2023-11-09T14:51:43-06:00 2022-12-31 390758449 WIPFLI LLP PO BOX 12237 GREEN BAY WI 543072237 990 2022-01-01 952082686 RIDGECREST REGIONAL HOSPITAL RIDG 7604463351 1081 N CHINA LAKE BLVD RIDGECREST CA 93555 JAMES SUVER CEO 7604463351 2023-11-09 1 JAMES SUVER 999009999 0 TERRI REXRODE CPA MST P00096513 9206620016 2023-11-07 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z JAMES SUVER 1081 N CHINA LAKE BLVD RIDGECREST CA 93555 146995687 0 X WWW.RRH.ORG X 1965 CA COMMUNITY-BASED ORGANIZATION THAT PROVIDES AND PROMOTES COMPREHENSIVE QUALITY HEALTHCARE FOR THE PEOPLE OF THE SOUTHERN SIERRA REGION. 11 11 1035 42 1305362 467062 679339 1664392 149392880 144066825 1632018 1245774 140596 -16452 151844833 146960539 0 0 0 0 64620338 69371487 0 0 0 85353221 89130113 149973559 158501600 1871274 -11541061 173816969 155656130 74339434 73501559 99477535 82154571 X TO BE A COMMUNITY-BASED ORGANIZATION THAT PROVIDES AND PROMOTES COMPREHENSIVE QUALITY HEALTHCARE FOR THE PEOPLE OF THE SOUTHERN SIERRA REGION. 1 1 102583400 0 142761463 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 72,709NUMBER OF PATIENT DAYS 7,012VISITING NURSE SERVICES VISITS 3,743HOSPICE ROUTINE CARE DAYS 1,496SNF RESIDENT DAYS 17,447RURAL HEALTH VISITS 55,807COMMUNITY CARE CLINIC VISITS 37,157 102583400 1 1 0 1 0 0 0 0 1 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 263 0 1035 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X DENNIS CRUISE 7604463351 1081 N CHINA LAKE BLVD RIDGECREST CA 93555 HEALTHY DESAI PHYSICIAN 40.00 X 670984 0 53136 JAMES SUVER CEO 50.00 4.00 X 647296 0 28224 KEVIN FLANAGAN PHYSICIAN 40.00 X 364162 0 36256 HOPE ZISSOS PHYSICIAN 40.00 X 302480 0 50569 HANI CHAABO PHYSICIAN 40.00 X 298601 0 26247 SALMAN ZIAEI PHYSICIAN 40.00 X 298369 0 12701 BARBARA BADERTSCHER COO 50.00 X 233630 0 429 DENNIS CRUISE CFO 50.00 X 188171 0 11062 LOIS JOHNSON INTERIM CFO (THRU MAY) 50.00 X 146484 0 0 KANNER TILLMAN CFO (THRU MARCH) 50.00 X 36645 0 3474 GEORGE HASLAM CHAIRPERSON 1.20 X X 0 0 0 DANA LYONS VICE CHAIR 1.20 X X 0 0 0 CHRIS ELLIS SECRETARY (THRU MAY) 1.20 X X 0 0 0 SHROOQ ABU-ISSA SECRETARY 1.20 X X 0 0 0 DON ZDEBA TREASURER (THRU MAY) 1.20 X X 0 0 0 MARGARET HANNON TREASURER 1.20 X X 0 0 0 MARTI HOPPUS DIRECTOR 1.20 X 0 0 0 WALTER MARTIN DIRECTOR 1.20 X 0 0 0 ANITA READ DIRECTOR 1.20 X 0 0 0 JIM RIZZARDINI DIRECTOR 1.20 X 0 0 0 PAIGE SORBO-NETZER DIRECTOR 1.20 X 0 0 0 JUDY THARP DIRECTOR 1.20 X 0 0 0 3186822 0 222098 165 0 1 0 PROLINK HEALTHCARE 4600 MONTGOMERY RD SUITE 300 CINCINATTI OH 45212 MEDICAL 5120265 REGIONAL ANESTHESIA ASSOCIATES 7370 N PALM STE 101 FRESNO CA 93711 MEDICAL 3004266 COMPHEALTH MEDICAL STAFFING INC PO BOX 972651 DALLAS TX 753972651 MEDICAL 1399491 HEALTHCOMP LLC 621 SANTA FE FRESNO CA 93721 BENEFITS ADMINISTRATION 1347865 A MILSTEIN ENTERPRISES LLC 636 BETH LANE RIDGECREST CA 