2022-11-15T11:34:38-06:00 2021-12-31 390758449 WIPFLI LLP PO BOX 12237 GREEN BAY WI 543072237 990 2021-01-01 952082686 RIDGECREST REGIONAL HOSPITAL RIDG 7604463351 1081 N CHINA LAKE BLVD RIDGECREST CA 93555 JAMES SUVER CEO 7604463351 2022-11-15 1 JAMES SUVER 999009999 TERRI REXRODE CPA MST P00096513 9206620016 2022-11-14 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z JAMES SUVER 1081 N CHINA LAKE BLVD RIDGECREST CA 93555 151913789 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 1066 40 58492 9918 8372631 679339 139031709 149392880 686283 1632018 188749 140596 148279372 151844833 0 0 0 0 57498990 64620338 0 0 0 81592041 85353221 139091031 149973559 9188341 1871274 169269343 173816969 70920002 74339434 98349341 99477535 X TO BE A COMMUNITY-BASED ORGANIZATION THAT PROVIDES AND PROMOTES COMPREHENSIVE QUALITY HEALTHCARE FOR THE PEOPLE OF THE SOUTHERN SIERRA REGION. 1 0 97321307 0 149334388 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 72,147NUMBER OF PATIENT DAYS 7,368HOME HEALTH VISITS 2,213HOSPICE ROUTINE CARE DAYS 1,939SNF RESIDENT DAYS 20,635RURAL HEALTH VISITS 56,772COMMUNITY CARE CLINIC VISITS 33,693 97321307 1 1 0 1 0 0 0 0 1 0 1 0 0 0 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 1 0 0 0 0 1 1 0 0 0 1 302 0 1066 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 662897 0 46400 JAMES SUVER CEO 50.00 4.00 X 569160 0 23740 HOPE ZISSOS PHYSICIAN 40.00 X 294683 0 52618 HANI CHAABO PHYSICIAN 40.00 X 302432 0 22218 LUIGI CENDANA PHYSICIAN 40.00 X 298748 0 22638 SALMAN ZIAEI PHYSICIAN 40.00 X 291324 0 11658 BARBARA BADERTSCHER COO 50.00 X 285090 0 0 KANNER TILLMAN CFO 50.00 X 238840 0 26830 LAWRENCE COSNER MD DIRECTOR (THRU MAY)/PHYSICIAN 40.00 X 91506 0 30730 CORNELIS VANDERHOEK MD DIRECTOR/PHYSICIAN 40.00 X 49400 0 0 GEORGE HASLAM CHAIRPERSON 1.20 X X 0 0 0 DANA LYONS VICE CHAIR 1.20 X X 0 0 0 CHRIS ELLIS SECRETARY 1.20 X X 0 0 0 DAVE GOPPELT SECRETARY (THRU MAY) 1.20 X X 0 0 0 DON ZDEBA TREASURER 1.20 X X 0 0 0 SHROOQ ABU-ISSA DIRECTOR 1.20 X 0 0 0 MARGARET HANNON 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 3084080 0 236832 139 1 1 0 REGIONAL ANESTHESIA ASSOCIATES 7370 N PALM STE 101 FRESNO CA 93711 MEDICAL 2609419 HEALTHCOMP LLC 621 SANTA FE FRESNO CA 93721 BENEFITS ADMINISTRATION 1302670 GHASSAN A MOHSEN 1017 MEADOWVIEW LN RIDGECREST CA 935553175 MEDICAL 1094762 COMPHEALTH MEDICAL STAFFING INC PO BOX 972651 DALLAS TX 753972651 MEDICAL 1030855 TRIAGE LLC 12020 PACIFIC STREET OMAHA NE 68154 MEDICAL 997316 110 129000 382021 168318 92568 679339 NET PATIENT SERVICE REV 146758537 146758537 PHARMACY REVENUE 446110 1838036 1839643 -1607 OTHER SUPPORTING REVENUE 621910 736208 736208 