2019-05-20T10:56:29-05:00 2018-06-30 910189318 MOSS ADAMS LLP 3121 W MARCH LN STE 200 STOCKTON CA 952192367 990 2017-07-01 941387866 RIDEOUT MEMORIAL HOSPITAL RIDE 5307401920 989 PLUMAS STREET YUBA CITY CA 95991 ED GONZALEZ FINANCE EXECUTIVE 5307401920 2019-05-17 1 TRACY S PAGLIA P00366884 2099556100 2019-05-17 172.9.161.112 2019-05-17 10:30:47 PD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 2CA4604677747A1B8287DC7DD1B2F222DAF5CAE3 2017 2019-02-21 02:37:17Z ED GONZALEZ 989 PLUMAS STREET YUBA CITY CA 95991 500071026 0 X HTTPS://WWW.ADVENTISTHEALTH.ORG/RIDEOUT/ X 1955 CA LIVING GOD'S LOVE BY INSPIRING HEALTH, WHOLENESS, AND HOPE. 7 0 2041 105 0 0 6271881 28854 356091465 411190766 4811723 5090298 -285533 0 366889536 416309918 0 0 0 0 165648256 171392753 0 0 0 227774725 243467430 393422981 414860183 -26533445 1449735 502022857 478671869 200950462 175915662 301072395 302756207 LIVING GOD'S LOVE BY INSPIRING HEALTH, WHOLENESS, AND HOPE. 0 0 361094915 0 411190766 RIDEOUT MEMORIAL HOSPITAL CONSISTS OF ONE CAMPUS DURING THIS TAX YEAR: RIDEOUT MEMORIAL HOSPITAL (RMH) LOCATED IN MARYSVILLE, CA IS A 221-LICENSED-BED ACUTE CARE FACILITY WHICH INCLUDES A TRAUMA LEVEL-3 EMERGENCY DEPARTMENT, A STATE-OF-THE-ART CARDIAC UNIT AND A FREE-STANDING CANCER CENTER WHICH IS AN AFFILIATION BETWEEN THE FREMONT RIDEOUT HEALTH GROUP AND UC-DAVIS HEALTH SYSTEM. THE EMERGENCY DEPARTMENT, LOCATED INSIDE RMH IS THE ONLY EMERGENCY ROOM BETWEEN SOUTHERN BUTTE COUNTY AND SACRAMENTO. 361094915 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 2041 1 0 0 0 0 0 0 0 0 0 0 X 7 0 0 0 1 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 0 CA X ED GONZALEZ 5307401922 614 J STREET MARYSVILLE CA 95901 JANICE NALL CHAIR (THRU 03/18) 2.00 10.00 X X 0 14831 0 BILL WING CHAIR 2.00 60.00 X X 0 1460244 52693 JEFF ELLER PRESIDENT 2.00 60.00 X X 0 1037468 45013 GARY THIARA VICE CHAIR (THRU 03/18) 2.00 10.00 X X 0 0 0 BILL WING VICE CHAIR/TREASURER (THRU 03/18) 2.00 10.00 X X 0 0 0 MEREDITH JOBE SECRETARY 2.00 60.00 X X 0 654239 42313 JOE REPPERT ASSISTANT TREASURER (THRU 03/18) 2.00 60.00 X X 0 610955 55941 JOHN WRIGHT PAST CHAIR (THRU 03/18) 2.00 10.00 X 0 0 0 RICH REINER DIRECTOR 2.00 14.00 X 0 19819 0 LARRY INNOCENT DIRECTOR 2.00 14.00 X 0 17608 0 LISA DEL PERO DIRECTOR (THRU 03/18) 2.00 10.00 X 0 0 0 JOHN MILLER DIRECTOR (THRU 03/18) 2.00 10.00 X 0 1015 0 RUPINDER BRAR DIRECTOR (THRU 03/18) 2.00 10.00 X 0 0 0 JUAN SOLIS DIRECTOR (THRU 03/18) 2.00 10.00 X 0 0 0 DOUGLAS TOLLEY DIRECTOR (THRU 03/18) 2.00 10.00 X 0 0 0 THOMAS BELZA DIRECTOR (THRU 03/18) 2.00 10.00 X 0 0 0 ROBERT GENGLER DIRECTOR (THRU 03/18) 2.00 10.00 X 0 0 0 STEVE KROEGER DIRECTOR (THRU 03/18) 2.00 10.00 X 0 0 0 JOHN W CARY DIRECTOR (THRU 03/18) 2.00 10.00 X 0 0 0 JOHN WEILER DIRECTOR (THRU 03/18) 2.00 10.00 X 0 10061 0 RONALD M SWEENEY DIRECTOR (THRU 03/18) 2.00 10.00 X 0 0 0 ALEXANDRA REICHMAN DIRECTOR (THRU 10/17) 2.00 10.00 X 0 0 0 RICHARD RAWSON CEO/PRESIDENT (STARTED 05/18) 12.00 54.00 X X 0 0 0 GINO PATRIZIO CEO (THRU 05/18) 12.00 54.00 X 0 714618 39838 DIANE MOON CFO (THRU 04/18) 12.00 54.00 X 0 381214 38653 ED GONZALEZ DIR OF FIN (THRU 05/18)/FIN EXEC 12.00 54.00 X 0 176489 35869 MONICA ARROWSMITH BUS DVLP/COMMUNITY MI EX 0.00 40.00 X 0 309859 39670 AZAD SHEIKH PHYSICIAN EXECUTIVE 0.00 40.00 X 0 303157 31588 MELISSA BURNS CHIEF OPERATIONS OFFICER (THRU 08/17) 0.00 40.00 X 0 635245 45448 DANIEL CHIBAYA OPERATIONS EXECUTIVE 0.00 40.00 X 0 320781 39934 JERRY GONZALES DIRECTOR PHARMACY 40.00 X 265287 0 30133 STEPHEN HAMMARSTROM VP OUTPATIENT CLINICS 40.00 X 262451 0 34345 DEBORAH MENSCH VP NURSING SERVICES 40.00 X 237005 0 28100 SHERRYL BIRD REGISTERED NURSE 40.00 X 229677 0 28441 KRISTA MINTON DIRECTOR WOMEN & CHILDREN 40.00 X 202253 0 37659 1196673 6667603 625638 463 0 1 0 RIDEOUT MEDICAL ASSOCIATES INC 989 PLUMAS ST YUBA CITY CA 95991 MEDICAL & HEALTHCARE SERVICES 31355655 TRUSTAFF TRAVEL NURSES LLC 4270 GLENDALE MILFORD RD CINCINNATI OH 45242 TEMPORARY STAFFING 5696632 ACUTE CARE SURGERY MEDICAL GROUP INC PO BOX 1528 SACRAMENTO CA 95812 MEDICAL & HEALTHCARE SERVICES 2923365 SODEXO INC AND AFFILIATES PO BOX 360170 PITTSBURG PA 15251 MANAGEMENT & EQUIPMENT SERVICES 2785147 TOTAL RENAL CARE PO BOX 781607 PHILADELPHIA PA 19178 MEDICAL & HEALTHCARE SERVICES 1846088 94 28854 24618 28854 NET PATIENT REVENUE 621400 405662162 405662162 OTHER PROGRAM REVENUE 900099 5372725 5372725 PROGRAM RELATED RENT 532000 155879 155879 411190766 690287 690287 84364347 3796772 82613118 1147990 1751229 2648782 4400011 4400011 416309918 411190766 0 5090298 X 126864473 110762404 16102069 3875475 3383587 491888 30682373 26788062 3894311 9970432 8704951 1265481 28632358 28632358 82559 82559 19399 19399 36559 36559 68497573 67954138 543435 91914 91914 55651428 55530978 120450 12073939 12073939 83747 54292 29455 6057953 6057953 21440011 21440011 2701228 378557 2322671 HOSPITAL FEE 27636713 27636713 BAD DEBT 13901351 13901351 REPAIRS 5757964 5587056 170908 LICENSE / TAXES OTHER 802734 749009 53725 414860183 361094915 53765268 0 8491601 57801487 61165055 62394561 5196039 5171646 5541548 6137319 551115956 210935370 357844989 340180586 59927017 3129662 3856608 3856608 502022857 478671869 39444151 32514980 221828 33858 119408820 116338248 41875663 27028576 200950462 175915662 X 301072395 302756207 301072395 302756207 502022857 478671869 1449735 234077 0 X 0 0 0 X 0 0 0 0 0 0 0 0 1 19399 19399 0 PART II-B, LINE 1: RIDEOUT MEMORIAL HOSPITAL PAID $179,288 IN DUES TO HOSPITAL COUNCIL OF NORTHERN & CENTRAL CALIFORNIA (CHA). 