2021-02-16T11:49:28-06:00 2020-03-31 910189318 MOSS ADAMS LLP 10960 WILSHIRE BLVD SUITE 1100 LOS ANGELES CA 90024 990 2019-04-01 953655256 CASA COLINA INC CASA 9095967733 255 E BONITA AVE PO BOX 6001 POMONA CA 917696001 FELICE L LOVERSO PHD PRESIDENT/CEO 9095967733 2021-02-12 1 LAUREN A HAVERLOCK P00545829 3104770450 2021-02-12 2019 2022-09-23 18:48:47Z FELICE L LOVERSO PHD 255 E BONITA AVE PO BOX 6001 POMONA CA 917696001 71595051 0 X WWW.CASACOLINA.ORG X 1981 CA CASA COLINA, INC.'S MISSION IS TO OPTIMIZE MEDICAL RECOVERY AND REHABILITATION OUTCOMES FOR ALL PATIENTS IN A SAFE ENVIRONMENT THAT RESPECTS THEIR DIGNITY, DIVERSITY, AND INDIVIDUALITY. 17 15 1253 63 0 0 0 0 8467224 8359838 17699 87658 60565991 63147555 69050914 71595051 0 0 0 0 66769459 69258731 0 0 0 2281455 2336320 69050914 71595051 0 0 9216706 9559043 8364486 8706823 852220 852220 X CASA COLINA, INC.'S MISSION IS TO OPTIMIZE MEDICAL RECOVERY ANDREHABILITATION OUTCOMES FOR ALL PATIENTS IN A SAFE ENVIRONMENTTHAT RESPECTS THEIR DIGNITY, DIVERSITY, AND INDIVIDUALITY.TO ACHIEVE THESE OBJECTIVES CASA COLINA, INC. MANAGES ITS RESOURCES IN TERMS OF STAFF, SERVICES AND QUALITY CARE BOTH EFFECTIVELY AND EFFICIENTLY. IN ORDER TO MAINTAIN FINANCIAL STRENGTH CASA COLINA, INC. CONTINUES TO STRATEGICALLY REPOSITION ITSELF AT THE FOREFRONT OF THE POST ACUTE CONTINUUM BY BECOMING THE CENTER OF EXCELLENCE IN THE PROVISION OF SERVICES TO PERSONS WHO CAN BENEFIT FROM SUCH CARE. 0 0 63067062 71507393 SEE SCHEDULE ODURING THE FISCAL YEAR, CASA COLINA, INC. PROVIDED SUPPORT SERVICES TO ALL OF ITS AFFILIATES. SERVICES AND SUPPORT CONSISTED OF ACCOUNTING, PAYROLL, HUMAN RESOURCES, MANAGEMENT INFORMATION SYSTEMS, CONTRACTING, PUBLIC RELATIONS, AND BILLING AND COLLECTIONS SERVICES TO THESE SEVEN (7) AFFILIATES. IN SUPPORT TO THE AFFILIATES, CASA COLINA, INC. INCURRED $8,359,838 IN EXPENSES. THE EXPENSES ARE CHARGED TO THE AFFILIATES BASED ON A FORMULA AND UTILIZATION OF SERVICES. AS A RESULT OF THESE NECESSARY SUPPORT SERVICES, THE AFFILIATES WERE ABLE TO PROVIDE MEDICAL, RESIDENTIAL AND THERAPEUTIC SERVICES TO THE PATIENTS SERVED. THE RESULTS WERE THE FOLLOWING:HOSPITAL ACUTE REHABILITIATION = 22,131 INPATIENT DAYSHOSPITAL MEDICAL/SURGICAL AND ICU = 4,763 INPATIENT DAYSHOSPITAL OUTPATIENT = 100,500 VISITSOUTPATIENT SERVICES TO CHILDREN WITH VARIOUS DIAGNOSES = 12,265 VISITSRESIDENTIAL INPATIENT SERVICES TO SHORT TERM/LONG TERM CARE = 47,757 INPATIENT DAYSOTHER OUTPATIENT REHABILITATION SERVICES FOR PATIENTS WITH BRAIN INJURIES = 3,981 VISITSADULT DAY HEALTH CARE = 13,185 VISITSCASA COLINA, INC. AND ITS AFFILIATES HAD 241 BEDS DURING THE FISCAL YEAR CONSISTING OF: 68 HOSPITAL ACUTE REHABILITATION BEDS; 31 MEDICAL-SURGICAL AND ICU BEDS; 42 TRANSITIONAL LIVING CARE