679135 9627859 0 0 4877732 6433937 0 0 3942196 4401093 8819928 10835030 1859207 -1207171 7837717 5402307 5739730 6755130 2097987 -1352823 X TO PROVIDE SAFE, HIGH QUALITY CARE AND PROFESSIONAL EXCELLENCE TO ALL PEOPLE REGARDLESS OF RACE, COLOR, CREED, GENDER, RELIGION, NATIONAL ORIGIN, AGE, MARITAL STATUS, POLITICAL AFFILIATION, MEDICAL CONDITION OR PHYSICAL OR MENTAL DISABILITY. false false 8733742 8139576 SURPRISE VALLEY HEALTH CARE DISTRICT (SVHCD) IS COMPRISED OF A 4-BED CRITICAL ACCESS HOSPITAL (CAH) WITH AN ATTACHED 22-BED LONG-TERM CARE UNIT AND RURAL HEALTH CLINIC SERVING A REMOTE, UNDERSERVED COMMUNITY OF APPROXIMATELY 1,500 PEOPLE WITH 24/7 EMERGENCY ROOM, AMBULANCE, AND GENERAL HEALTH CARE TO ALL CITIZENS OF THE AREA. THE SERVICES ARE DIRECTED TOWARD THE PHYSICAL, EMOTIONAL, AND SPIRITUAL WELL-BEING OF THOSE WE SERVE. THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY HEALTH CARE SERVICES, INCLUDING 7,742 SKILLED NURSING PATIENT DAYS, 348 EXTENDED CARE PATIENT DAYS, 1,944 EMERGENCY ROOM VISITS, AND 7,127 OUTPATIENT CLINIC VISITS DURING THE YEAR. 8733742 true true false true false false false false false false true false false false true true true false false false false false false false false false true true false false true false false false false false false true false false false false false false false false false false true 28 0 true 105 true false false false false false false false false false false false false X 5 4 false false false false false false false true true false false false true true true false true true true false CA X CORY RICKARD 5302796111 PO BOX 246 CEDARVILLE CA 96101 LOUIED LAGUNAY LAB MANAGER 40.00 X 234185 0 5642 ELIZABETH AKINYI RADIOLOGY MA 40.00 X 233191 0 8896 MELISSA CARTER REGISTERED N 40.00 X 204922 0 20407 FRANCES HANNAH CEO 40.00 X 172851 0 0 CORY RICKARD CFO 40.00 X 118684 0 13391 CHANDA PEDOTTI HR/ADMIN ASS 40.00 X 116769 0 7500 CHASE TAYLOR DIRECTOR OF 40.00 X 113804 0 15456 JOHN ERQUIAGA PRESIDENT 1.00 X X 0 0 0 BRUCE TOZIER VICE PRESIDE 1.00 X X 0 0 0 SUSIE BUNYARD SECRETARY 1.00 X X 0 0 0 RAY GORZELL TREASURER 1.00 X X 0 0 0 JEANNE GOLDMAN DIRECTOR 1.00 X 0 0 0 1194406 71292 7 false true false FUSION MEDICAL STAFFING PO BOX 30131 OMAHA NE 68103 STAFFING 201819 INFINITE CONSULTING SERVICES 30703 OMA ROAD VALLEY CENTER CA 92082 IT SERVICES 178250 NPH 1801 FOUNDATION LANE CHICO CA 95928 STAFFING 149469 CPSIHEALTHLAND PO BOX 850309 MOBILE AL 36685 EHR SUPPORT 123650 4 1451157 19302 1470459 NET PATIENT SERVICE REVENUE 621990 8139576 8139576 8139576 3362 3362 DIETARY 900099 9212 9212 MEDICAL RECORDS & OTHER 900099 3559 3559 REBATES & REFUNDS 900099 1691 1691 14462 9627859 8139576 17824 X 515308 515308 4615730 4148641 467089 465204 426164 39040 837695 675600 162095 65337 65337 29475 29475 2351408 2243660 107748 1542 1542 397668 365723 31945 103377 94881 8496 55513 32310 23203 25607 16764 8843 147478 1555 145923 210462 184996 25466 274313 99114 175199 MEDICAL SUPPLIES & DRUGS 318027 318027 REPAIR & MAINTENANCE 94589 88971 5618 DUES & SUBSCRIPTIONS 46845 17575 29270 279452 19761 259691 10835030 8733742 2101288 0 5670200 2155264 976841 857695 290224 99736 156036 34437 75703 5750243 4024224 1158450 1726019 17199 22220 7837717 5402307 2683884 2851503 864796 635532 2191050 3268095 5739730 6755130 X 2097987 -1352823 2097987 -1352823 7837717 5402307 -1207171 -2243639 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 2454 2454 false SCHEDULE C, PART II-B, LINE 1 SVHCD DOES NOT DIRECTLY PERFORM ANY LOBBYING ACTIVITIES. SVHCD PAYS DUES TO HOSPITAL COUNCIL OF NORTHERN AND CENTRAL CALIFORNIA, CALIFORNIA ASSOCIATION OF HEALTH FACILITIES, CALIFORNIA SPECIAL DISTRICTS ASSOCIATION, AND DISTRICT HOSPITAL LEADERSHIP FOUNDATION. THESE ORGANIZATIONS USE A PORTION OF SUCH DUES TO CARRY OUT LOBBYING ACTIVITIES. 57000 57000 2555540 2486276 69264 2576300 1537948 1038352 561403 561403 1726019 ESTIMATED THIRD-PARTY SETTLEMENTS 3268095 3268095 X 9627859 9627859 9627859 10835030 10835030 10835030 SCHEDULE D, PAGE 3, PART X SVHCD IS A PUBLIC ENTITY ORGANIZED UNDER LOCAL HOSPITAL DISTRICT LAW AS SET FORTH IN THE HEALTH AND SAFETY CODE OF THE STATE OF CALIFORNIA. SVHCD IS A POLITICAL SUBDIVISION OF THE STATE OF CALIFORNIA AND IS GENERALLY NOT SUBJECT TO STATE OR FEDERAL INCOME TAXES. true true true X true X true true true false false 4148003 3860349 287654 0.02650 4148003 3860349 287654 0.02650 4148003 3860349 287654 0.02650 true 330474 2686735 2946559 -259824 X true true 1 1 SURPRISE VALLEY HEALTH CARE DISTRICT PO BOX 246 CEDARVILLE CA 96104 HTTP://SVHOSPITAL.ORG/ 230000025 X X X X SURPRISE VALLEY HEALTH CARE DISTRICT 1 false false true X X X X X X X X X X 21 true false false true X HTTP://SVHOSPITAL.ORG/ X X true 21 true SEE PART V, SECTION C, LINE 7D false true X 200.000000000000 300.000000000000 X X true true X X X X X true X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X X true X false X X X X true X false true FACILITY 1, SURPRISE VALLEY HEALTH CARE - PART V, LINE 3E IDENTIFICATION AND PRIORITIZATION OF HEALTH NEEDS BEGIN ON PAGE 16 OF THE CHNA LOCATED ON SVHCD'S WEBSITE. FACILITY 1, SURPRISE VALLEY HEALTH CARE - PART V, LINE 5 A MEETING WAS HELD WITH MEMBERS