93555 MEDICAL 1091159 103 2500 1565704 96188 15088 1664392 NET PATIENT SERVICE REV 621990 140607860 140607860 PHARMACY REVENUE 456110 1246102 1176055 70047 AMBULANCE S CORP 621910 1235315 1235315 OTHER SUPPORTING REVENUE 621910 977548 977548 144066825 716047 716047 16068 32520 -16452 -16452 -16452 532355 2628 529727 529727 529727 146960539 142761463 1305362 1229322 X 1295414 971561 323853 48171793 34773108 13398685 1059341 258866 800475 14552636 3645143 10907493 4292303 1079275 3213028 1366478 1080829 285649 137952 109114 28838 49745893 39347000 10398893 388904 136171 252733 2637777 590931 2046846 487792 341882 145910 2095647 2095638 9 7196704 7196704 1246855 673940 572915 MEDICAL SUPPLIES 15326795 13714640 1612155 REPAIR & MAINTENANCE 4067182 1998290 2068892 EQUIPMENT RENTAL 1033281 983972 49309 LICENSES AND TAXES 352973 50338 302635 3045880 732702 2313178 158501600 102583400 55918200 0 15274553 3474905 28986153 31334194 114238 95104 2602060 2496080 5370924 5002265 165944313 99054685 76927104 66889628 35309516 25406476 2343750 2083334 6888671 18874144 173816969 155656130 17277419 19037602 1202860 182 68639 67440 52691268 52058396 3099248 2337939 74339434 73501559 X 99477535 82154571 99477535 82154571 173816969 155656130 X -11541061 -4546588 -1235315 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 25828 25828 0 PART II-B, LINE 1: LOBBYING PORTION OF HOSPITAL ASSOCIATION DUES. 0 1 X 3584584 3584584 111664207 59626062 52038145 294632 165969 128663 46261747 39262654 6999093 4139143 4139143 66889628 PROGRESSIVE AMBULANCE INTERCOMPANY RECEIVABLE 9728693 OPERATING AND FINANCE LEASES NET 9145451 18874144 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 656607 REFUNDS PAYABLE 1681332 2337939 PART IV, LINE 2B: SKILLED NURSING FACILITY RESIDENT PRIVATE MONIES MAINTAINED AS A DRAWING ACCOUNT AS REQUIRED BY TITLE 22 OF THE CALIFORNIA CODE OF REGULATIONS. 1 1 X 1 X 1 X 1 1 1 0 1 1 342267 342267 0.00220 42135934 31370583 10765351 0.06790 42478201 31370583 11107618 0.07010 177772 80090 97682 0.00060 1999 1999 0.00000 11500 11500 0.00010 191271 80090 111181 0.00070 42669472 31450673 11218799 0.07080 12067 12067 0.00010 9649 9649 0.00010 867 867 0.00000 18223 18223 0.00010 279191 279191 0.00180 319997 319997 0.00210 1 5727021 42214139 41765018 449121 X 1 1 1 1 RIDGECREST REGIONAL HOSPITAL 1081 N CHINA LAKE BLVD RIDGECREST CA 93555 WWW.RRH.ORG 120000186 X X X X RIDGECREST REGIONAL HOSPITAL 1 0 0 1 X X X X X X X X X 22 1 0 0 1 X SEE SUPPLEMENTAL SECTION X 1 19 1 SEE SUPPLEMENTAL SECTION 0 1 X 200.000000000000 400.000000000000 X X X X 1 1 X X X X 1 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 1 X 0 X X X X 1 X 0 0 RIDGECREST REGIONAL HOSPITAL PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS GATHERED THROUGH AN ONLINE SURVEY WITH 619 COMMUNITY RESIDENTS OVER A PERIOD OF SEVEN