BEDS; 92 LONG-TERM RESIDENTIAL BEDS; AND 8 LONG-TERM SEMI-INDEPENDENT BEDS.THE SERVICES WHICH CASA COLINA, INC. SUPPORTED CONSISTED OF:MEDICAL-SURGICAL AND ICU SERVICES, CONSISTING OF 25 PRIVATE MEDICAL-SURGICAL BEDS AND SIX INTENSIVE CARE UNIT BEDS. BEGINNING IN APRIL 2016, CASA COLINA BEGAN SURGICAL PROCEDURES INCLUDING ORTHOPEDIC, GASTROENTEROLOGY, NEUROSURGERY, PODIATRY AND OTHERS.ADULT DAY HEALTH CARE WHICH PROVIDES A MEDICALLY DIRECTED PROGRAM FOR ADULTS WITH DISABILITY WHO CANNOT STAY AT HOME SAFELY ON THEIR OWN DURING THE DAY, WHILE FAMILY MEMBERS OR CAREGIVERS ARE NOT AVAILABLE. A FULL DAY PROGRAM OF PHYSICAL AND COGNITIVE ACTIVITIES IS PROVIDED WITH OPPORTUNITIES FOR SOCIALIZATION AND SELF EXPRESSION.BRAIN INJURY SERVICES PROVIDE A CONTINUUM OF CARE FOR INDIVIDUALS WITH BRAIN OR SEVERE HEAD INJURIES. THE CONTINUUM INCLUDES: (A) ACUTE REHABILITATION FOR INDIVIDUALS WHO RESPOND MORE CONSISTENTLY TO STIMULATION OR ENGAGE IN SOME FORM OF COMMUNICATION, (B) RESIDENTIAL OR DAY PROGRAM TRANSITIONAL LIVING FOR PATIENTS WHO HAVE FINISHED ACUTE THERAPY BUT STILL NEED ASSISTANCE IN LEARNING THE SKILLS NECESSARY TO RE-ENTER LIVING WITH FAMILY OR ANOTHER COMMUNITY SETTING OR RETURNING WORK, (C) OUTPATIENT THERAPY THAT FOCUSES ON RESTORING PHYSICAL, COMMUNICATIVE, PSYCHOSOCIAL OR NEUROPSYCHOLOGICAL SKILLS, AND (E) RESIDENTIAL PROGRAMS FOR THOSE WHO WILL CONTINUE TO NEED A SUPERVISED LIVING SITUATION.BURN OR WOUND CARE REHABILITATION SERVICES PROVIDES REHABILITATION FOR INDIVIDUALS WHO HAVE EXPERIENCED SEVERE BURNS. SERVICES VARY, AND MULTIDISCIPLINARY CLINICS AND SERVICES SUCH AS AMPUTEE, INTERNAL MEDICINE, FOOT AND GAIT, AND WOMEN'S HEALTH ARE COORDINATED.CHILDREN'S SERVICES PROVIDES OUTPATIENT REHABILITATION SERVICES FOR CHILDREN AGE THREE MONTHS TO 16 YEARS INCLUDING SPECIALIZED PROGRAMS FOR INFANT DEVELOPMENT, AUTISM AND PEDIATRIC ORTHOPEDICS AT THE CHILDREN'S SERVICES CENTER. THE AFTER SCHOOL ACTIVITIES PROGRAM PROVIDES SOCIALIZATION, ENRICHMENT AND OPPORTUNITIES FOR SUCCESS FOR CHILDREN WITH DISABILITIES ATTENDING REGULAR SCHOOLS. A HIGH DEGREE OF COOPERATION IS MAINTAINED WITH ALL LOCAL SCHOOL SYSTEMS. SPECIALIZED SERVICES ARE PROVIDED FOR SPECIFIC DIAGNOSIS, SUCH AS BRAIN INJURY, OSTEOGENESIS IMPERFECTA, CEREBRAL PALSY, MUSCULAR DYSTROPHY, SPINA BIFIDA AND SPINAL CORD INJURY, AS WELL AS THERAPIES FOR GENERAL REHABILITATION.GENERAL REHABILITATION PROVIDES CARE AND THERAPEUTIC INTERVENTION TO PATIENTS WHO NEED TO STRENGTHEN THEIR ABILITIES TO PERFORM ROUTINE AND WORK FUNCTIONS. THERAPIES FOCUS ON IMPROVING ENDURANCE, WORK CAPACITY, MOBILITY AND BALANCE. INDIVIDUAL REHABILITATION PROGRAMS ALSO ASSIST PEOPLE WITH DISABILITIES RESULTING FROM MULTIPLE SCLEROSIS, POST POLIO SYNDROME, CANCER AND CEREBRAL PALSY, ORTHOPEDIC AND NEUROLOGICAL DISORDERS.HAND THERAPY OFFERS THE SERVICES OF CERTIFIED HAND THERAPISTS WITH HIGHLY SPECIALIZED EXPERTISE TO WORK WITH PATIENTS TO RESTORE HAND FUNCTION AND UTILITY. 