OF THE COMMUNITY. PEOPLE REPRESENTING THE HEALTHCARE COMMUNITY AS WELL AS ALL DEMOGRAPHICS WERE INVITED TO ATTEND. THE FOCUS GROUP INCLUDED LARGE EMPLOYERS AS WELL AS MEMBERS OF SPECIAL INTEREST GROUPS FROM THE COMMUNITY. THIS ENABLED ALL DEMOGRAPHICS TO BE REPRESENTED. DISCUSSIONS TOOK PLACE TO REVIEW A TEMPLATE OF THE SURVEY TO BE DISTRIBUTED, AND SUGGESTIONS WERE MADE TO ENSURE THE SURVEY WOULD BE ACCEPTABLE TO ALL POTENTIAL RESPONDENTS. THE FOCUS GROUP RECOGNIZED THAT HEALTH CARE NEEDS MAY DIFFER BETWEEN GENDERS, ETHNICITY, SEXUAL PREFERENCE, AND AGE. SPECIAL CARE WAS TAKEN TO ENSURE ALL PEOPLE WOULD BE REPRESENTED IN THE RESULTS OF THE SURVEY. THOSE WHO WERE INVITED WERE PASSIONATE ABOUT HELPING THE HOSPITAL AND EXCITED TO CONTRIBUTE TO THE SURVEY. THE SURVEY WAS WRITTEN GO BEYOND THE CURRENT NATIONAL DATA THAT IS READILY AVAILABLE. SVHCD WANTED TO BE ABLE TO SPECIFICALLY LOOK AT THE RESULTS NEEDED TO MEET THE SERVICE NEEDS OF THE COMMUNITY. AFTER REVIEWING AND REVISING THE CHNA SURVEY, SVHCD SENT A LINK FOR THE SURVEY TO COMMUNITY MEMBERS WHO REPRESENTED THE POPULATION AT LARGE AND SPECIFIC DEMOGRAPHICS WITHIN THE COMMUNITY. THE REPRESENTATIVES THEN FORWARDED THAT LINK TO THEIR RESPECTIVE SOCIAL AND WORK CONNECTIONS IN ORDER TO ENSURE THAT POPULATION WAS APPROPRIATELY REPRESENTED IN THE RESPONSES TO THE SURVEY. ADDITIONAL LINKS TO THE SURVEY WERE ALSO PLACED ON THE HOSPITAL'S WEBSITE, FACEBOOK PAGE AND COMMUNITY GROUPS TO MAKE SURE THE COMMUNITY WOULD KNOW HOW TO ACCESS THE SURVEY. FINALLY, PAPER COPIES WERE PLACED IN THE POST OFFICE SINCE THAT IS THE PLACE WHERE MOST OF THE COMMUNITY GOES TO GET THE IMPORTANT UPDATES FOR THE COMMUNITY. WE ALSO ISSUED A MAILER TO ALL ADDRESSES IN THE COMMUNITY TO INCLUDE A SURVEY. AFTER GIVING THE COMMUNITY SEVERAL WEEKS TO RESPOND TO THE SURVEY, OUR SAMPLE SIZE INCLUDED ENOUGH PEOPLE TO ENSURE THAT THE POPULATION WAS REPRESENTED. THE RESPONSES WERE GATHERED AND ANALYZED TO BE PRESENTED TO THE SENIOR LEADERSHIP AND THEN TAKEN TO THE COMMUNITY TO ENSURE THE NEEDS OF THE POPULATION WERE MET. FACILITY 1, SURPRISE VALLEY HEALTH CARE - PART V, LINE 7D HTTPS://SITES.GOOGLE.COM/VIEW/SVHEALTHCAREDISTRICT/2021-22-COMMUNITY- HEALTH-NEEDS-ASSESSMENT-AND-STRATEGIC-PLAN FACILITY 1, SURPRISE VALLEY HEALTH CARE - PART V, LINE 11 SVHCD WAS NOT ABLE TO ADDRESS ALL HEALTH NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA DUE TO NOT CURRENTLY HAVING THE STAFF OR FINANCIAL RESOURCES TO DEVOTE TO THE NEED. SVHCD HAS BEEN WORKING WITH CYCLE OF BUSINESS SINCE THEIR FIRST CHNA IN 2013. THROUGHOUT THIS TIME, THEY HAVE UTILIZED