WEEKS FROM IN JUNE TO JULY 2022. INTERVIEWS WERE CONDUCTED WITH 8 KEY COMMUNITY STAKEHOLDERS. INDIVIDUALS CONSULTED INCLUDED 2 MEMBERS OF COMMUNITY INSTITUTIONS WITH HIGH VISIBILITY AND INVESTMENT IN THE PUBLIC HEALTH OF THE RIDGECREST COMMUNITY AND 5 MEMBERS OF THE HOSPITAL LEADERSHIP OR MANAGEMENT TEAM. RIDGECREST REGIONAL HOSPITAL PART V, SECTION B, LINE 11: THE FOLLOWING NEEDS WERE IDENTIFIED IN THE 2022 CHNA AND WILL BE ADDRESSED THROUGH 2025:1) ACCESS TO HEALTH CARE2) MENTAL HEALTH3) HEALTH EDUCATION/WELLNESS/DISEASE PREVENTION4) SUBSTANCE USE OR ADDICTION5) SEXUAL HEALTH6) CHRONIC DISEASE7) ELDER/SENIOR CARETHE HOSPITAL BEGAN TO ADDRESS THE SEVEN SELECTED NEEDS DURING 2022 WITH THE FOLLOWING ACTIONS:1) ACCESS TO HEALTH CAREA. CONTINUED THE RECRUITMENT EFFORTS FOR PHYSICIANS AND ADVANCED PRACTICE PROVIDERS, INCLUDING PEDIATRICS, FAMILY MEDICINE, INTERNAL MEDICINE, AND OB/GYNB. CONTINUED ESTABLISHING PATIENT CENTERED MEDICAL HOME MODELS IN CLINICSC. PROMOTED ACCESS TO HEALTHCARE SERVICES THROUGH MARKETING AND ADVERTISING IN NEWSPAPERS, SOCIAL MEDIA, AND THE HOSPITAL WEBSITED. PROVIDED FINANCIAL ASSISTANCE THROUGH BOTH FREE AND DISCOUNTED CARE FOR HEALTHCARE SERVICES2) MENTAL HEALTHA. ESTABLISHED A PARTNERSHIP WITH THE LOCAL SCHOOL DISTRICT TO PROVIDE THERAPEUTIC DEVELOPMENTB. STARTED A BUILD OUT OF ADDITIONAL BUILDING SPACEC. ADDED AN MD TO THE MENTAL HEALTH PRACTICED. WELLNESS GROUP PROGRAMMING IS ONGOINGE. WORKING TO CREATE A RELATIONSHIP WITH RECOGNIZED UNIVERSITIES3) HEALTH EDUCATION, WELLNESS, AND DISEASE PREVENTIONA. MONTHLY WELLNESS ARTICLES WERE POSTED ON THE HOSPITAL WEBSITE AND IN NEWSPAPERS TO HIGHLIGHT THE BENEFITS OF WELL-BEING. THE ARTICLES FOCUS ON A VARIETY OF PREVENTATIVE AND WELLNESS TOPICS THAT HELP EMPOWER OTHERS TO MAKE THE CHANGES NEEDED TO FEEL THEIR BEST. B. PROVIDED A RESOURCE DIRECTORY IN ENGLISH AND SPANISH ON THE RRH WEBSITEC. CONTINUED TO WORK WITH LOCAL ORGANIZATIONS TO PROVIDE HEALTH AND WELLNESS EDUCATION AS NEEDED.D. OFFERED HEALTH COACHING SERVICES DURING THE YEAR WITH APPROXIMATELY 12 PARTICIPANTS4) SUBSTANCE ABUSE OR ADDICTIONA. ONGOING ADVERTISING CAMPAIGN TO RAISE AWARENESS OF SUBSTANCE ABUSE ISSUESB. RECEIVED $145,000 FROM THE CA BRIDGE PROGRAM GRANT AND USED IT TO FUND THE SUBSTANCE USE NAVIGATOR POSITION, TRAININGS, AND OUTREACH. C. STARTED WORKING ON A SEPARATE SUBOXONE CLINICD. PROVIDED ADDITIONAL TRAINING OF ED DOCTORS5) SEXUAL HEALTHA. PROVIDED INFORMATION AND RESOURCES FOR THE PUBLIC AND PROVIDERS AND THEIR STAFFB. EDUCATION OF PROVIDERS IS ONGOING6) CHRONIC DISEASE (SAME AS #3)A. MONTHLY WELLNESS ARTICLES WERE POSTED ON THE HOSPITAL WEBSITE AND IN NEWSPAPERS TO HIGHLIGHT THE BENEFITS OF WELL-BEING. THE ARTICLES FOCUS ON A VARIETY OF PREVENTATIVE AND WELLNESS TOPICS THAT HELP EMPOWER OTHERS TO MAKE THE CHANGES NEEDED TO FEEL THEIR