63067062 1 0 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 179 0 1 1253 1 0 0 0 0 0 0 0 0 0 0 0 0 X 17 15 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 0 0 CA X FELICE L LOVERSO PHD 9095967733 255 E BONITA AVE POMONA CA 917671923 FELICE L LOVERSO PHD PRESIDENT & CEO 9.00 41.00 X X 1033962 0 24159 DAVID MORONY CHIEF FINANCIAL OFFICER 9.00 41.00 X 517911 0 37058 ROD PEEK VP BRAIN INJURY 1.00 49.00 X 384737 0 9457 DR JALAL BADDAY CMO (THRU 01/20) 1.00 49.00 X 325992 0 39764 BONNIE SCUDDER DIRECTOR PROGRAM DEVELOPMENT 1.00 34.00 X 341546 0 23110 KURT STAUDER FORMER COO 1.00 49.00 X 347582 0 12441 JENNYFER PODUSKA EXEC DIR ADMISSIONS & REIMBURSEMENT 35.00 0.00 X 301527 0 11989 DR DAVID PATTERSON MEDICAL DIRECTOR 10.00 10.00 X 265731 0 41366 ROSS LESINS CHIEF INFORMATION OFFICER 50.00 0.00 X 280539 0 24440 STEPHANIE KAPLAN HOSPITAL ADMINISTRATOR 5.00 45.00 X 277059 0 26702 ROBERT BARNES DIRECTOR PROJECT DEVELOPMENT 35.00 0.00 X 265999 0 31277 ELBERT CHANG MD CHIEF OF MEDICAL STAFF (THRU 12/19) 0.50 2.50 X 100333 0 0 LEW DISNEY MD CHIEF OF MEDICAL STAFF (FROM 01/20) 0.50 2.50 X 12500 0 0 RANDY BLACKMAN CHAIRMAN 0.50 2.50 X X 0 0 0 GARY E CRIPE VICE CHAIRMAN 0.50 2.50 X X 0 0 0 STEPHEN W GRAEBER TREASURER 0.50 2.50 X X 0 0 0 THOMAS REH SECRETARY 0.50 2.50 X X 0 0 0 FRANK S ALVAREZ DIRECTOR/LARGE (THRU 03/20) 0.50 2.50 X 0 0 0 GERARD J GALLIPEAU DIRECTOR/LARGE 0.50 2.50 X 0 0 0 STEVE NORIN DIRECTOR/LARGE 0.50 2.50 X 0 0 0 DEVORAH LIEBERMAN DIRECTOR/LARGE 0.50 2.50 X 0 0 0 TERRY JOHNSON DIRECTOR/LARGE 0.50 2.50 X 0 0 0 JOSE L RODRIGUEZ MD DIRECTOR/LARGE 0.50 2.50 X 0 0 0 DANIEL WILSON MD PHD DIRECTOR/LARGE 0.50 2.50 X 0 0 0 JOSEPH UNIS MD DIRECTOR/LARGE (THRU 03/20) 0.50 2.50 X 0 0 0 KIANA WEBB DIRECTOR/LARGE 0.50 2.50 X 0 0 0 STEVE BAST MD DIRECTOR/LARGE 0.50 2.50 X 0 0 0 LINDA LIAU MD DIRECTOR/LARGE 0.50 2.50 X 0 0 0 NANCY NIGHTINGALE DIRECTOR/LARGE 0.50 2.50 X 0 0 0 CATHY WATROUS DIRECTOR/LARGE 0.50 2.50 X 0 0 0 4455418 0 281763 105 1 1 0 JB SPECIALTY CONTRACTOR 22989 ROUND UP WAY APPLE VALLEY CA 92308 CONSTRUCTION SERVICES 1939124 SAN ANTONIO REGIONAL HOSPITAL 999 SAN BERNARDINO ROAD UPLAND CA 91786 PHARMACY AND LABORATORY SERVICES 459841 PORTABLE DIALYSIS SERVICES 1121 E ARROW HIGHWAY SUITE D GLENDORA CA 91740 DIALYSIS SERVICES 410813 CAREFUSION SOLUTIONS LLC 25082 NETWORK PLACE CHICAGO IL 60673 MEDICAL HARDWARE/SOFTWARE 385325 NEIVEEN PETER MEDICAL CORPORATION 1121 AVONOAK TERRACE GLENDALE CA 91206 PHYSICIAN SERVICES 298069 24 X PROGRAM SERVICES 900099 8359838 8359838 8359838 87658 87658 