AMBULANCE S CORP 60099 60099 149392880 1632925 1632925 163390 22794 140596 140596 140596 45255 46162 -907 -907 -907 151844833 149334388 58492 1772614 X 1315296 986472 328824 50282711 28842925 21439786 1101765 834178 267587 8028486 6371257 1657229 3892080 3472988 419092 1216441 1996 1214445 445292 362949 82343 43909830 36346969 7562861 6031447 4584621 1446826 2466081 699220 1766861 496880 332407 164473 2216802 2216802 6832254 6832254 1973670 736808 1236862 MEDICAL SUPPLIES 13112908 8083752 5029156 REPAIR & MAINTENANCE 4125746 2048572 2077174 EQUIPMENT RENTAL 1062574 509986 552588 RECRUITING 993746 718172 275574 469550 171233 298317 149973559 97321307 52652252 0 15544540 15274553 23769723 28986153 71116 114238 2553110 2602060 4260145 5370924 175259402 98332298 76507779 76927104 37291692 35309516 -464668 0 2604167 2343750 7131739 6888671 169269343 173816969 17991107 17277419 631898 1202860 45425 68639 50951842 52691268 1299730 3099248 70920002 74339434 X 98349341 99477535 98349341 99477535 169269343 173816969 X 1871274 -1147649 404569 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 5212 5212 0 PART II-B, LINE 1: LOBBYING PORTION OF HOSPITAL ASSOCIATION DUES. 0 1 X 3584369 3584369 123502180 56076770 67425410 294632 142469 152163 44220529 42113059 2107470 3657692 3657692 76927104 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 1730292 REFUNDS PAYABLE 1368956 3099248 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 300.000000000000 1 X 1 1 0 1 1 470825 470825 0.00310 39876528 27852870 12023658 0.08020 40347353 27852870 12494483 0.08330 210629 96422 114207 0.00080 300 300 0.00000 210929 96422 114507 0.00080 40558282 27949292 12608990 0.08410 45966 45966 0.00030 12911 12911 0.00010 11301 11301 0.00010 207144 207144 0.00140 277322 277322 0.00190 1 4272101 37937829 37896363 41466 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 19 1 0 0 1 X SEE SUPPLEMENTAL SECTION X 1 19 1 SEE SUPPLEMENTAL SECTION 0 1 X 300.000000000000 300.000000000000 X X X X 1 1 X X X X 1 X HTTPS://WWW.RRH.ORG/DOCUMENTS/11070-FINANCIAL-ASSISTANCE-PROGRAM-POLICY.1)- X HTTPS://WWW.RRH.ORG/DOCUMENTS/FINANCIAL-ASSISTANCE-APPLICATION.PDF X HTTPS://WWW.RRH.ORG/DOCUMENTS/FINANCIAL-ASSISTANCE-PLAIN-LANGUAGE-SUMMARY.P 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 46 COMMUNITY RESIDENTS IN JULY TO OCTOBER 2019. INTERVIEWS WERE CONDUCTED WITH 13 KEY COMMUNITY STAKEHOLDERS VIA PHONE IN SEPTEMBER AND OCTOBER 2019. INDIVIDUALS CONSULTED INCLUDED 2 PHYSICIANS, A KERN COUNTY PUBLIC HEALTH NURSE, OTHER HEALTHCARE PROFESSIONALS, A DIRECTOR OF COMMUNITY OUTREACH, AND OTHER COMMUNITY LEADERS FROM THE LOCAL MUSEUM, COMMUNITY COLLEGE, SCHOOL