BEST. B. PROVIDED A RESOURCE DIRECTORY IN ENGLISH AND SPANISH ON THE RRH WEBSITEC. CONTINUED TO WORK WITH LOCAL ORGANIZATIONS TO PROVIDE HEALTH AND WELLNESS EDUCATION AS NEEDED.D. OFFERED HEALTH COACHING SERVICES DURING THE YEAR WITH APPROXIMATELY 12 PARTICIPANTS7) ELDER/SENIOR CAREA. IMPLEMENTED A COMMUNICATION CAMPAIGN TO GET THE WORD OUT REGARDING RESOURCES AVAILABLE, INCLUDING VARIOUS SOCIAL MEDIA POSTS AND NEWSPAPER ARTICLES.B. SENIOR SERVICES STAFF PARTICIPATED IN THE BASE HEALTH FAIR, ALZHEIMER'S WALK, RRH HEALTH FAIR, WACOM, AND VETERANS STAND DOWN IN ADDITION TO PRESENTING AT THE SALVATION ARMY, HICAP, ROTARY CLUB, MEALS ON WHEELS, AND PARKINSON'S GROUP.C. UPDATED THE WEBSITE TO REFLECT THE AVAILABLE RESOURCES FOR SENIORSTHE FOLLOWING NEEDS WILL NOT BE ADDRESSED BECAUSE IT WAS DETERMINED THAT THE NEEDS WERE BEST SERVED BY OTHERS IN THE COMMUNITY WHO HAVE THE EXPERTISE, CAPACITY AND ADEQUATE RESOURCES:1) MATERNAL HEALTH2) ACUTE ILLNESS AND INJURY3) ENVIRONMENTAL CONDITIONS RIDGECREST REGIONAL HOSPITAL PART V, SECTION B, LINE 13H: UNINSURED, SELF-PAY PATIENTS WITH INCOMES AT OR BELOW 300% OF THE FEDERAL POVERTY LEVEL ARE OFFERED FREE CARE. INSURED PATIENTS WITH HIGH MEDICAL COSTS (ANNUAL EXPENSES EXCEED 10% OF INCOME) AND INCOMES AT OR BELOW 300% OF THE FEDERAL POVERTY LEVEL ARE ELIGIBLE FOR DISCOUNTED CARE. MONETARY ASSETS ARE CONSIDERED IN CONNECTION WITH ELIGIBILITY FOR CHARITY CARE, BUT NOT FOR DISCOUNTED CARE. RIDGECREST REGIONAL HOSPITAL PART V, SECTION B, LINE 16J: IN ADDITION TO FINANCIAL PACKETS BEING PROVIDED TO EACH SELF-PAY PATIENT, IT IS ALSO PROVIDED IN THE FOLLOWING METHODS: A WEBSITE REFERENCE TO THE POLICY, AN ONSITE FINANCIAL COUNSELOR MADE AVAILABLE TO PATIENTS, AND POSTING OF THE POLICY IN ALL PATIENT ACCESS AREAS. THE HOSPITAL ALSO POSTS A COMPREHENSIVE PRICING LIST AND TOP 25 PROCEDURES PRICING LIST ON THE WEBSITE: HTTPS://WWW.RRH.ORG/PATIENTS-VISITORS/BILLING/FINANCIAL-ASSISTANCE-PROGRAM-POLICY/ SCHEDULE H LINE 16A, 16B AND 16C (WEBSITES) LINE 16 A:HTTPS://WWW.RRH.ORG/IMAGES/FINANCIAL-ASSISTANCE-PROGRAM-POLICY-WEBSITE-2023.2).PDFLINE 16BHTTPS://WWW.RRH.ORG/IMAGES/FINANCIAL-ASSISTANCE-APPLICATION-COVER-LETTER-WEBSITE-VERSION.PDFHTTPS://WWW.RRH.ORG/IMAGES/ES_FINANCIAL-ASSISTANCE-APPLICATION-WEBSITE.PDFLINE 16CHTTPS://WWW.RRH.ORG/IMAGES/PLAIN-LANGUAGE-SUMMARY-OF-HOSPITAL-FINANCIAL-ASSISTANCE-POLICY-WEBSITE-POSTER-ENGLISH-2023.PDFHTTPS://WWW.RRH.ORG/IMAGES/ES_PLAIN-LANGUAGE-SUMMARY-OF-HOSPITAL-FINANCIAL-ASSISTANCE-POLICY-WEBS....PDF 21 1 - RIDGECREST REGIONAL HOSPITAL RURAL HEALT 1111 N CHINA LAKE BLVD RIDGECREST CA 93555 RURAL HEALTH CLINIC 2 - BELLA SERRA SKILLED NURSING FACILITY 1131 N CHINA LAKE BLVD RIDGECREST CA 93555 SKILLED NURSING FACILITY 3 - RRH CANCER CENTER 1011 N CHINA LAKE BLVD RIDGECREST CA 93555 CANCER CENTER 4 - CENTER PROFESSIONAL PHARMACY 1109 N