INTERCOMPANY SERVICES REIMBURSEME 900099 63147555 63147555 63147555 71595051 71507393 0 87658 2834015 310230 2523785 48499367 44715036 3784331 1059198 986335 72863 12906164 11736742 1169422 3959987 3751342 208645 454851 454851 115094 115094 211651 207765 3886 160775 160775 13807 13807 10722 10722 4229 4229 140578 140578 237757 237757 OUTSIDE SERVICES 458147 454808 3339 MISCELLANEOUS 279118 87825 191293 REPAIRS & MAINTENANCE 234101 234101 PRINTING/PUBLICATIONS 15490 15010 480 71595051 63067062 8527989 0 2777938 7764715 0 10890 405798 558025 2191607 1526639 772464 664968 5260506 560445 9216706 9559043 7786131 8061280 92145 88409 486210 557134 8364486 8706823 X 852220 852220 852220 852220 9216706 9559043 0 0 X 0 1 X 1 0 X X 5 CASA COLINA HOSPITAL FOR REHAB MED 951643989 3 0 0 6321772 CASA COLINA CENTERS FOR REHAB FDN 953655255 7 0 0 759726 CASA COLINA COMPREHENSIVE OUTPATIEN 953266014 7 0 0 154387 PADUA VILLAGE INC 953713170 7 0 0 426325 CASA COLINA REHABILITATION INC 953392219 7 0 0 697628 5 0 8359838 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 X 1 1 SCHEDULE A, PART IV, SECTION A, LINE 1: ALL SUPPORTED ORGANIZATIONS ARE DESIGNATED BECAUSE THEY ARE RELATED BY CONTROL. ALL OF THE SUPPORTED ORGANIZATIONS ARE AFFILIATES OF THE FILING ORGANIZATION AND OPERATE UNDER THE SAME BOARD OF DIRECTORS WHICH IS DETERMINED BY THE FILING ORGANIZATION. SCHEDULE A, PART IV, SECTION D, LINE 3: THE ORGANIZATION'S SUPPORTED ORGANIZATIONS HAVE A SIGNIFICANT VOICE BY VIRTUE OF AFFILIATION, ARE GOVERNED BY THE SAME MEMBERS AND HAVE BOARD OF DIRECTORS OVERLAP. SCHEDULE A, PART IV, SECTION E, LINE 3A: THE ORGANIZATION IS THE SOLE MEMBER OF THE SUPPORTED ORGANIZATIONS AND MAINTAINS CONTROL OF THE BOARD OF DIRECTORS. SCHEDULE A, PART IV, SECTION E, LINE 3B: THE ORGANIZATION IS THE SOLE MEMBER OF THE SUPPORTED ORGANIZATIONS AND MAINTAINS CONTROL OF THE BOARD OF DIRECTORS. X 0 0 0 9481 0 9481 8447496 116817253 8447496 116826734 572375 1000000 143094 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 15203 10688 13105 9481 48477 250000 250000 250000 250000 1000000 1500000 5757724 251535 251535 5757724 5757724 300488 300488 5757724 5757724 474353 474353 5757724 5757724 299535 299535 5757724 5757724 80653 80653 5757724 1.00000 0 1 1 313961 69577 244384 1877646 1457062 420584 664968 CA HEALTH FACILITIES FINANCING AUTHORITY REV BONDS, SERIES 2013 3311 LONG-TERM INSURANCE RECEIVABLES 557134 560445 LONG-TERM INSURANCE PAYABLES 557134 557134 X PART V, LINE 4: THE ENDOWMENTS ARE HELD ON THE RELATED ORGANIZATION'S BOOKS, CASA COLINA CENTERS FOR REHABILITATION FOUNDATION, FOR THE BENEFIT OF CASA COLINA, INC. INTEREST EARNED ON PERMANENTLY RESTRICTED ASSETS IS UTILIZED BY THE RELATED ORGANIZATION AS PERMITTED BY ENDOWMENT