DISTRICT, AND LIBRARY. RIDGECREST REGIONAL HOSPITAL PART V, SECTION B, LINE 11: THE FOLLOWING NEEDS WERE IDENTIFIED IN THE 2019 CHNA AND WILL BE ADDRESSED:1) ACCESS TO HEALTH CARE2) CHRONIC DISEASES AND PREVENTIVE PRACTICES3) MENTAL HEALTH4) OVERWEIGHT AND OBESITY5) SUBSTANCE ABUSE AND MISUSETHE HOSPITAL ADDRESSED THE FIVE SELECTED NEEDS DURING 2020-21 WITH THE FOLLOWING ACTIONS:1) CONTINUED TO PROVIDE FINANCIAL ASSISTANCE TO QUALIFYING PATIENTS; PARTNERED WITH A PATIENT FINANCIAL ENGAGEMENT COMPANY TO PROVIDE FLEXIBLE PAYMENT OPTIONS FOR HOSPITAL PATIENTS; EXPANDED TELEHEALTH SERVICES TO CLINICS; OFFERED TEXT APPOINTMENT SCHEDULING OPTION FOR PATIENTS; PARTNERED WITH USC KECK TO PROVIDE NEPHROLOGY SERVICES AND INPATIENT DIALYSIS TREATMENTS;2) CONTINUED TO PROVIDE IN-PERSON AND VIRTUAL SUPPORT GROUPS FOR DIABETES, CONGESTIVE HEART FAILURE, CANCER, AND OTHERS; OFFERED CPR AND FIRST AID CLASSES; PROVIDED PREVENTIVE HEALTH SCREENINGS AT THE ANNUAL WELLNESS DAY; CREATED AND SHARED ARTICLES, PODCASTS AND VIRTUAL WELLNESS VIDEOS FEATURING PROVIDERS AND OTHER HEALTH CARE PROFESSIONALS TO EDUCATE THE PUBLIC ON A VARIETY OF HEALTH TOPICS;3) OFFERED TELE-PSYCH SERVICES; DISTRIBUTED BROCHURES WITH INFORMATION FOR LOCAL MENTAL HEALTH SERVICES AVAILABLE IN THE AREA.4) HOSTED IN-PERSON AND VIRTUAL FITNESS CLASSES FOR SENIORS, INCLUDING SILVER SNEAKERS AND GENTLE CHAIR YOGA; PROVIDED EXERCISE AND NUTRITION INFORMATION AT THE ANNUAL WELLNESS DAY AND THE VIRTUAL HEALTH FAIR; THE WELLNESS RESOURCE CENTER PROVIDED FREE ACCESS TO INFORMATION ON HEALTH AND NUTRITION THROUGH NUTRITION PROGRAMS, COOKING CLASSES, AND OTHER PRESENTATIONS TO THE COMMUNITY.5) PARTNERED WITH A THIRD PARTY BEHAVIORAL AND ADDICTION TREATMENT CENTER TO PROVIDE NECESSARY EDUCATION TO PROVIDERS CARING FOR OPIOID PATIENTS; RECRUITED A SUBSTANCE ABUSE COUNSELORTHE FOLLOWING NEEDS WERE IDENTIFIED, BUT DUE TO LIMITED RESOURCES AND PRIORITIZATION OF NEEDS, THEY WILL NOT BE ADDRESSED:1) DENTAL CARE INDIRECTLY ADDRESSED THROUGH INCREASING ACCESS TO CARE2) BIRTH INDICATORS3) HOUSING AND HOMELESSNESS4) ECONOMIC INSECURITY5) FOOD INSECURITY6) SEXUALLY TRANSMITTED INFECTIONS7) VIOLENCE AND INJURY 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/ PART V, LINE 7A HTTPS://WWW.RRH.ORG/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ PART V, LINE 10A HTTPS://WWW.RRH.ORG/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ 24 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 - SOUTHERN SIERRA MEDICAL CLINIC 105 E SYDNOR AVE RIDGECREST CA 93555 PRIMARY CARE CLINIC 5 - CENTER PROFESSIONAL PHARMACY 1109 N CHINA LAKE BLVD RIDGECREST CA 93555 CENTER PROFESSIONAL PHARMACY 