AN OUTLINE TOOL FOR THE CREATION AND EXECUTION OF THEIR IMPLEMENTATION PLAN. THIS HAS ALLOWED THEM TO TRACK PROGRESS ON THE GOALS AND ACCOMPLISHMENTS THEY HAVE SET OUT TO COMPLETE. ONCE THE COMMUNITY HAD GIVEN ITS FEEDBACK ON THEIR NEEDS, SVHCD STAFF REVIEWED THE DATA AND INPUT FROM THE GROUP AND DECIDED ON 4 AREAS OF FOCUS FOR THE CURRENT CHNA AND IMPLEMENTATION PLAN. THEY INCLUDE RECRUITMENT FOR SPECIFIC HOSPITAL NEEDS,EXPANDING THE TELE-HEALTH PROGRAM, MARKETING, AND OUTREACH FOR SPECIFIC SERVICES, AND EXPLORING HOME HEALTH AND HOSPICE THROUGH THE HOSPITAL SYSTEM. RECRUITMENT THE FIRST GOAL OUTLINED BY THE STAFF AND THE COMMUNITY WAS TO "RECRUIT FOR SPECIFIC STAFFING NEEDS OF THE HOSPITAL". RURAL HOSPITALS TEND TO HAVE PROBLEMS RECRUITING STAFF ESPECIALLY NURSES. SVHCD IS NO DIFFERENT AND IS CURRENTLY IN NEED OF NURSES AND CNAS. THIS IS WHY THE FIRST AREA OF FOCUS FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS TO FIND CNAS AND NURSES TO FILL AREAS OF UNDERSTAFFING AT THE HOSPITAL. EXPAND TELE-HEALTH THE SECOND AREA SVHCD LOOKED TO ADDRESS WAS TO EXPAND THE TELE-HEALTH PROGRAM. TELE-HEALTH IS A WAY THAT RURAL HOSPITALS CAN PROVIDE SPECIALTIES THEY COULD NOT OTHERWISE AFFORD TO BRING IN. IT ALLOWS THEM TO ADDRESS A SPECIFIC NEED WHEN THE OVERALL POPULATION COULD NOT SUPPORT A SPECIALIST. DURING THE COVID-19 PANDEMIC OF 2020-2021, THE GENERAL POPULATION BEGAN TO SEE THE BENEFIT OF TELE-HEALTH. PRIOR TO THE PANDEMIC MANY PEOPLE WERE RETICENT TO TRY TELE-HEALTH, HOWEVER, DURING THE PANDEMIC WHEN HOSPITALS WERE RESTRICTING ACCESS, MANY PEOPLE BEGAN TO MEET WITH THEIR PHYSICIAN OVER SMARTPHONES AND TABLETS OPENING THE DOOR TO WIDESPREAD ACCEPTANCE OF TELE-HEALTH OPTIONS. TELE-PSYCH IS A COMMON TELE-HEALTH SERVICE AND A NEEDED SERVICE IN THE AREA. ESPECIALLY DUE TO THE ISOLATION PEOPLE FELT DURING THE PANDEMIC. SVHCD HAS DECIDED TO EXPAND THEIR TELE-HEALTH OFFERINGS TO INCLUDE TELE- PSYCH FOR YOUTH AND ADULTS TO HELP THEM ADDRESS AREAS SUCH AS DEPRESSION AND ANXIETY, FAMILY COUNSELING, AND SUBSTANCE ABUSE ISSUES. IN ORDER TO BETTER FACILITATE THE TELE-HEALTH PROGRAM, IT WAS DECIDED A TELE-HEALTH CARE COORDINATOR SHOULD BE ASSIGNED TO HELP FACILITATE THE APPOINTMENTS AND HELP THE LESS TECH SAVVY. MARKETING AND OUTREACH THE SURVEY MADE CLEAR SOME OF THE SERVICES SVHCD OFFERS, THE COMMUNITY DID NOT KNOW WERE PROVIDED BY THE HOSPITAL. PEOPLE WERE TRAVELING OUTSIDE OF THE AREA FOR SERVICES THEY COULD HAVE EASILY RECEIVED LOCALLY. THESE SERVICES INCLUDED LABORATORY WORK, SOME SPECIALTIES SERVICES AND IMAGING. WITH THE PURCHASE OF THE CT SCANNER, SVHCD