10.82% OF THE DUES ARE FOR DIRECT LOBBYING EXPENSES. 13708835 13708835 369881417 87530468 282350949 6995134 5112217 1882917 155463718 118292685 37171033 5066852 5066852 340180586 DUE TO RELATED ENTITIES 17282240 ASBESTOS ABATEMENT 337880 NOTES PAYABLE 158640 MALPRACTICE INSURANCE 7396408 COST REPORT SETTLEMENT 1853408 27028576 1 1 X 1 X 1 X 1 1 1 0 1 1 2156728 2156728 0.00540 103519415 60735332 42784083 0.10670 0 105676143 60735332 44940811 0.11210 64161 64161 0.00020 32245 32245 0.00010 96406 96406 0.00030 105772549 60735332 45037217 0.11240 1 3778014 2156728 113237223 152539081 -39301858 X 1 1 1 1 RIDEOUT MEMORIAL HOSPITAL 726 4TH STREET MARYSVILLE CA 95901 HTTPS://WWW.ADVENTISTHEALTH.ORG/RIDEOU 230000126 X X X RIDEOUT MEMORIAL HOSPITAL 0 0 1 X X X X X X X X 16 1 1 0 1 X WWW.ADVENTISTHEALTH.ORG/DOCUMENTS/COMMUNITY-BENEFIT/RIDEOUTBENEFIT_2017-201 1 16 1 HTTPS://WWW.ADVENTISTHEALTH.ORG/RIDEOUT/COMMUNITY-RELATIONS/COMMUNITY-BENEF 0 1 X 200.000000000000 350.000000000000 1 1 X X X X 1 X HTTPS://WWW.ADVENTISTHEALTH.ORG/RIDEOUT/PATIENTRESOURCES/FINANCIALASSISTA X HTTPS://WWW.ADVENTISTHEALTH.ORG/RIDEOUT/PATIENTRESOURCES/FINANCIALASSISTA X HTTPS://WWW.ADVENTISTHEALTH.ORG/RIDEOUT/PATIENT-RESOURCES/FINANCIAL-ASSISTA X X X X X X 1 X 0 X X X X 1 X 0 1 RIDEOUT MEMORIAL HOSPITAL PART V, SECTION B, LINE 5: AS A NOT-FOR-PROFIT HEALTHCARE ORGANIZATION WITH A MISSION TO HELP OTHERS, RH CARES ABOUT PEOPLE WHILE WE CARE FOR PEOPLE. IN ADDITION, THE QUALITY COUNCIL, A SUBCOMMITTEE OF THE RH BOARD OF DIRECTORS, COMPRISED OF PHYSICIANS, BOARD MEMBERS, HOSPITAL EXECUTIVE LEADERS, QUALITY PROFESSIONALS AND FRONT-LINE STAFF REVIEW QUALITY DATA AS IT RELATES TO THE PATIENT POPULATION SERVED AND MAKES RECOMMENDATIONS AND ALLOCATES RESOURCES FOR QUALITY IMPROVEMENT INITIATIVES FOCUSING ON THE PROCESSES AND OUTCOMES OF CARE. RH REPRESENTATIVES ARE ACTIVE IN COMMUNITY GROUPS AND COLLABORATIVES, INCLUDING UNITED WAY, AMERICAN CANCER SOCIETY, AMERICAN RED CROSS NORTHEASTERN CALIFORNIA, SUTTER AND YUBA COUNTY PUBLIC HEALTH, CANCER CARE NETWORK AND UC DAVIS HEALTH SYSTEM, AMONG OTHERS. THESE COMMITTEES AND PROGRAMS, ALONG WITH OUR BOARD OF DIRECTORS, SET THE PACE FOR ASSESSING THE COMMUNITIES' NEEDS IN REGARD TO HEALTH CARE.THE COMMUNITY ACTION COMMITTEE (CAC) WAS FORMED IN 1995 FROM MEMBERS OF THE RH BOARD OF DIRECTORS, RH FOUNDATION BOARD OF DIRECTORS, ADMINISTRATION AND STAFF, AND COMMUNITY MEMBERS (INCLUDING REPRESENTATION FROM PHYSICIANS, EDUCATORS, MIGRANT FARM REPRESENTATIVES AND BUSINESS PEOPLE). IT IS CHARGED WITH ASSESSING THE NEEDS OF THE COMMUNITY AND DEVELOPING A PLAN OF ACTION TO PRIORITIZE AND MEET THOSE NEEDS. THE COMMITTEE GATHERS INFORMATION AND FACTS FROM A VARIETY OF SOURCES FROM WITHIN RH AND THROUGH COMMUNITY MEMBERS, GOVERNMENT AND COMMUNITY AGENCIES TO DEVELOP THE OVERALL PLAN. RIDEOUT HEALTH (RH) AND SUTTER SURGICAL HOSPITAL - NORTH VALLEY (SSHNV), TWO HOSPITALS SERVING PORTIONS OF BOTH SUTTER AND YUBA COUNTIES IN NORTHERN CALIFORNIA SHARE THE SAME SERVICE AREA AND JOINTLY CONDUCTED THE RECENT ASSESSMENT. RH IS LOCATED IN MARYSVILLE, CALIFORNIA AND WAS A PART OF THE RIDEOUT HEALTH SYSTEM AND IS NOW AFFILIATED WITH ADVENTIST HEALTH. SSHNV IS LOCATED IN YUBA CITY, CALIFORNIA, AND IS OWNED IN PARTNERSHIP WITH PHYSICIAN OWNERS AND SUTTER MEDICAL FOUNDATION. THE CHNA WAS CONDUCTED OVER A PERIOD OF TEN MONTHS, BEGINNING IN JULY 2015, AND CONCLUDED IN MAY 2016. MANY DEDICATED COMMUNITY HEALTH EXPERTS AND MEMBERS OF VARIOUS SOCIAL SERVICE ORGANIZATIONS SERVING THE MOST VULNERABLE MEMBERS OF THE COMMUNITY GAVE THEIR TIME AND EXPERTISE AS KEY INFORMANTS TO HELP GUIDE AND INFORM THE FINDINGS OF THE ASSESSMENT. MANY COMMUNITY RESIDENTS ALSO PARTICIPATED AND VOLUNTEERED THEIR TIME AND TOLD US WHAT IT WAS LIKE TO LIVE IN THE COMMUNITY WITH LIMITED OR NO ACCESS TO HEALTHCARE AND THE BASIC RESOURCES NEEDED TO LIVE A HEALTHY LIFE. RIDEOUT MEMORIAL HOSPITAL PART V, SECTION B, LINE 6A: SUTTER SURGICAL HOSPITAL - NORTH VALLEY RIDEOUT MEMORIAL HOSPITAL PART V, SECTION B, LINE 11: THE IDENTIFIED SIGNIFICANT HEALTH NEEDS FOR THE COMMUNITIES OF CONCERN ARE LISTED BELOW IN PRIORITIZED ORDER:1. ACCESS TO QUALITY PRIMARY CARE HEALTH SERVICES AND PRESCRIPTION DRUGS - THE HIGHEST PRIORITY SIGNIFICANT HEALTH NEED FOR THE COMMUNITIES OF CONCERN WAS ACCESS TO QUALITY PRIMARY CARE HEALTH SERVICES AND PRESCRIPTION DRUGS. PRIMARY CARE RESOURCES INCLUDE COMMUNITY CLINICS, PEDIATRICIANS, FAMILY PRACTICE PHYSICIANS, INTERNISTS, NURSE PRACTITIONERS, PHARMACISTS, TELEPHONE ADVICE NURSES, AND SIMILAR. PRIMARY CARE SERVICES ARE TYPICALLY THE FIRST POINT OF CONTACT WHEN AN INDIVIDUAL SEEKS HEALTHCARE. THESE