2020-02-17T14:52:32-06:00 2019-03-31 910189318 MOSS ADAMS LLP 10960 WILSHIRE BLVD SUITE 1100 LOS ANGELES CA 90024 990 2018-04-01 953655256 CASA COLINA INC CASA 9095967733 255 E BONITA AVE PO BOX 6001 POMONA CA 917696001 FELICE L LOVERSO PHD PRESIDENT/CEO 9095967733 2020-02-14 1 LAUREN A HAVERLOCK P00545829 3104770450 2020-02-14 12.129.4.210 2020-02-14 11:49:37 PS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 45A0DEE88EBA5BC01B2D6E064F66B43F0304238A 2018 2020-09-23 17:36:50Z FELICE L LOVERSO PHD 255 E BONITA AVE PO BOX 6001 POMONA CA 917696001 69050914 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 1223 40 0 0 0 0 8100889 8467224 0 17699 59352755 60565991 67453644 69050914 0 0 0 0 64995525 66769459 0 0 0 2458119 2281455 67453644 69050914 0 0 8669701 9216706 7817481 8364486 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 61539491 0 69033215 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 $8,467,224 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 = 21,908 INPATIENT DAYSHOSPITAL MEDICAL/SURGICAL AND ICU = 4,371 INPATIENT DAYSHOSPITAL OUTPATIENT = 94,711 VISITSOUTPATIENT SERVICES TO CHILDREN WITH VARIOUS DIAGNOSES = 13,017 VISITSRESIDENTIAL INPATIENT SERVICES TO SHORT TERM/LONG TERM CARE = 46,474 INPATIENT DAYSOTHER OUTPATIENT REHABILITATION SERVICES FOR PATIENTS WITH BRAIN INJURIES = 3,343 VISITSADULT DAY HEALTH CARE = 13,770 VISITSCASA COLINA, INC. AND ITS AFFILIATES HAD 229 BEDS DURING THE FISCAL YEAR CONSISTING OF: 68 HOSPITAL ACUTE REHABILITATION BEDS; 31 MEDICAL-SURGICAL AND ICU BEDS; 42 TRANSITIONAL LIVING CARE BEDS; 80 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. 61539491 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 1 231 0 1 1223 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 1027400 0 24711 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 ELBERT CHANG MD CHIEF OF MEDICAL STAFF 0.50 2.50 X 74133 0 0 FRANK S ALVAREZ DIRECTOR/LARGE 0.50 2.50 X 0 0 0 DONALD A DRIFTMIER DIRECTOR/LARGE (THRU 4/18) 0.50 2.50 X 0 0 0 WILLIAM P DWYRE DIRECTOR/LARGE (THRU 3/19) 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 2.50 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 NEIL MARTIN DIRECTOR/LARGE (THRU 1/19) 0.50 2.50 X 0 0 0 DAN PARKE DIRECTOR/LARGE (THRU 1/19) 0.50 2.50 X 0 0 0 JOSE L RODRIGUEZ DIRECTOR/LARGE 0.50 2.50 X 0 0 0 DANIEL WILSON DIRECTOR/LARGE (FROM 4/18) 0.50 2.50 X 0 0 0 JOSEPH UNIS MD DIRECTOR/LARGE 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 DAVID MORONY CHIEF FINANCIAL OFFICER 9.00 41.00 X 458363 0 34631 KURT STAUDER COO (7/18-12/18) 5.00 45.00 X 150018 0 8233 ROD PEEK VP BRAIN INJURY 8.00 42.00 X 324577 0 10068 DR JALAL BADDAY CHIEF MEDICAL OFFICER 1.00 49.00 X 394209 0 37828 JENNYFER PODUSKA EXEC DIR ADMISSIONS & REIMBURSEMENT 23.00 11.00 X 356915 0 12616 ROSS LESINS CHIEF INFORMATION OFFICER 50.00 0.00 X 280780 0 24050 BONNIE SCUDDER DIRECTOR PROGRAM DEVELOPMENT 1.00 34.00 X 274549 0 10614 DR DAVID PATTERSON MEDICAL DIRECTOR 20.00 20.00 X 253345 0 38891 ROBERT BARNES DIRECTOR PROJECT DEVELOPMENT 35.00 0.00 X 240694 0 28101 3834983 0 229743 96 0 1 0 CITRUS VALLEY ANESTHESIOLOGY PO BOX 60790 PASADENA CA 91116 ANESTHESIOLOGY SERVICES 552394 SAN ANTONIO REGIONAL HOSPITAL 999 SAN BERNARDINO ROAD UPLAND CA 91786 PHARMACY SERVICES 525158 JB SPECIALTY CONTRACTOR 22989 ROUND UP WAY APPLE VALLEY CA 92308 CONSTRUCTION SERVICES 522520 PORTABLE DIALYSIS SERVICES 1121 E ARROW HIGHWAY SUITE D GLENDORA CA 91740 DIALYSIS SERVICES 414675 FITTANTE & SON PO BOX 8447 ALTA LOMA CA 91701 LANDSCAPING SERVICES 368567 19 X PROGRAM SERVICES 900099 8467224 8467224 8467224 17699 17699 INTERCOMPANY SERVICES REIMBURSEME 900099 60565991 60565991 60565991 69050914 69033215 0 17699 2571055 259751 2311304 46897094 43903568 2993526 976313 914407 61906 12348366 11252671 1095695 3976631 3601263 375368 372814 372814 114939 114939 202956 198677 4279 229521 229521 9513 9209 304 6091 6091 4460 4460 101787 101787 253133 253133 OUTSIDE SERVICES 493438 490792 2646 MISCELLANEOUS 311817 133193 178624 REPAIRS & MAINTENANCE 165576 165576 0 PRINTING/PUBLICATIONS 15410 15392 18 69050914 61539491 7511423 0 2546820 2777938 384119 405798 2158853 1386389 