WILL WANT TO PROMOTE THESE SERVICES TO RESIDENTS TO SAVE THEM TIME AND MONEY. ESPECIALLY DURING THE WINTER MONTHS WHEN TRAVEL TO OTHER HOSPITALS CAN BE DANGEROUS. THIS MARKETING CAMPAIGN WILL ALSO BE USED TO EDUCATE THE PUBLIC ON COMMON AILMENTS AS WELL AS CLEAR UP ANY MISINFORMATION IN THE COMMUNITY ABOUT THE HOSPITAL AND THE QUALITY OF SERVICES RECEIVED AT SVHCD. HOME HEALTH AND HOSPICE THE POPULATION OF CEDARVILLE IS GROWING DUE TO MORE PEOPLE BEING ABLE TO WORK REMOTELY. HOWEVER, THE AVERAGE AGE OF CEDARVILLE AND THE SURROUNDING AREAS IS RISING. AS THE POPULATION AGES THE NEED FOR SERVICES TO TREAT THE ELDERLY BECOME MORE IMPORTANT. ONE OF THE FINDINGS WITHIN THE SURVEY WAS THE DESIRE FOR THE COMMUNITY TO EXPAND THE ASSISTED LIVING OPTIONS IN THE COMMUNITY AND PROVIDE A HOME HEALTH AND HOSPICE SOLUTION. SVHCD ALREADY HAS DEDICATED MOST OF ITS BEDS TO ASSISTED LIVING, HOWEVER, THERE ARE COMMUNITY MEMBERS WHO WOULD LIKE TO SEE THIS EXPAND AND FOR MORE OPTIONS TO EXIST. HOME HEALTH AND HOSPICE IS ALREADY PROVIDED THROUGH IHSS, BUT IT MAY NEED TO BE PROMOTED TO THOSE IN NEED. THIS COULD BE DONE IN PARTNERSHIP WITH THE HOSPITAL. BY FOCUSING ON THESE 4 AREAS, SURPRISE VALLEY HEALTH CARE DISTRICT LOOKS TO MEET THE NEEDS OF THE COMMUNITY, THEY WILL BE TAKING A FISCALLY RESPONSIBLE APPROACH TO ENSURE THE HOSPITAL NEVER AGAIN FACES POTENTIAL CLOSURE. SVHCD IS TOO IMPORTANT TO THE COMMUNITY IT SERVES. BY TAKING CARE OF THE COMMUNITY, SVHCD HOPES TO REMAIN A VIABLE HEALTH CARE FACILITY FOR DECADES TO COME. SVHCD IS CONTINUALLY ASSESSING THE HEALTH NEEDS OF OUR COMMUNITY AND DECIDING HOW WE CAN BETTER SERVE OUR COMMUNITY BASED ON NEED. FACILITY 1, SURPRISE VALLEY HEALTH CARE - PART V, LINE 15E PATIENTS ARE REQUIRED TO PROVIDE FINANCIAL DATA SUCH AS APPLICATION, PROOF OF INCOME, BANK STATEMENTS, ETC. THE APPLICATIONS ARE REVIEWED AND EVALUATED FOR CHARITY CARE STATUS AND WRITTEN OFF WHEN APPROPRIATE. FACILITY 1, SURPRISE VALLEY HEALTH CARE - PART V, LINE 16J THE FINANCIAL ASSISTANCE POLICY IS ALSO VERBALLY DISCUSSED TO A PATIENT WHEN THEY CALL SVHCD OR SVHCD CALLS THEM FOR FOLLOW UP ON PAYMENT STATUS. THE LATEST FINANCIAL ASSISTANCE POLICY (FAP) IS AVAILABLE ON THE WEBSITE AS FOLLOWS: HTTPS://SITES.GOOGLE.COM/VIEW/SVHEALTHCAREDISTRICT/FINANCIAL-ASSISTANCE FACILITY 1, SURPRISE VALLEY HEALTH CARE - PART V, LINE 24 THE HOSPITAL CHARGES ALL OF ITS PATIENTS THE SAME RATES. IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, THE BILL IS ADJUSTED AS DETERMINED BY OUR CHARITY CARE POLICY GUIDELINES. 