SERVICES ARE THE FRONT LINE IN THE PREVENTION AND TREATMENT OF COMMON DISEASES AND INJURIES IN A COMMUNITY.2. ACCESS TO AFFORDABLE, HEALTHY FOOD - THE SECOND HIGHEST PRIORITY SIGNIFICANT HEALTH NEED WAS ACCESS TO AFFORDABLE, HEALTHY FOODS. EATING A HEALTHY DIET IS IMPORTANT FOR ONE'S OVERALL HEALTH AND WELL-BEING. WHEN ACCESS TO HEALTHY FOODS IS CHALLENGING FOR COMMUNITY RESIDENTS, MANY TURN TO UNHEALTHY FOODS THAT ARE CONVENIENT, AFFORDABLE, AND READILY AVAILABLE. COMMUNITIES EXPERIENCING SOCIAL VULNERABILITY AND POOR HEALTH OUTCOMES OFTEN ARE OVERLOADED WITH FAST FOOD AND OTHER ESTABLISHMENTS WHERE UNHEALTHY FOOD IS SOLD. 3. ACCESS TO MENTAL, BEHAVIORAL, AND SUBSTANCE ABUSE SERVICES - THE THIRD HIGHEST PRIORITY SIGNIFICANT HEALTH NEED WAS ACCESS TO MENTAL, BEHAVIORAL, AND SUBSTANCE ABUSE SERVICES. INDIVIDUAL HEALTH AND WELL-BEING ARE INSEPARABLE FROM INDIVIDUAL MENTAL AND EMOTIONAL OUTLOOK. COPING WITH DAILY LIFE STRESSORS IS CHALLENGING FOR MANY PEOPLE, ESPECIALLY WHEN OTHER SOCIAL, FAMILIAL, AND ECONOMIC CHALLENGES ALSO OCCUR. ADEQUATE ACCESS TO MENTAL, BEHAVIORAL, AND SUBSTANCE ABUSE SERVICES HELP COMMUNITY MEMBERS TO OBTAIN ADDITIONAL SUPPORT WHEN NEEDED. 4. ACCESS TO SPECIALTY CARE - THE FOURTH HIGHEST PRIORITY SIGNIFICANT HEALTH NEED FOR RH/SSHNV COMMUNITIES OF CONCERN WAS ACCESS TO SPECIALTY CARE. SPECIALTY CARE SERVICES ARE THOSE DEVOTED TO A PARTICULAR BRANCH OF MEDICINE AND FOCUS ON THE TREATMENT OF A PARTICULAR DISEASE. PRIMARY AND SPECIALTY CARE GO HAND-IN-HAND, AND WITHOUT ACCESS TO SPECIALISTS SUCH AS ENDOCRINOLOGISTS, CARDIOLOGISTS, AND GASTROENTEROLOGISTS COMMUNITY RESIDENTS ARE OFTEN LEFT TO MANAGE CHRONIC DISEASES SUCH AS DIABETES AND HIGH BLOOD PRESSURE ON THEIR OWN.5. ACCESS TO HEALTH EDUCATION AND HEALTH LITERACY - THE FIFTH HIGHEST PRIORITY SIGNIFICANT HEALTH NEED FOR THE HSA WAS ACCESS TO HEALTH EDUCATION AND HEALTH LITERACY. KNOWLEDGE IS IMPORTANT FOR INDIVIDUAL HEALTH AND WELL-BEING, AND HEALTH EDUCATION INTERVENTIONS ARE POWERFUL TOOLS TO IMPROVE COMMUNITY HEALTH. WHEN COMMUNITY RESIDENTS LACK ADEQUATE INFORMATION ON HOW TO PREVENT, MANAGE, AND CONTROL THEIR HEALTH CONDITIONS, THOSE CONDITIONS TEND TO WORSEN. HEALTH EDUCATION AROUND INFECTIOUS DISEASE CONTROL (E.G. STI PREVENTION, INFLUENZA SHOTS) AND INTENSIVE HEALTH PROMOTION AND EDUCATION STRATEGIES AROUND THE MANAGEMENT OF CHRONIC DISEASES (E.G. DIABETES, HYPERTENSION, OBESITY, AND HEART DISEASE) ARE IMPORTANT FOR COMMUNITY HEALTH IMPROVEMENT.6. ACCESS TO TRANSPORTATION AND MOBILITY - THE SIXTH HIGHEST PRIORITY SIGNIFICANT HEALTH NEED FOR RH/SSHNV COMMUNITIES OF CONCERN WAS ACCESS TO TRANSPORTATION AND MOBILITY. HAVING ACCESS TO TRANSPORTATION SERVICES TO SUPPORT INDIVIDUAL MOBILITY IS A NECESSITY OF DAILY LIFE. WITHOUT TRANSPORTATION, INDIVIDUALS STRUGGLE TO ATTAIN THEIR BASIC NEEDS, INCLUDING THOSE THAT PROMOTE AND SUPPORT A HEALTHY LIFE.7. ADDITIONAL IDENTIFIED HEALTH NEED COLLABORATION AND COORDINATION AMONG COMMUNITY SERVICES AND PROGRAMS - WHEN COMMUNITY HEALTH NEEDS ARE VIEWED FROM A REQUISITE PERSPECTIVE, OR THOSE THINGS REQUIRED TO IMPROVE THE HEALTH OF THE COMMUNITY, THE IDEA THAT ENHANCED COLLABORATION AND COORDINATION AMONG ORGANIZATIONS, PROGRAMS, AND SERVICES WOULD LEAD TO BETTER HEALTH OUTCOMES FOR COMMUNITY RESIDENTS APPEARS LOGICAL. ALL BUT ONE KEY INFORMANT IDENTIFIED THIS AS A PRIORITY HEALTH NEED FOR THE RH/SSHNV HSA. TO REVIEW THE FULL CHNA REPORT, PLEASE VISIT: HTTPS://WWW.ADVENTISTHEALTH.ORG/RIDEOUT/COMMUNITY-RELATIONS/COMMUNITY-BENEFIT/ RH HAS CHOSEN TO FURTHER ADDRESS THE HEALTH NEEDS THROUGH THE RESOURCES AND PROGRAMS IDENTIFIED BELOW:1. RH CLINIC CONTINUES TO RECRUIT PRIMARY CARE PHYSICIANS AND EMPLOYS PA'S TO HELP WITH PATIENT LOAD. A "COMMUNITY PHARMACY NEEDS PLAN" IS UNDER DESIGN. CHALLENGES INCLUDE: LACK OF AVAILABILITY OF LOW COST MEDICATIONS; GETTING PRESCRIPTIONS TO THE RIGHT PHARMACIES; HELPING PATIENTS UNDERSTAND MEDICATIONS - AND THE NEED TO CONTINUE THEM UNTIL SEEN BY PC. THE PHARMACY PLAN INCLUDES: MANAGED MEDICAID PLAN FORMULARIES TO ENSURE THAT PATIENTS CAN FILL MEDICATIONS AT LOW COST; LOW COST $4 MEDS AT WALMART OR COSTCO; 340B PROGRAM; HOME DELIVERY; LOW COSTS CONVENIENCE. A PROCESS IS BEING SET-UP WITH PHARMACIES TO DELIVER TO HOSPITAL/ED DISCHARGE PRESCRIPTIONS2. THE RH COMMUNITY GARDEN PROVIDED FREE FRESH VEGETABLES TO INDIGENT POPULATIONS IN COMMUNITIES LIVING IN "FOOD DESERTS" NEARBY. AN ACCESS TO AFFORDABLE, HEALTHY FOOD PLAN IS UNDER DESIGN, INCLUDING: FOOD INSECURITY SCREENINGS; Y-S FOOD BANK - OBTAINED RESOURCE REFERENCE MATERIAL; A REFERRAL FORM; CASE MANAGEMENT AND NURSING STAFF MEETINGS ARE BEING HELD; ICD-10 CODING; PATIENTS ARE BEING REFERRED TO THE FOOD BANK AND OTHER DISTRIBUTION CENTERS IN THE PATIENTS GEOGRAPHIC AREA; LEADERSHIP IS VOLUNTEERING ONCE A MONTH AT THE LOCAL FOOD BANK; A RH LEADER WILL JOIN THE FOOD BANK BOARD OF DIRECTORS3. THE MENTAL HEALTH EMERGENCY STABILIZATION OUTPATIENT UNIT HAS BEEN INTEGRATED INTO THE RH EMERGENCY DEPARTMENT AND FUNCTIONS IN COLLABORATION WITH SUTTER YUBA MENTAL HEALTH, UTILIZING COUNTY MENTAL HEALTH AND