6 - RIDGECREST REGIONAL HOSPITAL URGENT CARE 1111 N CHINA LAKE BLVD RIDGECREST CA 93555 URGENT CARE 7 - RIDGECREST REGIONAL HOSPITAL OBSTETRICS 1011 N CHINA LAKE BLVD RIDGECREST CA 93555 OBGYN CLINIC 8 - RIDGECREST REGIONAL HOSP VISITING NURSE 1653 N TRIANGLE DR RIDGECREST CA 93555 VISITING NURSE SERVICES 9 - REHABILITATION SERVICES 540 PERDEW AVE RIDGECREST CA 93555 OCCUPATIONAL THERAPY 10 - STEMMER CLINIC 900 HERITAGE DR SUITE A RIDGECREST CA 93555 STEMMER CLINIC 11 - RIDGECREST REGIONAL HOSPITAL ORTHOPEDIC 1041 N CHINA LAKE BLVD RIDGECREST CA 93555 ORTHOPEDIC CLINIC 12 - SOUTHERN SIERRA SPECIALTY - DERMATOLOGY 105 E SYDNOR AVE RIDGECREST CA 93555 DERMATOLOGY CLINIC 13 - RIDGECREST REGIONAL HOSP PAIN CLINIC 105 E SYDNOR AVE RIDGECREST CA 93555 PAIN CLINIC 14 - CHINA LAKE GASTROENTEROLOGY 1041 N CHINA LAKE BLVD RIDGECREST CA 93555 GASTROENTEROLOGY CLINIC 15 - SSMC SPECIALTY CLINIC 105 E SYDNOR AVE RIDGECREST CA 93555 SPECIALTY CLINIC 16 - RIDGECREST REGIONAL HOSPITAL PODIATRY CL 1041 N CHINA LAKE BLVD RIDGECREST CA 93555 PODIATRY CLINIC 17 - RIDGECREST REGIONAL HOSPITAL HOSPICE 1653 N TRIANGLE DR RIDGECREST CA 93555 HOSPICE 18 - RIDGECREST REGIONL HOSP INTERNIST CLINIC 1111 N CHINA LAKE BLVD RIDGECREST CA 93555 INTERNIST CLINIC 19 - RIDGECREST REGIONAL HOSPITAL PERSONAL CA 1653 N TRIANGLE DR RIDGECREST CA 93555 PERSONAL CARE SERVICE 20 - RIDGECREST REGIONAL HOSP CHIRO CLINIC 840 N NORMA ST RIDGECREST CA 93555 CHIROPRACTIC CLINIC 21 - RIDGECREST REGIONAL HOSP OCCUP HEALTH 1111 N CHINA LAKE BLVD RIDGECREST CA 93555 OCCUPATIONAL HEALTH 22 - CHINA LAKE SURGICAL CLINIC 1041 N CHINA LAKE BLVD RIDGECREST CA 93555 SURGICAL CLINIC 23 - RIDGECREST REGIONAL HOSP SENIOR SERVICES 417 DRUMMOND AVE RIDGECREST CA 93555 SENIOR SERVICES 24 - TRONA RURAL HEALTH CLINIC 82820 TRONA RD TRONA CA 93562 RURAL HEALTH CLINIC 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 I, LINE 6C THE COMMUNITY BENEFIT REPORT CAN BE FOUND ON THE ORGANIZATION'S WEBSITE AT HTTPS://WWW.RRH.ORG/ABOUT-US/COMMUNITY-BENEFIT/. 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, 2021 AND 2020, 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 6.7% 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 HOLDS AN ANNUAL HEALTH FAIR FOR THE COMMUNITY, WHEREIN VENDORS OFFER INFORMATION AND SERVICES RELATED TO HEALTH AND WELLNESS. DUE TO THE COVID PANDEMIC, IN 2021 THE ANNUAL HEALTH FAIR WAS HELD AS A VIRTUAL EVENT. LOCAL HEALTH AND WELLNESS VENDORS WERE GIVEN THE OPPORTUNITY TO HAVE RRH CREATE A COMMERCIAL FOR THEM THAT HIGHLIGHTED THEIR SERVICES. THE VIRTUAL EVENT CONSISTED OF 7 WELLNESS PRESENTERS, INCLUDING A LIVE EXERCISE DEMO AND COOKING DEMO. THE