AGREEMENTS. SOME INTEREST IS DESIGNATED FOR A SPECIFIC PURPOSE AND IS RELEASED WHEN SUCH PURPOSE RESTRICTIONS ARE MET. PART X, LINE 2: IN ACCORDANCE WITH ACCOUNTING STANDARDS CODIFICATION (ASC) 740-10, INCOME TAXES, THE COMPANY RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY 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. X X X X 1 0 0 0 0 0 0 1 0 FELICE L LOVERSO PHD PRESIDENT & CEO 617388 0 307467 0 109107 0 10062 0 14097 0 1058121 0 0 0 DAVID MORONY CHIEF FINANCIAL OFFICER 334053 0 150000 0 33858 0 10062 0 26996 0 554969 0 0 0 ROD PEEK VP BRAIN INJURY 232688 0 125000 0 27049 0 9457 0 0 0 394194 0 0 0 DR JALAL BADDAY CMO (THRU 01/20) 284854 0 0 0 41138 0 10062 0 29702 0 365756 0 0 0 BONNIE SCUDDER DIRECTOR PROGRAM DEVELOPMENT 201456 0 105000 0 35090 0 10027 0 13083 0 364656 0 0 0 KURT STAUDER FORMER COO 0 0 0 0 347582 0 0 0 12441 0 360023 0 0 0 JENNYFER PODUSKA EXEC DIR ADMISSIONS & REIMBURSEMENT 181117 0 82606 0 37804 0 10062 0 1927 0 313516 0 0 0 DR DAVID PATTERSON MEDICAL DIRECTOR 237798 0 26691 0 1242 0 6289 0 35077 0 307097 0 0 0 ROSS LESINS CHIEF INFORMATION OFFICER 199157 0 50000 0 31382 0 10062 0 14378 0 304979 0 0 0 STEPHANIE KAPLAN HOSPITAL ADMINISTRATOR 220018 0 50000 0 7041 0 6914 0 19788 0 303761 0 0 0 ROBERT BARNES DIRECTOR PROJECT DEVELOPMENT 255637 0 0 0 10362 0 8639 0 22638 0 297276 0 0 0 PART I, LINE 4A THE ORGANIZATION PAID SEVERANCE TO AN EMPLOYEE DURING THE CURRENT FISCAL YEAR. DUE TO CONFIDENTIALITY, THE EMPLOYEE NAME AND SEVERANCE AMOUNT ARE NOT INCLUDED IN THIS DOCUMENT. PART I, LINE 7 THE BOARD OF DIRECTORS PERFORMS AN ANNUAL EVALUATION OF THE CEO BASED UPON QUALITY, PATIENT SATISFACTION AND FINANCIAL OUTCOMES IN ADDITION TO THE OVERALL OPERATING PERFORMANCE OF THE ORGANIZATION. THE CEO'S ANNUAL BONUS IS BASED ON A DISCRETIONARY DETERMINATION BY THE BOARD OF DIRECTORS. DURING FISCAL YEAR 2016, THE CEO SIGNED A NEW EMPLOYMENT AGREEMENT WITH A FIVE YEAR EXTENDED TERM. OFFICERS AND HIGHEST COMPENSATED EMPLOYEES RECEIVED NON FIXED BONUSES AT THE DISCRETION OF MANAGEMENT BASED UPON ACHIEVEMENT OF ESTABLISHED QUALITY, PATIENT SATISFACTION AND OPERATIONAL GOALS OF THE ORGANIZATION. A CALIF HLTH FACIL FIN AUTH 521643828 13033L2M8 2013-09-13 21600062 SEE SCHEDULE K, PART VI 0 0 0 B CALIF HLTH FACIL FIN AUTH 521643828 2016-09-30 36400000 SEE SCHEDULE K, PART VI 0 0 0 A 4560000 21600062 432001 21600062 2013 1 0 1 1 B 1880000 36400000 228909 36400000 2016 1 0 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 1 B 1 SCHEDULE K, PART I SUPPLEMENTAL INFORMATION: TAX-EXEMPT BOND LIABILITIES INCLUDED IN SCHEDULE K CONSIST OF BORROWINGS BY CASA COLINA, INC. EACH OF THE FILING ORGANIZATION'S AFFILIATES REPORTED IN SCHEDULE R PART II IS A CO-OBLIGOR OF THE TAX-EXEMPT BOND LIABILITIES. THE