EMERGENCY PSYCHIATRY PROFESSIONALS, EMERGENCY TELEPSYCHIATRY, ED STAFF, AND CRISIS NURSING4. RH CLINIC HAS OPENED OR ENHANCED ADDITIONAL SPECIALTY CARE CLINICS INCLUDING THE RIDEOUT UROLOGY CLINIC, THE RIDEOUT NEUROLOGY CLINIC AND THE RIDEOUT GENERAL SURGERY CLINIC INCLUDING BARIATRIC SURGERY5. WE ARE EDUCATING AND EMPOWERING OUR PATIENTS THROUGH OUR ENHANCED COMMUNITY HEALTH EDUCATION PROGRAM RIDEOUT HEALTHY. CLASSES INCLUDE: TOBACCO CESSATION, MATERNITY, CHILDBIRTH, CHILD SAFETY, DIABETES, HEALTHY EATING, CANCER WELLNESS AND HOSPICE GRIEF CLASSES, REGIONAL HEALTH FAIRS, INCLUDING THE RH BABY FAIR, AND FOR YOUNGSTERS, OUR FREE RIDEOUT HEALTHY KIDS SCHOOL ASSEMBLIES FOR K-8TH GRADE STUDENTS IN YUBA, SUTTER AND COLUSA COUNTIES6. RH FOUNDATION ASSISTS CANCER CENTER PATIENTS, SENIOR CARE AND OTHER PATIENTS WITH TRANSPORTATION NEEDS AND MORE BY PROVIDING PROVISIONS SUCH AS GAS CARDS, BUS PASSES, FOOD CARDS TO HELP INDIGENT OR LOW INCOME PATIENTS WITH THEIR TRAVEL NEEDS7. RH COORDINATES WITH THE SUTTER AND YUBA COUNTY HEALTH AGENCIES AND LOCAL LOW-INCOME HEALTH PROVIDERS TO DISTRIBUTE HEALTH INFORMATION AND ASSIST WITH HEALTH SERVICES INCLUDING AN NO COSTRH'S "RIDEOUT HEALTHY" PROGRAM OFFERS FREE COMMUNITY HEALTH EDUCATION CLASSES TO ALL COMMUNITY MEMBERS FOCUSED ON THE BENEFITS OF EATING HEALTHY, EXERCISE, AND EMOTIONAL WELL-BEING. AT RH WE STRIVE TO GIVE PEOPLE THE RESOURCES AND ENCOURAGEMENT THEY NEED TO LIVE THE HEALTHIEST LIVES POSSIBLE.IN 2014 THE "RIDEOUT HEALTHY KIDS" PROGRAM BEGAN. THIS PROGRAM PROVIDES HEALTH EDUCATION TO ELEMENTARY AND MIDDLE SCHOOL CHILDREN IN AN INTERACTIVE MUSICAL THEATER PERFORMANCE AND A COMEDY SHOW. AN EVALUATION OF SPECIFIC OUTCOMES OF THIS PROGRAM INCLUDED THE FOLLOWING: - IN 2014 THE PROGRAM WAS DELIVERED TO OVER 22,000 YUBA-SUTTER SCHOOL SYSTEM STUDENTS - IN 2015 THE RIDEOUT HEALTHY KIDS PROGRAM WAS EXPANDED TO NEIGHBORING COLUSA COUNTY - IN 2016/17, THE RIDEOUT HEALTHY KIDS PROGRAM SHARED THE MESSAGE OF HEALTHY EATING/ESTEEM AT 20 - K-8 SCHOOL ASSEMBLIES IN YUBA AND SUTTER COUNTIES. PORTIONS OF THE MUSICAL ASSEMBLY SCRIPT WERE REWORKED TO BRING RHK'S MESSAGING UP-TO-DATE, AND TO INCLUDE CURRENT TRENDS WHICH WILL APPEAL TO STUDENTS K-8TH GRADE - TEACHER EVALUATIONS WERE CONDUCTED AFTER EACH PROGRAM WAS DELIVERED TO ASSESS OBSERVED BEHAVIORAL CHANGES AND INCREASED AWARENESS IN THE STUDENTS THAT ATTENDED THE PROGRAM. A SAMPLE OF EVALUATIONS WAS SELECTED AT RANDOM (N=22) TO DEMONSTRATE THE IMPACT OF THE PROGRAM. THIS ANALYSIS REVEALED THAT 64% OF TEACHERS SURVEYED REPORTED OBSERVING AN INCREASED AWARENESS OF HEALTHY EATING HABITS AND 59% REPORTED OBSERVING AN INCREASED AWARENESS OF EXERCISE AND ACTIVITY HABITS IN THE STUDENTS THAT ATTENDED THE PROGRAM- RH DEVELOPED A SERIES OF NEW HEALTH EDUCATION CLASSES AND DELIVERS THESE MONTHLY THROUGHOUT THE CALENDAR YEAR. TOPICS INCLUDE NUTRITION, DIABETES MANAGEMENT AND GRIEF/HEALTH COPING- THE RH TEEN LEADERSHIP COUNCIL PARTICIPATE IN SEASONAL ACTIVITIES THAT ARE SANCTIONED BY THE RIDEOUT HEALTH FOUNDATION INCLUDING HELP WITH COMMUNITY HEALTH EVENTS, THE COMMUNITY GARDEN AND JOB SHADOWING HEALTHCARE PROFESSIONALS RIDEOUT MEMORIAL HOSPITAL PART V, SECTION B, LINE 20E: THE RIDEOUT HEALTH SYSTEM WILL MAKE EVERY EFFORT TO NOTIFY THE PATIENTS OF THE FINANCIAL LIABILITY PRIOR TO SERVICE, OR AT THE TIME OF SERVICE. ALL PATIENTS WILL BE REQUESTED TO SIGN THE CONDITIONS OF ADMISSION WHICH INFORMS THE PATIENT IN SUMMARY OF THEIR FINANCIAL RESPONSIBILITY. ANY PATIENT WHO REQUESTS ASSISTANCE WITH PAYMENT FOR SERVICES WILL BE DIRECTED TO THE FINANCIAL COUNSELING OR PATIENT FINANCIAL SERVICES DEPARTMENTS DEPENDING ON THEIR IN-HOUSE OR DISCHARGE STATUS. THE FINANCIAL COUNSELING DEPARTMENT WILL ASSIST PATIENTS WHO ARE CURRENTLY IN-HOUSE OR PREREGISTERED WITH COLLECTION OF ANY INSURANCE DEDUCTIBLES, CO-PAYS, CO-INSURANCE OR SHARE-OF-COSTS AS WELL AS OBTAINING PAYMENT ARRANGEMENTS. ASSIST THE PATIENT WITH FINANCIAL ASSISTANCE AND OR OTHER PROGRAMS THAT MAY BE AVAILABLE. THE PATIENT FINANCIAL SERVICES DEPARTMENT WILL ASSIST ALL PATIENTS POST DISCHARGE WITH COLLECTION OF ANY INSURANCE DEDUCTIBLES, CO-PAYS OR SHARE-OF-COSTS AS WELL AS OBTAINING PAYMENT ARRANGEMENTS, ASSISTING WITH MEDICAL OR OTHER ELIGIBLE APPLICATION AND APPLICATION TO THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM FOR PATIENTS WITHOUT ANOTHER PAYMENT SOURCE. PRIOR TO AN ACCOUNT BEING REFERRED TO BAD DEBT, IT MAY BE PLACED ON A PAYMENT ARRANGEMENT PLAN IF THE MONTHLY PAYMENT AMOUNT REQUESTED AND AGREED TO BY THE PATIENT AND OR PATIENT REPRESENTATIVE FALLS WITHIN RIDEOUT HEALTH PAYMENT ARRANGEMENT GUIDELINES. COLLECTION GUIDELINES1. FOLLOWING COMPLETION OF OUTPATIENT SERVICES OR DISCHARGE AS AN INPATIENT, THE CREDIT AND COLLECTIONS REPRESENTATIVE WILL VERIFY RESOLUTION TO UNDERSTAND FINANCIAL COUNSELING ISSUES. IF OPEN ISSUES EXIST, THE REPRESENTATIVE WILL WORK WITH THE PATIENT AND/OR FINANCIAL COUNSELOR AS APPROPRIATE TO COMPLETE. 