1 SURPRISE VALLEY RURAL HEALTH CLINIC 741 N MAIN STREET CEDARVILLE CA 96104 RURAL HEALTH CLINIC SCHEDULE H, PART II MODOC COUNTY IS DESIGNATED AS MEDICALLY UNDERSERVED AND HAS A SHORTAGE IN THE AREA OF HEALTH PROFESSIONALS. THE HOSPITAL IS CONTINUALLY RECRUITING PHYSICIANS AND OTHER HEALTH PROFESSIONALS TO ITS RURAL SERVICE AREA TO HELP IMPROVE ACCESS TO HEALTHCARE SERVICES AS IDENTIFIED IN ITS COMMUNITY HEALTH NEEDS ASSESSMENT. SCHEDULE H, PART III, LINE 3 SVHCD DID NOT TRACK THE AMOUNT OF BAD DEBT EXPENSE THAT COULD REASONABLY BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE CHARITY CARE POLICY BUT FOR WHOM SUFFICIENT INFORMATION WAS NOT OBTAINED TO MAKE DETERMINATION OF THEIR ELIGIBILITY DURING THE YEAR. SCHEDULE H, PART III, LINE 4 THE PATIENT ACCOUNTS RECEIVABLE FOOTNOTE OF THE AUDITED FINANCIAL STATEMENTS IS FOUND IN NOTE C, ON PAGE 15, OF THE AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, LINE 8 ANY SHORTFALL IS CONSIDERED A COMMUNITY BENEFIT. SVHCD'S MEDICARE COST REPORT WAS USED TO DETERMINE THE TOTAL REVENUE RECEIVED FROM MEDICARE AND THE MEDICARE ALLOWABLE COSTS OF CARE RELATING TO THE PAYMENTS. THE COSTING METHODOLOGY USED ON THE MEDICARE COST REPORT IS BASED ON CALCULATED COST TO CHARGE RATIOS. SCHEDULE H, PART III, LINE 9B EVERY REASONABLE EFFORT IS MADE TO DETERMINE THE PATIENT'S ABILITY TO PAY AND TO GIVE PATIENTS INFORMATION ABOUT OUR CHARITY CARE POLICIES. SCHEDULE H, PART VI, LINE 2 SVHCD ASSESSES THE HEALTH NEEDS OF THE COMMUNITY IT SERVES THROUGH PUBLIC MEETINGS, BOARD MEETINGS, PERFORMANCE IMPROVEMENT AND QUALITY ASSURANCE MEETINGS, AND ACUTE CARE PATIENTS QUESTIONNAIRES. WE ARE CONTINUALLY TAKING IN INFORMATION AND DECIDING HOW WE CAN BETTER SERVE OUR COMMUNITY BASED ON NEED. A COPY OF THE MOST RECENTLY ADOPTED COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY ARE AVAILABLE AT THE HOSPITAL UPON REQUEST OR CAN BE FOUND ON THE HOSPITAL'S WEBSITE AT THE FOLLOWING URL: HTTPS://SITES.GOOGLE.COM/VIEW/SVHEALTHCAREDISTRICT/2021-22-COMMUNITY- HEALTH-NEEDS-ASSESSMENT-AND-STRATEGIC-PLAN SCHEDULE H, PART VI, LINE 3 SVHCD PROVIDES PATIENT'S RIGHTS INFORMATION AND COLLECTS ADMISSIONS CRITERIA INFORMATION FROM PATIENTS TO ASSIST THE PATIENT IN UNDERSTANDING THEIR ELIGIBILITY OF ASSISTANCE. SCHEDULE H, PART VI, LINE 4 THE FACILITY SERVES A RURAL, REMOTE AREA CONSISTING OF UNDERSERVED, FARMING, RANCHING, BUREAU OF LAND MANAGEMENT, FOREST SERVICE, SMALL SCHOOLS, SMALL BUSINESSES, TOURIST TRADE, LOW INCOME, RETIRED AND SEMI- RETIRED RESIDENTS. THE POPULATION OF MODOC COUNTY IS HOVERING BETWEEN 8,506 AND 8,841. ONLY ABOUT 1,200 PEOPLE LIVE IN SVHCD'S PRIMARY SERVICE AREA. SCHEDULE H, PART