TAX-EXEMPT BOND LIABILITY REPORTED IN THE FILING ORGANIZATION'S BALANCE SHEET CONSISTS ONLY OF THE PRO RATA SHARE OF TAX-EXEMPT BOND PROCEEDS UTILIZED FOR THE FILING ORGANIZATION'S CAPITAL PROJECTS AND OTHER PURPOSES. THE FILING ORGANIZATION'S AFFILIATES ALSO REPORT TAX EXEMPT BOND LIABILITIES FOR THEIR RESPECTIVE PRO-RATA PORTION OF THE OUTSTANDING TAX-EXEMPT BOND LIABILITIES AS OF MARCH 31, 2020. SCHEDULE K, PART I, COLUMN F: THE PURPOSE OF THE BOND ISSUES ARE AS FOLLOWS: FOR BOND ISSUE A: THE PURPOSE OF THE ISSUE IS TO (A) TO PAY FOR, OR REIMBURSE THE BORROWER FOR ITS PRIOR PAYMENT OF THE ACQUISITION, CONSTRUCTION, IMPROVEMENT, RENOVATION, AND EQUIPPING OF CERTAIN HEALTH FACILITIES OWNED BY THE HOSPITAL; (B) TO REFINANCE CERTAIN EXISTING INDEBTEDNESS INCURRED BY THE HOSPITAL TO PAY FOR THE ACQUISITION, CONSTRUCTION, IMPROVEMENT, RENOVATION, AND EQUIPPING OF CERTAIN HEALTH FACILITIES OWNED BY THE HOSPITAL; (C) TO FUND INTEREST DURING CONSTRUCTION OF A 31 BED HEALTH FACILITY AND ACQUISITION OF AN ELECTRONIC MEDICAL RECORDS SYSTEM; AND (D) TO PAY CERTAIN COSTS OF ISSUING THE BONDS. FOR BOND ISSUE B: THE PURPOSE OF THE ISSUE IS TO USE THE PROCEEDS TO REFUND THE SERIES 2011 BONDS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM FOR ACCURACY AND COMPLETENESS. A PAPER COPY OF THE FORM 990 IS MADE AVAILABLE FOR REVIEW BY THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. EACH MEMBER OF THE BOARD OF DIRECTORS IS ENCOURAGED TO REVIEW THE 990. FORM 990, PART VI, SECTION B, LINE 12C THE GOVERNANCE COMMITTEE OF THE BOARD REVIEWS DISCLOSURE FORMS ON AN ANNUAL BASIS. IN ADDITION, THE RATIO OF INTERESTED AND DISINTERESTED DIRECTORS IS CLOSELY MONITORED. INTERESTED DIRECTORS ARE NOT ALLOWED TO HOLD OFFICE OR SERVE ON THE AUDIT COMMITTEE. FINALLY, A PROTOCOL HAS BEEN ESTABLISHED THAT PREVENTS THE CONVERSION OF A CURRENT DISINTERESTED DIRECTOR TO AN INTERESTED DIRECTOR. FORM 990, PART VI, SECTION B, LINE 15A ON A REGULAR BASIS, THE COMPENSATION OF THE CEO IS REVIEWED BY AN OUTSIDE INDEPENDENT FIRM. THE FIRM'S FINDINGS ARE PRESENTED TO THE COMPENSATION COMMITTEE INDICATING THE COMPENSATION REASONABLENESS. THE COMPENSATION COMMITTEE DETERMINES ANY COURSE OF ACTION NECESSARY AND PRESENTS ITS FINDINGS/RECOMMENDATIONS TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENT INFORMATION IS MADE AVAILABLE TO THE PUBLIC FOR INSPECTION VIA THE GUIDESTAR WEBSITE. IN ADDITION, AUDITED FINANCIAL INFORMATION IS PROVIDED TO THE PUBLIC FOR THE PURPOSE OF GRANT AWARDS UPON REQUEST AS NECESSARY. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABE UPON REQUEST. FORM 990, PART VIII, LINE 11A STATEMENT OF REVENUE CASA COLINA INC., IS THE PARENT COMPANY AND AS SUCH ALL PAYROLL IS PAID BY THIS ENTITY. WHILE PAYROLL EXPENSES REMAIN WITHIN THE SUBSIDIARY ENTITY, ALL PAYMENTS PERTAINING TO THAT EXPENSE IS REFLECTED IN CASA COLINA INC.'S FORM 990 AS ALL RELATED PAYROLL TAX FILING INFORMATION IS FILED UNDER THE CASA COLINA INC'S TAX IDENTIFICATION NUMBER. AS A RESULT EACH ENTITY IS RESPONSIBLE FOR REIMBURSING CASA COLINA INC. FOR THEIR RELATED PAYROLL EXPENSES. THIS WAS REFLECTED ON FORM 990, PART VIII, LINE 11A AND IS LABELED AS INTERCOMPANY SERVICES IN THE AMOUNT OF $63,147,555. CC HOSPITAL FOR REHABILITATIVE MEDICINE 255 E BONITA AVE POMONA CA 91767 951643989 MEDICAL & REHABILITATION SERVICES CA 501(C)(3) 3 CASA COLINA INC 1 CC CENTERS FOR REHABILITATION FOUNDATION 255 E BONITA AVE POMONA CA 91767 953655255 FUNDRAISING CA 501(C)(3) 7 CASA COLINA INC 1 CC COMPREHENSIVE OUTPATIENT REHABILITATION 255 E BONITA AVE POMONA CA 91767 953266014 OUTPATIENT REHABILITATION SERVICES CA 501(C)(3) 7 CASA COLINA INC 1 PADUA VILLAGE INC 255 E BONITA AVE POMONA CA 91767 953713170 LONG TERM CARE FOR TBI CA 501(C)(3) 7 CASA COLINA INC 1 CC REHABILITATION INC 255 E BONITA AVE POMONA CA 91767 953392219 TRANSITIONAL LIVING CENTER FOR TRAUMATICALLY BRAIN INJURED CA 501(C)(3) 7 CASA COLINA INC 1 COLINA MEDICAL ASSOCIATES 255 EAST BONITA AVE POMONA CA 917671923 352473284 PATIENT CARE CA CASA COLINA HOSPITAL AND CENTERS FOR HEALTHCARE C 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 0 CASA COLINA HOSPITAL FOR REHAB MEDICINE L 6321772 BOOK VALUE CASA COLINA REHABILITATION INC L 697628 BOOK VALUE PADUA VILLAGE INC L 426325 BOOK VALUE CASA COLINA OP REHAB SERVICES INC L 154387 BOOK VALUE CASA COLINA HOSPITAL FOR REHAB FNDN L 759726 BOOK VALUE CASA COLINA HOSPITAL FOR REHAB FNDN K 148010 BOOK VALUE CASA COLINA HOSPITAL FOR REHAB MEDICINE Q 49184553 BOOK VALUE CASA COLINA REHABILITATION INC Q 5771660 BOOK VALUE PADUA VILLAGE INC Q 4149588 BOOK VALUE CASA COLINA OP REHAB SERVICES INC Q 1276755 BOOK VALUE CASA COLINA HOSPITAL FOR REHAB FNDN Q 1935734 BOOK VALUE CASA COLINA HOSPITAL AND CENTERS FOR HEALTHCARE 255 E BONITA AVE POMONA CA 917696001 951643989 X 0 9481 9481 89107332 89116813 1000000 250000 0 0 0 PADUA VILLAGE INC 255 E BONITA AVE POMONA CA 917696001 953713170 X 0 0 0 5596601 5596601 429830 107458 0 0 0 CASA COLINA CENTER FOR REHABILITATION INC 255 E BONITA AVE POMONA CA 917696001 953392219 X 0 0 0 8967766 8967766 598388 149597 0 0 0 CASA COLINA COMPREHENSIVE OUTPATIENT REHABILITATION SERVICES INC 255 E BONITA AVE POMONA CA 917696001 953266014 X 0 0 0 1946995 1946995 247350 61838 0 0 0 CASA COLINA CENTERS FOR REHABILITATION FOUNDATION 255 E BONITA AVE POMONA CA 917696001 953655255 X 0 0 0 2751063 2751063 287553 71888 0 0 0 CASA COLINA INC 255 E BONITA AVE POMONA CA 917696001 953655256 X 0 0 0 8447496 8447496 572375 143094 0 0 0