2. FOR OUTPATIENT SERVICES OTHER THAN SURGERY, EMERGENCY ROOM, CANCER CENTER AND CARDIAC CATH LAB; FOLLOW UP WILL BE DRIVEN BY STATEMENTS ONLY.3. FOR INPATIENT SERVICES, SURGERY, EMERGENCY ROOM, CANCER CENTER AND CARDIAC CATH LAB; FOLLOW UP WILL BE DRIVEN BY STATEMENTS AND A MINIMUM OF ONE PHONE CONTACT.4. THE FIRST CONTACT ATTEMPT SHOULD BE MADE WITHIN THE FIRST 30 DAYS AFTER DATE OF SERVICE OR DATE OF DISCHARGE IS POSSIBLE.5. CREDIT AND COLLECTIONS FOLLOW-UP PROCESS AND BILLING CYCLE A. THE SELF-PAY PATIENT WILL RECEIVE 6 PATIENT STATEMENTS:I. INITIAL STATEMENT WILL BE GENERATED ON DAY 30 OF THE BILLING CYCLEII. SUBSEQUENT PATIENT STATEMENTS ARE GENERATED ON DAYS: 60, 90, 120 (ALPHA SPLIT)B. COLLECTION CALLS BEGIN WHEN THE FOLLOWING AGING CRITERIA IS MET:I. 45 DAYSII. 75 DAYSIII. 115 DAYSAFTER A PERIOD OF 120 DAYS, IF THE ACCOUNT IS DEEMED UNCOLLECTIBLE, THE HOSPITAL WILL PLACE THE ACCOUNT IN BAD DEBT AND REFER TO AN OUTSIDE COLLECTION AGENCY.BAD DEBT QUALIFICATION CRITERIA1. AN ACCOUNT MAY BE REFERRED TO COLLECTIONS IF IT MEETS ONE OR MORE OF THE FOLLOWING CRITERIA:A. SELF-PAY BALANCE NOT PAID 120 DAYS AFTER BILL DATE AND WHEN ALL REASONABLE FOLLOW UP EFFORTS HAVE BEEN EXHAUSTED.B. PATIENT OR GUARANTOR ADVISES PFS COLLECTIONS STAFF THAT THEY HAVE NO INTENTION OF PAYING THE BILL.C. PATIENT COMMUNICATION VIA MAIL AND OR PHONE IS UNSUCCESSFUL DUE TO BAD PATIENT/ACCOUNT INFORMATION. RIDEOUT MEMORIAL HOSPITAL PART V, SECTION B, LINE 24: ALL PATIENTS ARE CHARGED THE SAME REGARDLESS OF THEIR ABILITY TO PAY. IF THE PATIENT IS FAP-ELIGIBLE AND COMPLETES THE REQUIRED DOCUMENTATION, THE CHARGES ARE EITHER REDUCED OR WRITTEN-OFF TO CHARITY CARE. 20 1 - CARDIOTHORACIC CLINIC 401 I ST SUITE A MARYSVILLE CA 95901 CLINIC 2 - CARDIAC REHAB 401 I ST SUITE B C MARYSVILLE CA 95901 CLINIC 3 - CARDIOLOGY CLINIC 414 G ST SUITE 106 MARYSVILLE CA 95901 CLINIC 4 - INTERVENTIONAL HEART CLINIC 414 G ST SUITE 108 MARYSVILLE CA 95901 CLINIC 5 - SURGERY PRE-OP 414 G ST SUITE 120 MARYSVILLE CA 95901 CLINIC 6 - GENERAL CARDIOLOGY CLINIC 414 G ST SUITE 208 MARYSVILLE CA 95901 CLINIC 7 - INTERVENTIONAL HEART CLINIC 414 G ST SUITE 210 MARYSVILLE CA 95901 CLINIC 8 - VASCULAR CLINIC 414 G ST SUITE 221 MARYSVILLE CA 95901 CLINIC 9 - WOMEN'S HEALTH CLINIC 1007 LIVE OAK BLVD SUITE B2 YUBA CITY CA 95901 CLINIC 10 - PRIMARY CARE CLINIC 1215 PLUMAS ST SUITE 800 YUBA CITY CA 95901 CLINIC 11 - FAMILY PHYSICIANS CLINIC 1233 PLUMAS ST SUITE A YUBA CITY CA 95901 CLINIC 12 - OCCUPATIONAL HEALTH 1531 PLUMAS ST YUBA CITY CA 95991 CLINIC 13 - FEATHER RIVER SURGERY CENTER 370 DEL NORTE AVE 1ST FLOOR YUBA CITY CA 95991 CLINIC 14 - ORTHOPEDIC SURGERY CLINIC 370 DEL NORTE AVE SUITE 201 YUBA CITY CA 95991 CLINIC 15 - EAR NOSE THROAT CLINIC 370 DEL NORTE AVE SUITE 203 YUBA CITY CA 95991 CLINIC 16 - THORACIC SURGERY CLINIC 370 DEL NORTE AVE SUITE 204 YUBA CITY CA 95991 CLINIC 17 - BLOOD DRAW STATION 481 PLUMAS ST SUITE 103 YUBA CITY CA 95991 CLINIC 18 - PRIMARY CARE CLINIC 481 PLUMAS ST SUITE 104 YUBA CITY CA 95991 CLINIC 19 - GENERAL SURGERY CLINIC 481 PLUMAS ST SUITE 201 YUBA CITY CA 95991 CLINIC 20 - WOMEN'S IMAGING 945 SHASTA ST YUBA CITY CA 95991 CLINIC PART I, LINE 6A: RIDEOUT MEMORIAL HOSPITAL'S COMMUNITY BENEFIT REPORT IS INCLUDED IN THE COMMUNITY BENEFIT REPORT PREPARED BY FREMONT RIDEOUT HEALTH GROUP. THE COMMUNITY BENEFIT REPORT IS MADE AVAILABLE TO THE PUBLIC UPON REQUEST AND ON OUR WEBSITE WWW.ADVENTISTHEALTH.ORG/RIDEOUT. IT CAN ALSO BE REQUESTED THROUGH THE STATE (OSHPD ADDRESS PROVIDED BELOW).OSHPD HEALTHCARE INFORMATION RESOURCE CENTER400 R STREET, ROOM 250; SACRAMENTO, CA 95811-6213TELEPHONE (916) 326-3802FAX (916) 324-9242 PART I, LINE 7: ACTUAL COSTS ARE USED - COST TO CHARGE RATIO METHODOLOGY PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 13,901,351. PART III, LINE 2: ACTUAL COSTS ARE USED - COST TO CHARGE RATIO METHODOLOGY. PART III, LINE 3: RIDEOUT MEMORIAL HOSPITAL DOES NOT CURRENTLY MAKE AN ESTIMATE FOR BAD DEBT ATTRIBUTABLE TO PATIENTS UNDER FINANCIAL ASSISTANCE. THESE ACCOUNTS ARE INCLUDED IN THE TOTAL BAD DEBT RESERVE. THESE COSTS ARE NOT REPORTED AS COMMUNITY BENEFIT. ONCE PATIENTS HAVE BEEN DETERMINED TO QUALIFY FOR FAP, THE ACCOUNTS ARE DISCOUNTED AS CHARITY CARE, AND ARE THEN INCLUDED IN OUR COMMUNITY BENEFIT FIGURES. PART III, LINE 4: AUDITED FINANCIAL STATEMENT NOT ISSUED FOR FYE 6/30/2018 AS THE ORGANIZATION WILL BE INCLUDED IN THE CONSOLIDATED AUDITED FINANCIALS FOR DECEMBER 31, 2018 DUE TO AFFILIATING WITH ADVENTIST HEALTH AND CHANGING THEIR YEAREND. PART III, LINE 8: THE MEDICARE SHORTFALL IS FULLY TREATED AS COMMUNITY BENEFIT IN THE ORGANIZATION'S COMMUNITY BENEFIT REPORT.ACTUAL COSTS ARE USED - COST TO CHARGE RATIO METHODOLOGY. PART III, LINE 9B: THE FINANCIAL COUNSELING DEPARTMENT WILL ASSIST PATIENTS WHO ARE CURRENTLY IN-HOUSE WITH COLLECTION OF ANY INSURANCE DEDUCTIBLES, CO-PAYS, OR SHARE-OF-COSTS AS WELL AS OBTAINING PAYMENT ARRANGEMENTS, ASSISTING WITH MEDI-CAL OR CMSP APPLICATION, AND APPLICATION TO THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM FOR PATIENTS WITHOUT ANOTHER PAYMENT SOURCE. PART VI, LINE 2: THE COMMUNITY ACTION COMMITTEE, A CROSS-SECTION OF CLINICAL AND NON-CLINICAL HOSPITAL STAFF, REGULARLY