CHINA LAKE BLVD RIDGECREST CA 93555 CENTER PROFESSIONAL PHARMACY 5 - SOUTHERN SIERRA MEDICAL CLINIC 105 E SYDNOR AVE RIDGECREST CA 93555 PRIMARY CARE CLINIC 6 - RIDGECREST REGIONAL HOSPITAL URGENT CARE 1111 N CHINA LAKE BLVD RIDGECREST CA 93555 URGENT CARE 7 - CHINA LAKE COMMUNITY HEALTH CLINIC 1041 N CHINA LAKE BLVD RIDGECREST CA 93555 COMMUNITY HEALTH CLINIC 8 - RIDGECREST REGIONAL HOSP VISITING NURSE 1653 N TRIANGLE DR RIDGECREST CA 93555 VISITING NURSE SERVICES 9 - RIDGECREST REGIONAL HOSPITAL OBSTETRICS 1011 N CHINA LAKE BLVD RIDGECREST CA 93555 OBGYN CLINIC 10 - SOUTHERN SIERRA SPECIALTY - DERMATOLOGY 105 E SYDNOR AVE RIDGECREST CA 93555 DERMATOLOGY CLINIC 11 - REHABILITATION SERVICES 540 PERDEW AVE RIDGECREST CA 93555 OCCUPATIONAL THERAPY 12 - RIDGECREST REGIONAL HOSP PAIN CLINIC 105 E SYDNOR AVE RIDGECREST CA 93555 PAIN CLINIC 13 - SSMC SPECIALTY CLINIC 105 E SYDNOR AVE RIDGECREST CA 93555 SPECIALTY CLINIC 14 - RIDGECREST REGIONAL HOSPITAL HOSPICE 1653 N TRIANGLE DR RIDGECREST CA 93555 HOSPICE 15 - RIDGECREST REGIONAL HOSPITAL PERSONAL CA 1653 N TRIANGLE DR RIDGECREST CA 93555 PERSONAL CARE SERVICE 16 - STEMMER CLINIC 900 HERITAGE DR SUITE A RIDGECREST CA 93555 STEMMER CLINIC 17 - RIDGECREST REGIONAL HOSP CHIRO CLINIC 840 N NORMA ST RIDGECREST CA 93555 CHIROPRACTIC CLINIC 18 - RIDGECREST REGIONAL HOSP OCCUP HEALTH 1111 N CHINA LAKE BLVD RIDGECREST CA 93555 OCCUPATIONAL HEALTH 19 - RIDGECREST REGIONAL HOSP SENIOR SERVICES 417 DRUMMOND AVE RIDGECREST CA 93555 SENIOR SERVICES 20 - TRONA RURAL HEALTH CLINIC 82820 TRONA RD TRONA CA 93562 RURAL HEALTH CLINIC 21 - AMBULATORY SURGER CENTER 1111 N CHINA LAKE BLVD-STE 220 RIDGECREST CA 93555 AMBULATORY SURGERY CENTER PART I, LINE 7: LINES 7A, 7B, 7G WERE CONVERTED TO COST BASED ON AN AVERAGE RATIO OF COSTS TO GROSS CHARGES ACCORDING TO COSTS ALLOCATED TO THE RELEVANT COST CENTERS ON THE MEDICARE COST REPORT.LINES 7E, 7F, AND 7I WERE BASED ON ACTUAL EXPENSES. PART II, COMMUNITY BUILDING ACTIVITIES: ACTIVITIES INCLUDE: PROVIDED FREE OFFICE SPACE FOR HEALTH AND ECONOMIC-DEVELOPMENT ORGANIZATIONS WITHIN THE COMMUNITY, COMMUNITY COLLABORATION THROUGH SUPPORT AND OTHER ADVOCACY GROUPS, PHYSICIAN RECRUITMENT TO ENSURE BASIC AND SPECIALTY CARE IS AVAILABLE LOCALLY, AND COLLABORATED WITH OTHER EMERGENCY SERVICES ON DISASTER AND EMERGENCY PREPAREDNESS. PART III, LINE 2: LINE 2 INCLUDES IMPLICIT PRICE CONCESSIONS. IMPLICIT PRICE CONCESSIONS IS ESTIMATED BASED ON ITS HISTORICAL COLLECTION EXPERIENCE WITH THIS CLASS OF PATIENTS AND RESIDENTS. PART III, LINE 3: THE ORGANIZATION ESTIMATES THAT ABOUT 25% OF THEIR FINANCIAL APPLICATIONS ARE NOT RETURNED TO THE HOSPITAL. THEREFORE, THE HOSPITAL IS ESTIMATING APPROXIMATELY 25% OF THE IMPLICIT PRICE CONCESSIONS WOULD BE CONSIDERED CHARITY CARE IF THEY WERE COMPLETED. PART III, LINE 4: FN 1, PG. 16: SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE. BAD DEBT EXPENSE FOR THE YEARS ENDED DECEMBER 31, 2022 AND 2021, WAS NOT SIGNIFICANT. PART III, LINE 8: ONE HUNDRED PERCENT OF ANY SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. A FACILITY MUST BE ABLE TO RECOVER ITS COSTS IN ORDER TO CONTINUE TO PROVIDE QUALITY CARE TO MEDICARE PATIENTS AND THE COMMUNITY AS A WHOLE. SERVICES ARE PROVIDED TO PATIENTS UNDER THE MEDICARE PROGRAM KNOWING THAT NOT ALL COSTS ASSOCIATED WITH PROVIDING THESE SERVICES WILL BE RECOVERED. PROVIDING THESE SERVICES IS ESSENTIAL TO THESE PATIENTS AND THE COMMUNITY AND INCREASE THEIR ACCESS TO HEALTHCARE SERVICES. THEREFORE, THE ENTIRE MEDICARE SHORTFALL IS CONSIDERED A COMMUNITY BENEFIT. MEDICARE ALLOWABLE COSTS OF CARE ARE BASED ON THE MEDICARE COST REPORT. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY CENTERS FOR MEDICARE AND MEDICAID SERVICES. PART III, LINE 9B: RRH WILL MAKE REASONABLE EFFORTS TO PROVIDE PATIENTS WITH INFORMATION ABOUT ITS FINANCIAL ASSISTANCE POLICY BEFORE IT OR ITS AGENCY REPRESENTATIVES TAKE EXTRAORDINARY ACTIONS TO COLLECT A PATIENT'S BILL. RRH SHALL NOT KNOWINGLY ASSIGN AN ACCOUNT TO A COLLECTION AGENCY IF THE PATIENT HAS A PENDING APPLICATION FOR A COUNTY, STATE, OR FEDERAL HEALTH ASSISTANCE PROGRAM. FOR A PATIENT WHO LACKS INSURANCE COVERAGE OR A PATIENT WHO PROVIDES INFORMATION THAT HE OR SHE MAY BE A PATIENT WITH HIGH MEDICAL COSTS, NEITHER RRH, NOR ANY ASSIGNEE OF THE HOSPITAL OR OTHER OWNER OF THE PATIENT DEBT, INCLUDING A COLLECTION AGENCY, SHALL REPORT ADVERSE INFORMATION TO A CREDIT REPORTING BUREAU OR ENGAGE IN EXTRAORDINARY DEBT COLLECTION ACTIVITIES AT ANY TIME PRIOR TO 150 DAYS AFTER THE FIRST BILLING, AND ONLY AFTER PROVIDING A THIRTY-DAY NOTICE OF THE EXTRAORDINARY DEBT COLLECTION ACTIVITIES THAT WILL BE COMMENCED. PART VI, LINE 2: IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT, RIDGECREST REGIONAL HOSPITAL USES PATIENT SATISFACTION SURVEYS TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITY, ALONG WITH CONDUCTING BLOOD DRAWS AT HEALTH FAIRS. PART VI, LINE 3: SIGNS ARE POSTED IN REGISTRATION AREAS INFORMING PATIENTS OF ASSISTANCE WITH THEIR BILLS AND INCLUDES CITING A PHONE NUMBER TO CALL FOR ASSISTANCE IN THIS AREA. SELF-PAY PATIENTS ARE SENT A PACKET OF INFORMATION REGARDING FINANCIAL ASSISTANCE PROGRAMS. PART VI, LINE 4: RURAL CALIFORNIA DESERT COMMUNITY LOCATED IN KERN COUNTY; MORE THAN 50 MILES FROM THE NEXT NEAREST HOSPITAL. THE POPULATION IS APPROXIMATELY 38,000 AND APPROXIMATELY 4% OF THAT POPULATION IS UNINSURED. PART VI, LINE 5: RIDGECREST REGIONAL HOSPITAL'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA. THE HOSPITAL APPLIES ANY SURPLUS FUNDS TO IMPROVE THE FACILITY AND EQUIPMENT TO IMPROVE PATIENT CARE. THE HOSPITAL ALSO EXTENDS MEDICAL STAFF PRIVILEGES TO OTHER QUALIFIED