421681 772464 5317081 5260506 8669701 9216706 7111789 7786131 96776 92145 608916 486210 7817481 8364486 X 852220 852220 852220 852220 8669701 9216706 0 0 X 0 1 X 1 0 X X 5 CASA COLINA HOSPITAL FOR REHAB MED 951643989 3 0 0 6227832 CASA COLINA CENTERS FOR REHAB FDN 953655255 7 0 0 941064 CASA COLINA COMPREHENSIVE OUTPATIEN 953266014 7 0 0 158241 PADUA VILLAGE INC 953713170 7 0 0 430531 CASA COLINA REHABILITATION INC 953392219 7 0 0 709556 5 0 8467224 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 13105 0 13105 8484923 107851386 8484923 107864491 574246 1000000 143562 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 13625 15203 10688 13105 52621 250000 250000 250000 250000 1000000 1500000 5757724 300488 300488 5757724 5757724 474353 474353 5757724 5757724 299535 299535 5757724 5757724 80653 80653 5757724 5757724 209621 209621 5757724 1.00000 0 1 1 313961 38181 275780 1777392 1348208 429184 67500 67500 772464 CA HEALTH FACILITIES FINANCING AUTHORITY REV BONDS, SERIES 2013 2518 RECEIVABLE DUE FROM RELATED AFFILIATES 4702342 LONG-TERM INSURANCE RECEIVABLES 486210 OTHER RECEIVABLES 69436 5260506 LONG-TERM INSURANCE PAYABLES 486210 486210 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 0 0 0 0 0 0 0 1 0 FELICE L LOVERSO PHD PRESIDENT & CEO 600675 0 298511 0 128214 0 10614 0 14097 0 1052111 0 0 0 DAVID MORONY CHIEF FINANCIAL OFFICER 325561 0 100000 0 32802 0 10614 0 24017 0 492994 0 0 0 KURT STAUDER COO (7/18-12/18) 136694 0 0 0 13324 0 0 0 8233 0 158251 0 0 0 ROD PEEK VP BRAIN INJURY 224994 0 75000 0 24583 0 10068 0 0 0 334645 0 0 0 DR JALAL BADDAY CHIEF MEDICAL OFFICER 366055 0 0 0 28154 0 10158 0 27670 0 432037 0 0 0 JENNYFER PODUSKA EXEC DIR ADMISSIONS & REIMBURSEMENT 195160 0 125015 0 36740 0 10614 0 2001 0 369530 0 0 0 ROSS LESINS CHIEF INFORMATION OFFICER 198816 0 50000 0 31964 0 10614 0 13435 0 304829 0 0 0 BONNIE SCUDDER DIRECTOR PROGRAM DEVELOPMENT 192567 0 61000 0 20982 0 10614 0 0 0 285163 0 0 0 DR DAVID PATTERSON MEDICAL DIRECTOR 242103 0 10000 0 1242 0 6547 0 32344 0 292236 0 0 0 ROBERT BARNES DIRECTOR PROJECT DEVELOPMENT 230517 0 0 0 10177 0 7298 0 20803 0 268795 0 0 0 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 21600062 432001 21600062 2013 1 0 1 1 B 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, 2019. 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 990 WAS REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM FOR ACCURACY AND COMPLETENESS. AFTER WHICH TIME, A PAPER COPY OF THE 990 IS MADE AVAILABLE FOR REVIEW BY THE BOARD OF DIRECTORS. EACH MEMBER OF THE BOARD OF DIRECTORS IS ENCOURAGED TO REVIEW THE 990 PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. 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 $60,565,991. 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 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 6227832 BOOK VALUE CASA COLINA REHABILITATION INC L 709556 BOOK VALUE PADUA VILLAGE INC L 430531 BOOK VALUE CASA COLINA OP REHAB SERVICES INC L 158241 BOOK VALUE CASA COLINA HOSPITAL FOR REHAB FNDN L 941064 BOOK VALUE CASA COLINA HOSPITAL FOR REHAB FNDN K 227515 BOOK VALUE CASA COLINA HOSPITAL FOR REHAB MEDICINE Q 47021870 BOOK VALUE CASA COLINA REHABILITATION INC Q 5425815 BOOK VALUE PADUA VILLAGE INC Q 3780031 BOOK VALUE CASA COLINA OP REHAB SERVICES INC Q 1252218 BOOK VALUE CASA COLINA HOSPITAL FOR REHAB FNDN Q 2191974 BOOK VALUE CASA COLINA HOSPITAL AND CENTERS FOR HEALTHCARE 255 E BONITA AVE POMONA CA 917696001 951643989 X 0 13086 13086 80070488 80083574 1000000 250000 0 0 0 PADUA VILLAGE INC 255 E BONITA AVE POMONA CA 917696001 953713170 X 0 0 0 4637467 4637467 381873 95468 0 0 0 CASA COLINA CENTER FOR REHABILITATION INC 255 E BONITA AVE POMONA CA 917696001 953392219 X 0 0 0 7553943 7553943 527697 131924 0 0 0 CASA COLINA COMPREHENSIVE OUTPATIENT REHABILITATION SERVICES INC 255 E BONITA AVE POMONA CA 917696001 953266014 X 0 0 0 1240863 1240863 199086 49772 0 0 0 CASA COLINA CENTERS FOR REHABILITATION FOUNDATION 255 E BONITA AVE POMONA CA 917696001 953655255 X 0 19 19 5863702 5863721 443186 110797 0 0 0 CASA COLINA INC 255 E BONITA AVE POMONA CA 917696001 953655256 X 0 0 0 8484923 8484923 574246 143562 0 0 0