REVIEW HEALTH CARE NEEDS OF THE COMMUNITY. PARTICIPANTS ARE ASKED FOR SUGGESTIONS ON NEW CLASSES, PROGRAMS AND SERVICES. FRHG REPRESENTATIVES ARE ACTIVE IN COMMUNITY GROUPS AND COLLABORATIVES, INCLUDING UNITED WAY, AMERICAN CANCER SOCIETY AND SUTTER AND YUBA COUNTY PUBLIC HEALTH DEPARTMENTS AND UC DAVIS HEALTH SYSTEM. THESE COMMITTEES AND PROGRAMS, ALONG WITH THE BOARD OF DIRECTORS, SET THE PACE FOR ASSESSING THE COMMUNITIES' NEEDS IN REGARD TO HEALTH CARE. PART VI, LINE 3: THE FINANCIAL COUNSELING DEPARTMENT WILL ASSIST PATIENTS WHO ARE CURRENTLY IN-HOUSE WITH COLLECTION OF ANY INSURANCE DEDUCTIBLES, CO-PAYS, OR SHARE-OF-COSTS AS WELL AS OBTAINING PAYMENT ARRANGEMENTS, ASSISTING WITH MEDI-CAL OR CMSP APPLICATION, AND APPLICATION TO THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM FOR PATIENTS WITHOUT ANOTHER PAYMENT SOURCE. FINANCIAL COUNSELORS AND CREDIT & COLLECTION EMPLOYEES WILL PERFORM UNCOMPENSATED CARE FINANCIAL SCREENING AND MEANS TESTING. A PATIENT MAY BE GRANTED EITHER FULL OR PARTIAL FINANCIAL RELIEF DEPENDING UPON THEIR FINANCIAL SITUATION. ALL UNINSURED PATIENTS WHO CANNOT AFFORD TREATMENT WILL BE ASSESSED AT TIME OF ADMISSION/REGISTRATION TO DETERMINE IF THEY HAVE UNEXPLORED INSURANCE BENEFITS OR ARE ELIGIBLE FOR PUBLICLY FUNDED PROGRAMS. PART VI, LINE 4: RIDEOUT HEALTH SERVES THE SACRAMENTO VALLEY AND SIERRA NEVADA FOOTHILL REGION COMPRISED OF YUBA AND SUTTER COUNTIES, WITH A COMBINED POPULATION OF 171,533, ACCORDING TO A 2016 CALIFORNIA DEPARTMENT OF FINANCE ESTIMATE. YUBA AND SUTTER COUNTIES' POPULATION GROWTH HAS OUTPACED THE GROWTH RATE IN CALIFORNIA OVER THE PAST TWO DECADES, AND IS PROJECTED TO CONTINUE. OF THE TOTAL POPULATION OF THE TWO COUNTIES, 26.7 PERCENT ARE CHILDREN (UNDER THE AGE OF 18), AND 13.8 PERCENT ARE SENIORS (65 OR OLDER). THE SENIOR POPULATION IS EXPECTED TO MORE THAN DOUBLE FROM 2010 TO 2035.THIS REGION OF ABUNDANT NATURAL RESOURCES GRAPPLES WITH SEVERAL SOCIOECONOMIC CHALLENGES, INCLUDING A POVERTY RATE 34 PERCENT HIGHER THAN ALL OF CALIFORNIA, WHICH CAN CREATE SIGNIFICANT COMMUNITY HEALTH CHALLENGES. ACCORDING TO THE U.S. CENSUS BUREAU, INCOMES IN BOTH COUNTIES ARE BELOW THE STATEWIDE AVERAGE, AND THE POVERTY RATE IS HIGHER THAN THE STATEWIDE AVERAGE. MEDIAN PER CAPITA INCOME FOR YUBA COUNTY WAS JUST $20,471 IN 2017, 32 PERCENT BELOW THE STATEWIDE AVERAGE OF $30,318. SUTTER COUNTY WAS AT $23,689, 22 PERCENTAGE POINTS BEHIND THE REST OF THE STATE. THE COMBINED POVERTY RATE OF THE TWO COUNTIES IS 19.2 PERCENT, COMPARED TO ALL OF CALIFORNIA AT 14.3 PERCENT.ACCORDING TO THE UNITED STATES BUREAU OF LABOR STATISTICS, IN THE 20 YEARS FROM 1990 TO 2010, THE UNEMPLOYMENT RATE FOR THE YUBA-SUTTER REGION WAS AT A HIGH OF 19.5 PERCENT IN 2010 AND A LOW OF 8.8 PERCENT IN 2000. WHILE THE REGION'S ECONOMY HAS IMPROVED, THE ANNUAL AVERAGE UNEMPLOYMENT RATE IN 2016 WAS 9.2 PERCENT, COMPARED TO 5.4 PERCENT STATEWIDE, ACCORDING TO THE CALIFORNIA EMPLOYMENT DEVELOPMENT DEPARTMENT.ACCORDING TO THE UNIVERSITY OF WISCONSIN AND ROBERT J. WOOD FOUNDATION COUNTY HEALTH RANKINGS, YUBA COUNTY RANKED 44TH WORST OUT OF 58 COUNTIES IN CALIFORNIA FOR OVERALL HEALTH AND SUTTER COUNTY RANKED 30TH WIN 2016. ACCORDING TO THE CALIFORNIA DEPARTMENT OF PUBLIC HEALTH, YUBA COUNTY HAS THE THIRD HIGHEST RATE OF DEATH FROM ALL CAUSES IN CALIFORNIA, AND SUTTER COUNTY HAS THE 22ND HIGHEST MORTALITY RATE. YUBA COUNTY HAS THE THIRD HIGHEST, AND SUTTER COUNTY THE SIXTH HIGHEST, RATE OF DEATH DUE TO CORONARY DISEASE.THE PERCENTAGE OF YUBA COUNTY RESIDENTS WITH A DISABILITY IS TWICE THE STATEWIDE AVERAGE. YUBA COUNTY HAS A DISABILITY RATE OF 14.5 PERCENT IN PEOPLE UNDER THE AGE OF 65, AND SUTTER COUNTY HAS A DISABILITY RATE OF 9.3 PERCENT. THE STATEWIDE AVERAGE IS 6.8 PERCENT.MORE YUBA AND SUTTER COUNTY RESIDENTS NOW HAVE HEALTH INSURANCE DUE TO THE AFFORDABLE CARE ACT. PRIOR TO THE ACT, THE PERCENTAGE OF RESIDENTS WITHOUT HEALTH INSURANCE WAS HIGHER IN YUBA AND SUTTER COUNTIES THAN THE NATIONAL AVERAGE, ACCORDING TO THE U.S. CENSUS BUREAU'S SMALL AREA HEALTH INSURANCE ESTIMATES. ACCORDING TO THE CENSUS BUREAU, 21.5 PERCENT OF SUTTER COUNTY RESIDENTS AND 19.1 PERCENT OF YUBA COUNTY RESIDENTS WERE WITHOUT HEALTH INSURANCE FOR ALL 12 MONTHS OF 2009, COMPARED TO THE CALIFORNIA UNINSURED RATE OF 20.1 PERCENT, AND THE NATIONAL UNINSURED RATE OF 16.3 PERCENT. AN ESTIMATED 10,000 ADDITIONAL INDIVIDUALS IN YUBA AND SUTTER COUNTIES BECAME MEDI-CAL CERTIFIED ELIGIBLE IN 2014 WITH THE IMPLEMENTATION OF THE ACT, AND THE PERCENTAGE OF INDIVIDUALS WITHOUT HEALTH INSURANCE HAS DROPPED TO 14 PERCENT IN EACH COUNTY. HOWEVER, MANY STILL STRUGGLE TO FIND MEDI-CAL PROVIDERS.RIDEOUT HEALTH PROVIDES COMMUNITY BENEFITS TO THE COMMUNITIES WE SERVE - DEMONSTRATING OUR COMMITMENT TO THE HEALTH OF RESIDENTS IN OUR SERVICE AREA. WE PROVIDE PROGRAMS AND ACTIVITIES THAT PROVIDE TREATMENT OR PROMOTE HEALTH AND HEALING AS A RESPONSE TO IDENTIFIED COMMUNITY NEEDS IN SUCH A WAY AS TO IMPROVE RESIDENTS' ACCESS TO HEALTH CARE SERVICES, ENHANCE THE HEALTH OF THE COMMUNITY, AND ADVANCE MEDICAL OR HEALTH KNOWLEDGE. RH'S COMMUNITY