PHYSICIANS IN THE COMMUNITY.RIDGECREST REGIONAL HOSPITAL (RRH) OFFERS A VARIETY OF FREE OUTREACH CLASSES INCLUDING: 16 WEEKLY EXERCISE CLASSES TO SENIORS WITHIN THE COMMUNITY, FREE OF CHARGE. A SENIORS GROUP IS ALSO OFFERED TWICE A MONTH CATERED TO FINDING JOY AND HAPPINESS IN LIFE WHILE SOCIALIZING AND BUILDING SUPPORT SYSTEMS. RIDGECREST REGIONAL HOSPITAL ALSO OFFERS 4 ROCK STEADY BOXING EXERCISE CLASSES PER WEEK FOR THOSE WITH PARKINSON'S DISEASE, FREE OF CHARGE. RIDGECREST REGIONAL HOSPITAL OFFERS THE DIABETES EDUCATION EMPOWERMENT PROGRAM TM WORKSHOPS FOUR TIMES A YEAR AND A DIABETES GROCERY STORE TOUR IS ALSO OFFERED SEVERAL TIMES THROUGHOUT THE YEAR. THE FOLLOWING SUPPORT GROUPS ARE OFFERED FREE OF CHARGE TO THE COMMUNITY: GRIEF, CAREGIVER, ALZHEIMER'S CAREGIVER, CONGESTIVE HEART FAILURE AND DIABETES. THE WELLNESS RESOURCE CENTER PROVIDES FREE ACCESS TO INFORMATION ON HEALTH AND NUTRITION, INCLUDING VIDEOS AND BOOKS. IN ADDITION, THE WELLNESS RESOURCE CENTER PROVIDES NUTRITION PROGRAMS, COOKING CLASSES AND PRESENTATIONS TO SCHOOLS, CHURCHES, BUSINESSES, PARENTS, AND OTHER ORGANIZATIONS. A MONTHLY WELLNESS ARTICLE IS PUBLISHED IN THE LOCAL NEWSPAPERS TO HIGHLIGHT THE BENEFITS OF WELL-BEING.RRH PROVIDES A BROCHURE WITH INFORMATION FOR LOCAL MENTAL HEALTH SERVICES AND DISTRIBUTES THIS THROUGHOUT TOWN AND IS PROVIDED ON THE RRH WEBSITE. CONNECTED, A QUARTERLY PUBLICATION, FOCUSES ON RIDGECREST REGIONAL HOSPITAL'S SERVICES, ALONG WITH HEALTH TIPS AND INFORMATION AND PERIODIC PODCASTS FROM PROVIDERS ARE OFFERED FOR FREE TO THE COMMUNITY. RRH ALSO HAD SEVERAL EMPLOYEES VOLUNTEER AT THE LOCAL SALVATION ARMY IN PREPARING MEALS, SERVING MEALS AND BEING BELL RINGERS. PART VI, LINE 6: N/A X X X 0 0 0 0 0 0 0 0 0 HEALTHY DESAI PHYSICIAN 571244 0 99200 0 540 0 18330 0 34806 0 724120 0 0 0 JAMES SUVER CEO 373988 0 250743 0 22565 0 15041 0 13183 0 675520 0 0 0 KEVIN FLANAGAN PHYSICIAN 293265 0 69250 0 1647 0 5713 0 30543 0 400418 0 0 0 HOPE ZISSOS PHYSICIAN 265072 0 36251 0 1157 0 11472 0 39097 0 353049 0 0 0 HANI CHAABO PHYSICIAN 256863 0 21531 0 20207 0 481 0 25766 0 324848 0 0 0 SALMAN ZIAEI PHYSICIAN 293460 0 4644 0 265 0 0 0 12701 0 311070 0 0 0 BARBARA BADERTSCHER COO 231728 0 0 0 1902 0 0 0 429 0 234059 0 0 0 DENNIS CRUISE CFO 145038 0 25000 0 18133 0 0 0 11062 0 199233 0 0 0 FORM 990, PART III, LINE 2 CHINA LAKE COMMUNITY HEALTH CLINIC WAS ESTABLISHED AS A RURAL HEALTH CLINIC IN THE THIRD QUARTER OF 2022 AND INCLUDES THE FOLLOWING CLINICS, WHICH PREVIOUSLY EXISTED: ORTHO, SURGERY, INTERNAL MEDICINE, GASTRO, AND PODIATRY. THE HOSPITAL OPENED AN AMBULATORY SURGERY CENTER IN LATE 2022. FORM 990, PART III, LINE 3 THE CANCER CENTER WAS CLOSED IN OCTOBER 2022; HOWEVER, CARE COORDINATION EFFORTS HAVE CONTINUED FOR THE AFFECTED PATIENTS. FORM 990, PART VI, SECTION A, LINE 6 THERE IS ONE CLASS OF