COMMERCIALS WERE ALSO LOCATED ON THE VIRTUAL PLATFORM FOR PARTICIPANTS TO VIEW. RIDGECREST REGIONAL HOSPITAL WAS ABLE TO MOVE A MAJORITY OF THE FOLLOWING PROGRAMS BACK TO IN PERSON OR HYBRID DURING 2021: 16 WEEKLY CLASSES TO SENIORS WITHIN THE COMMUNITY, FREE OF CHARGE, THAT PROMOTE EXERCISE, AS WELL AS SENIOR GROUP SERVICES CATERED TO FINDING JOY AND HAPPINESS IN LIFE WHILE SOCIALIZING AND BUILDING SUPPORT SYSTEMS. RIDGECREST REGIONAL HOSPITAL ALSO OFFERS 6 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. THE FOLLOWING SUPPORT GROUPS ARE OFFERED FREE OF CHARGE TO THE COMMUNITY: GRIEF, CAREGIVER, ALZHEIMER'S CAREGIVER, BETTER BREATHERS, 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 VIRTUAL WELLNESS PROGRAM WAS STARTED IN 2020, TO OFFER HEALTH AND WELLNESS INFORMATION VIRTUALLY. THIS PROGRAM CONTINUED INTO 2021 AND PROVIDES EDUCATIONAL HEALTH AND WELLNESS INFORMATION THROUGH VIRTUAL ONLINE EVENTS. AN ANNUAL PUBLICATION, MAILED TO ALL HOMES WITHIN THE COMMUNITY AND AVAILABLE AT RIDGECREST REGIONAL HOSPITAL, LISTS ALL SERVICES AND PROVIDERS AT RIDGECREST REGIONAL HOSPITAL. A BROCHURE PROVIDES INFORMATION FOR LOCAL MENTAL HEALTH SERVICES. 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. PART VI, LINE 6: N/A X X 0 0 0 0 0 0 0 0 0 HEALTHY DESAI PHYSICIAN 550814 0 111543 0 540 0 11600 0 34800 0 709297 0 0 0 JAMES SUVER CEO 355621 0 194719 0 18820 0 11600 0 12140 0 592900 0 0 0 HOPE ZISSOS PHYSICIAN 260647 0 32884 0 1152 0 10920 0 41698 0 347301 0 0 0 HANI CHAABO PHYSICIAN 262460 0 14766 0 25206 0 10560 0 11658 0 324650 0 0 0 LUIGI CENDANA PHYSICIAN 270462 0 2806 0 25480 0 10980 0 11658 0 321386 0 0 0 SALMAN ZIAEI PHYSICIAN 286544 0 4552 0 228 0 0 0 11658 0 302982 0 0 0 BARBARA BADERTSCHER COO 280921 0 1697 0 2472 0 0 0 0 0 285090 0 0 0 KANNER TILLMAN CFO 232701 0 1782 0 4357 0 0 0 26830 0 265670 0 0 0 X 150 92568 FMV 0 0 0 FORM 990, PART III, LINE 2 INPATIENT AND OUTPATIENT NEPHROLOGY SERVICES FOR KIDNEY CARE AND ACUTE INPATIENT DIALYSIS TREATMENTS STARTED IN JULY 2021, A COLLABORATION WITH KECK MEDICINE OF UNIVERSITY OF SOUTHERN CALIFORNIA. RECONSTRUCTIVE AND COSMETIC SURGERY SERVICES STARTED IN AUGUST 2021. 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 36,346,969. MANAGEMENT AND GENERAL EXPENSES 7,562,861. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 43,909,830. FORM 990, PART XI, LINE 9: BOOK TO TAX DIFFERENCE IN S CORP INVESTMENT 404,569. 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 55349 9303573 1.00000 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 PROGRESSIVE AMBULANCE INC Q 1898190 CHANGE IN DUE FROM ACCOUNT RIDGECREST REGIONAL HOSPITAL FOUNDATION C 129000 CASH