VI, LINE 5 BOARD MEMBERS RESIDE IN THE PRIMARY SERVICE AREA RANGING FROM BUSINESS OWNERS TO HOMEMAKERS TO RETIREES REPRESENTING THE COMMUNITY IT SERVES. THIS ELECTED BOARD DEDICATES TIME TO ENSURING THEY UNDERSTAND THE HEALTH AND WELFARE NEEDS OF OUR COMMUNITY. MEDICAL STAFF PRIVILEGES AT THE HOSPITAL ARE OPEN TO ALL MEDICAL PROVIDERS WITH ACTIVE LICENSURE. WHILE THE CREDENTIALING PROCESS ENSURES PRACTITIONERS OF THE HIGHEST CALIBER ARE PRIVILEGED, PRACTITIONERS FROM NUMEROUS SPECIALTIES ARE ENCOURAGED TO MEET THE EVER EXPANDING HEALTHCARE NEEDS OF THE COMMUNITY. THE HOSPITAL CURRENTLY DOES NOT HAVE ANY SURPLUS FUNDS, HOWEVER ANY SURPLUS FUNDS ARE REINVESTED INTO THE FACILITY, EQUIPMENT, AND EMPLOYEE EDUCATION. WHEN ECONOMICALLY ABLE, THE HOSPITAL WILL HOLD HEALTH FAIRS WHERE FREE OR REDUCED PRICES ARE OFFERED. SCHEDULE H, PART VI, LINE 6 N/A SCHEDULE H, PART VI, LINE 7 CALIFORNIA X X X false false false false false false false false false LOUIED LAGUNAY LAB MANAGER 233685 500 5642 239827 ELIZABETH AKINYI RADIOLOGY MANAGER 232691 500 8896 242087 MELISSA CARTER REGISTERED NURSE 204422 500 20407 225329 FRANCES HANNAH CEO 172351 500 172851 KAYLA ERQUIAGA FAMILY RELATION 53954 EMPLOYMENT false FORM 990 - ORGANIZATION'S MISSION TO PROVIDE SAFE, HIGH QUALITY CARE AND PROFESSIONAL EXCELLENCE TO ALL PEOPLE REGARDLESS OF RACE, COLOR, CREED, GENDER, RELIGION, NATIONAL ORIGIN, AGE, MARITAL STATUS, POLITICAL AFFILIATION, MEDICAL CONDITION OR PHYSICAL OR MENTAL DISABILITY. FORM 990, PAGE 6, PART VI, LINE 11B A COPY OF THE 990 IS PROVIDED TO THE CFO AND CEO, WHO REVIEW THE FORM, SCHEDULES AND RELATED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER. ONCE THE MANAGEMENT IS SATISFIED WITH THE 990, THE CEO SIGNS THE FORM 8879-TE AUTHORIZING THE PREPARER TO E-FILE THE RETURN. FORM 990, PAGE 6, PART VI, LINE 12C THE BOARD OF DIRECTORS ARE REQUIRED TO READ AND SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY DISCLOSING ANY CONFLICTS OF INTEREST. IF A POTENTIAL CONFLICT ARISES, THAT BOARD MEMBER OBSTAINS FROM VOTING ON THE ISSUE. FORM 990, PAGE 6, PART VI, LINE 15A THE GOVERNING BOARD DETERMINES THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL USING VARIOUS COMPENSATION DATA FOR THE HEALTH CARE INDUSTRY. DECISIONS ARE MADE BY THOSE WITHOUT CONFLICT AND THE DECISIONS ARE DOCUMENTED. FORM 990, PAGE 6, PART VI, LINE 15B SEE PART VI, SECTION B, LINE 15A FORM 990, PAGE 6, PART VI, LINE 19 THE HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FINANCIAL STATEMENTS ARE ALSO PUT ON OUR WEBSITE. FORM 990, PART IX, LINE 11G OTHER FEES 2,243,660 107,748 0