MEMBERS, CORPORATE MEMBERS AND AN HONORARY NONVOTING GROUP OF INDIVIDUALS CALLED EMERITUS MEMBERS WHO ARE APPOINTED BY THE BOARD OF DIRECTORS AND HAVE LIMITED RIGHTS. CORPORATE MEMBERSHIP IS LIMITED TO THIRTY (30) PERSONS, WHO MUST RESIDE IN THE HOSPITAL SERVICE AREA (AS SUCH SERVICE AREA IS DETERMINED BY THE BOARD OF DIRECTORS WHO ARE ELECTED TO MEMBERSHIP BY A VOTE OF THE CORPORATE MEMBERS PRESENT OR REPRESENTED AT A MEETING OF CORPORATE MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A THE CORPORATE MEMBERS HAVE THE RIGHT TO ELECT THE MEMBERS OF THE BOARD OF DIRECTORS FORM 990, PART VI, SECTION A, LINE 7B UNDER THE BYLAWS, THE CORPORATE MEMBERS HAVE THE RIGHT TO: ELECT THE MEMBERS OF THE BOARD OF DIRECTORS; FILL A VACANCY ON THE BOARD OF DIRECTORS; AND RATIFY THE BYLAWS THAT HAVE BEEN APPROVED BY THE BOARD OF DIRECTORS. IN ADDITION, MEMBERS HAVE CERTAIN RIGHTS GRANTED PURSUANT TO THE CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION ACT INCLUDING THE RIGHT TO: REMOVE A DIRECTOR; APPROVE MOST AMENDMENTS TO THE ARTICLES OF INCORPORATION; APPROVE A SALE OF ASSETS NOT IN THE USUAL AND REGULAR COURSE OF ITS BUSINESS; MERGE WITH ANOTHER ENTITY; AND DISSOLVE. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS VIA ELECTRONIC DISTRIBUTION PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THERE IS ANNUAL DISCLOSURE ON CONFLICT OF INTEREST POLICY FOR DIRECTORS, OFFICERS, MEDICAL STAFF OFFICERS, AND ADMINISTRATIVE EMPLOYEES, AND CORPORATE MEMBERS. COMPLIANCE WITH CONFLICT OF INTEREST POLICY IS MONITORED BY THE CEO. ANY NOTED CONFLICTS ARE REVIEWED AND DISCUSSED BY THE BOARD OF DIRECTORS. THE INDIVIDUAL WITH THE POTENTIAL CONFLICT MUST ABSTAIN FROM THE DISCUSSION AND VOTE ON THE POTENTIAL CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR THE CEO WAS DETERMINED BY A COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS USING COMPENSATION COMPARISON PROVIDED BY HASC. 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, SECTION C, LINE 19 ALL PUBLIC DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G CONSULTING AND PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 39,347,000. MANAGEMENT AND GENERAL EXPENSES 10,398,893. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 49,745,893. FORM 990, PART XI, LINE 9: BOOK TO TAX DIFFERENCE IN S CORP INVESTMENT -1,235,315. RIDGECREST REGIONAL HOSPITAL FOUNDATION 1081 N CHINA LAKE BLVD RIDGECREST CA 93555 464181603 RAISING HOSPITAL CAPITAL EQUIPMENT FUNDS CA 501(C)(3) LINE 7 RIDGECREST REGIONAL HOSPITAL 1 PROGRESSIVE AMBULANCE INC 1325 W RIDGECREST BLVD RIDGECREST CA 93555 330736730 AMBULANCE SERVICE CA RIDGECREST REGIONAL HOSPITAL S 1235315 9310743 1.00000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 PROGRESSIVE AMBULANCE INC Q 2840022 CHANGE IN DUE FROM ACCOUNT RIDGECREST REGIONAL HOSPITAL FOUNDATION C 2500 CASH