BENEFIT INCLUDES EDUCATION, CHARITY CARE, SUBSIDIZED HEALTH SERVICES, COMMUNITY HEALTH IMPROVEMENT ACTIVITIES AND MORE. RH CREATES ACCESS TO HEALTH CARE IN OUR REGION FOR INDIVIDUALS AND FAMILIES WHO STRUGGLE AGAINST POVERTY, DISABILITY AND ISOLATION. PART VI, LINE 5: - RIDEOUT MEMORIAL HOSPITAL ADDRESSES THE FOLLOWING COMMUNITY NEEDS: ACCESS TO INPATIENT AND OUTPATIENT CARE FOR INDIVIDUALS WITHOUT A MEDICAL PROVIDER; EDUCATION AND SCREENING PROGRAMS FOR SPECIAL POPULATIONS AND HEALTH CONDITIONS; COMMUNITY FLU VACCINATION CLINICS; SPECIAL SUPPORT SERVICES FOR HOSPICE PATIENTS, FAMILIES AND THE COMMUNITY; SUPPORT OF COMMUNITY NON-PROFIT ORGANIZATIONS; EDUCATION AND TRAINING OF HEALTH CARE PROFESSIONALS; AND COLLABORATION WITH LOCAL SCHOOLS THROUGH OUR TEEN LEADERSHIP COUNCIL PROGRAM TO PROMOTE INTEREST IN HEALTH CARE CAREERS. ADDITIONAL STEPS WERE TAKEN DURING THE CURRENT YEAR TO INCREASE PATIENT ACCESS TO MEDICAL CARE FACILITIES BY ESTABLISHING A NUMBER OF CLINICS IN THE COMMUNITY.- RIDEOUT MEMORIAL HOSPITAL REGULARLY OFFERS HEALTH SCREENINGS TO THE PUBLIC AT LITTLE OR NO CHARGE THROUGH HEALTH FAIRE AND PROSTATE SCREENINGS THROUGH THE CANCER CENTER AT RIDEOUT. THE RIDEOUT MEMORIAL HOSPITAL ALSO OFFERS LOW COST MAMMOGRAM PROGRAMS DURING PINK OCTOBER. THESE SCREENINGS MAY INCLUDE: CHOLESTEROL, GLUCOSE, BLOOD PRESSURE HEIGHT AND WEIGHT WITH BMI (BODY MASS INDEX), PROSTATE SCREENING, AND LOW COST MAMMOGRAMS.- RIDEOUT MEMORIAL HOSPITAL PROUDLY SUPPORTS MANY LOCAL ORGANIZATIONS, IN COLLABORATION WITH AGENCIES SUCH AS PEACH TREE CLINIC, AMPLA HEALTH CARE, SUTTER COUNTY HEALTH ACS, YUBA COUNTY HEALTH DEPARTMENT TO PROVIDE SERVICES AND SUPPORT GROUPS. - RIDEOUT MEMORIAL HOSPITAL IS ACTIVELY INVOLVED IN THE ECONOMIC DEVELOPMENT COMMITTEE FOR YUBA COUNTY, EXECUTIVE STEERING COMMITTEE FOR THE CITY OF MARYSVILLE, AND REPRESENTATION IN ROTARY SERVICE CLUBS IN BOTH YUBA CITY AND MARYSVILLE.- RIDEOUT MEMORIAL HOSPITAL'S COMMUNITY HEALTH EDUCATION PROGRAM PROVIDES A VARIETY OF CLASSES, SEMINARS, SUPPORT GROUPS AND EVENTS TO HELP THE RESIDENTS OF THE YUBA SUTTER COMMUNITIES TO IMPROVE AND MAINTAIN THEIR HEALTH AND LIFESTYLE. PART VI, LINE 7, REPORTS FILED WITH STATES CA 1 1 0 0 0 0 0 0 0 BILL WING CHAIR 0 953512 0 273121 0 233611 0 16356 0 36337 0 1512937 0 172851 JEFF ELLER PRESIDENT 0 647561 0 183480 0 206427 0 16356 0 28657 0 1082481 0 106335 MEREDITH JOBE SECRETARY 0 395752 0 98614 0 159873 0 16356 0 25957 0 696552 0 60017 JOE REPPERT ASSISTANT TREASURER (THRU 03/18) 0 473244 0 41746 0 95965 0 16356 0 39585 0 666896 0 0 GINO PATRIZIO CEO (THRU 05/18) 0 639974 0 0 0 74644 0 29475 0 10363 0 754456 0 0 DIANE MOON CFO (THRU 04/18) 0 301995 0 0 0 79219 0 18475 0 20178 0 419867 0 0 ED GONZALEZ DIR OF FIN (THRU 05/18)/FIN EXEC 0 142782 0 0 0 33707 0 6068 0 29801 0 212358 0 0 MONICA ARROWSMITH BUS DVLP/COMMUNITY MI EX 0 241392 0 0 0 68467 0 10259 0 29411 0 349529 0 0 AZAD SHEIKH PHYSICIAN EXECUTIVE 0 274257 0 0 0 28900 0 20898 0 10690 0 334745 0 0 MELISSA BURNS CHIEF OPERATIONS OFFICER (THRU 08/17 0 234646 0 0 0 400599 0 25972 0 19476 0 680693 0 0 DANIEL CHIBAYA OPERATIONS EXECUTIVE 0 247594 0 0 0 73187 0 10523 0 29411 0 360715 0 0 JERRY GONZALES DIRECTOR PHARMACY 227820 0 0 0 37467 0 9682 0 20451 0 295420 0 0 0 STEPHEN HAMMARSTROM VP OUTPATIENT CLINICS 201968 0 0 0 60483 0 4544 0 29801 0 296796 0 0 0 DEBORAH MENSCH VP NURSING SERVICES 186403 0 0 0 50602 0 7922 0 20178 0 265105 0 0 0 SHERRYL BIRD REGISTERED NURSE 222727 0 0 0 6950 0 8263 0 20178 0 258118 0 0 0 KRISTA MINTON DIRECTOR WOMEN & CHILDREN 194081 0 0 0 8172 0 8248 0 29411 0 239912 0 0 0 PART I, LINE 3 THE ORGANIZATION RELIED ON A RELATED ORGANIZATION THAT USED ONE OR MORE OF THE METHODS DESCRIBED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION. PART I, LINES 4A-B MELISSA BURNS RECEIVED SEVERANCE COMPENSATION IN THE AMOUNT OF $270,768 DURING THE YEAR. GINO PATRIZIO RECEIVED SEVERANCE COMPENSATION DURING THE FISCAL YEAR, BUT NOT DURING THE CALENDAR YEAR 2017. TERMS OF THE AGREEMENTS ARE SUBJECT TO A CONFIDENTIALITY CLAUSE; DETAILS WILL BE PROVIDED TO THE IRS UPON REQUEST. A FLEXIBLE BENEFITS PLAN (CAA) IS OFFERED TO GROUPS OF HIGHLY-COMPENSATED EMPLOYEES MEETING CERTAIN CRITERIA. THE PARTICIPANTS ARE PROVIDED WITH AN AMOUNT EQUIVALENT TO 41 PERCENT OF THEIR BASE COMPENSATION, LESS THE VALUE OF THEIR CORPORATE PROVIDED BENEFITS. THE BALANCE IS SET ASIDE FOR NON-VESTED DEFERRED COMPENSATION THAT IS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE AND IS AT RISK TO THE CREDITORS OF ADVENTIST HEALTH. PAYOUTS OCCUR ACCORDING TO THE PARTICIPANTS' PAYMENT ELECTIONS AFTER ALL SUBSTANTIAL RISKS OF FORFEITURE HAVE LAPSED. PART II, LINE (7) ED GONZALEZ COMPENSATION WAS EARNED DURING THE COURSE OF HIS ROLE AS DIRECTOR OF FINANCE FROM THE START OF THE FISCAL YEAR-END THROUGH MAY 2018. A CITY OF MARYSVILLE CALIFORNIA 946000368 574374AN4 2011-11-15 111067641 CONSTRUCTION IMPROVEMENT, EXPANSION 0 0 0 A 111314422 20973181 1066710 1392359 110247712 2016 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 A 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: CITY OF MARYSVILLE, CALIFORNIA DATE THE REBATE COMPUTATION WAS PERFORMED: 11/18/2016 SCHEDULE K, PART II, LINE 3: THE DIFFERENCE BETWEEN THE ISSUE PRICE REPORTED IN PART I COLUMN (E) AND THE TOTAL PROCEEDS REPORTED ON PART II, LINE 3 IS DUE TO INTEREST EARNED. FORM 990, PART IV, LINE 20B RIDEOUT MEMORIAL HOSPITAL ENGAGED A CPA FIRM TO ISSUE AUDITED FINANCIAL STATEMENT FOR AN EIGHTEEN (18) MONTH PERIOD WHICH ENCOMPASSES THE CURRENT 2017 TAX PERIOD. WHEN ISSUED, THE AUDITED FINANCIAL STATEMENT WILL BE FOR THE PERIOD OF JULY 1, 2017 THROUGH DECEMBER 31, 2018 DUE TO THE FACT THAT FREMONT RIDEOUT HEALTH GROUP AFFILIATED WITH ADVENTIST HEALTH AND AS A RESULT CHANGED ITS YEAR END. RIDEOUT MEMORIAL HOSPITAL HAS NO STAND ALONE AUDITED FINANCIAL STATEMENT TO ATTACH TO THIS RETURN AS REQUIRED; THE 18-MONTH AUDIT REPORT WILL BE PROVIDED WITH THE DECEMBER 31, 2018 FORM 990. FORM 990, PART VI, SECTION A, LINE 4 AS PART OF AN AFFILIATION AGREEMENT WITH ADVENTIST HEALTH SERVICES/WEST EFFECTIVE APRIL 2018, THE ORGANIZATION AMENDED ITS ARTICLES OF INCORPORATION AND BYLAWS FOR THE FOLLOWING: 1) THE NUMBER, COMPOSITION, QUALIFICATIONS, POWERS AND ELECTION OF THE BOARD OF DIRECTORS OF RIDEOUT MEMORIAL HOSPITAL WERE CHANGED SO THAT THE BOARD OF DIRECTORS OF THE SOLE MEMBER, FREMONT-RIDEOUT HEALTH GROUP ARE THE HOSPITAL'S BOARD MEMBERS. 2) THE POWERS RESERVED AND APPROVAL AUTHORITY OF THE SOLE MEMBER, FREMONT-RIDEOUT HEALTH GROUP, WERE REVISED. 3) THE DUTIES OF OFFICERS WERE REVISED. 4) AMENDMENTS TO THE BYLAWS MUST BE APPROVED BY THE SOLE MEMBER, FREMONT-RIDEOUT HEALTH GROUP. 5) THE ARTICLES PERTAINING TO THE AUDIT COMMITTEE AND CONFLICT OF INTEREST PROCEDURES WERE REMOVED FROM THE AMENDED BYLAWS AND REPLACED BY SEPARATE PROVISIONS WITHIN THE AFFILIATION AGREEMENT OR COVERED BY CORPORATE POLICY. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS THE FREMONT-RIDEOUT HEALTH GROUP, A CALIFORNIA NONPROFIT BENEFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A EACH INDIVIDUAL WHO IS A DIRECTOR OF THE BOARD OF THE FREMONT-RIDEOUT HEALTH GROUP SHALL AUTOMATICALLY BE A DIRECTOR OF RIDEOUT MEMORIAL HOSPITAL, AND SHALL SERVE AS A DIRECTOR OF RIDEOUT MEMORIAL HOSPITAL UNTIL SUCH TIME AS THAT PERSON IS NO LONGER A DIRECTOR OF THE FREMONT-RIDEOUT HEALTH GROUP. FORM 990, PART VI, SECTION A, LINE 7B THE FREMONT-RIDEOUT HEALTH GROUP SHALL EXERCISE ITS MEMBERSHIP RIGHTS THROUGH ITS BOARD OF DIRECTORS, WHICH MAY, BY RESOLUTION, AUTHORIZE ONE OR MORE OF ITS OFFICERS TO EXERCISE ITS VOTE ON ANY MATTER TO COME BEFORE THE MEMBERSHIP OF RIDEOUT MEMORIAL HOSPITAL. REQUEST FOR ACTION BY THE FREMONT-RIDEOUT HEALTH GROUP MAY BE MADE BY THE CHAIR OF THE FREMONT-RIDEOUT HEALTH GROUP'S BOARD OR ANY OTHER PERSON DESIGNATED IN WRITING BY THE FREMONT-RIDEOUT HEALTH GROUP. FORM 990, PART VI, SECTION B, LINE 11B A FULL COPY OF THE FORM 990 WILL NOT BE MADE AVAILABLE TO THE FULL BOARD PRIOR TO FILING AS THE LEGAL BOARD OF THE ENTITY HAS PROVIDED APPROVAL AND AUTHORIZATION FOR THE CORPORATION'S OFFICERS TO FILE THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO SIGN CONFLICTS OF INTEREST STATEMENTS ANNUALLY WHICH ARE REVIEWED BY IN-HOUSE COUNSEL OR THE COMPLIANCE OFFICER. BOARD MEMBERS ARE EXCUSED FROM ANY PORTION OF THE MEETINGS WHERE THEIR PERSONAL INTEREST WOULD CREATE A CONFLICT ON AN ISSUE OR INFLUENCE A VOTE. FORM 990, PART VI, SECTION B, LINE 15 THE FILING ORGANIZATION DID NOT COMPENSATE ITS TOP MANAGEMENT OFFICIAL, ANY OFFICERS OR KEY EMPLOYEES DURING THE TAX YEAR. COMPENSATION WAS DETERMINED AND PAID BY A RELATED ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST DURING NORMAL BUSINESS HOURS. CONFLICT OF INTEREST POLICY IS NOT MADE AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G MEDICAL PHYSICIAN PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 67,954,138. MANAGEMENT AND GENERAL EXPENSES 543,435. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 68,497,573. ADV HLTH SO CALIFORNIA MED FND PO BOX 619135 ROSEVILLE CA 95661 954424391 DISCONTINUED OPERATIONS CA 501(C)(3) LINE 12C, III-FI ADVENTIST HEALTH SYSTEMWEST 0 ADVENTIST HEALTH CLEARLAKE HOSPITAL INC PO BOX 619135 ROSEVILLE CA 95661 680395149 HOSPITAL CA 501(C)(3) LINE 3 ADVENTIST HEALTH SYSTEMWEST 0 ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI PO BOX 619135 ROSEVILLE CA 95661 812240617 HOSPITAL CA 501(C)(3) LINE 1 ADVENTIST HEALTH SYSTEMWEST 0 ADVENTIST HEALTH PHYSICIANS NETWORK PO BOX 619135 ROSEVILLE CA 95661 680357690 MEDICAL FOUNDATION CA 501(C)(3) LINE 12B, II ADVENTIST HEALTH SYSTEMWEST 0 ADVENTIST HEALTH SYSTEMWEST PO BOX 619135 ROSEVILLE CA 95661 953484589 INTEGRATED HEALTH SYSTEM CA 501(C)(3) LINE 1 N/A 0 CASTLE MEDICAL CENTER PO BOX 619135 ROSEVILLE CA 95661 990107330 HOSPITAL HI 501(C)(3) LINE 1 ADVENTIST HEALTH SYSTEMWEST 0 FEATHER RIVER HOSPITAL PO BOX 619135 ROSEVILLE CA 95661 941101228 HOSPITAL CA 501(C)(3) LINE 1 ADVENTIST HEALTH SYSTEMWEST 0 FREMONT-RIDEOUT HEALTH GROUP 989 PLUMAS ST YUBA CITY CA 95991 942917251 HOSPITAL MANAGEMENT SERVICES CA 501(C)(3) LINE 12B, II STONE POINT HEALTH 1 GLENDALE ADVENTIST MEDICAL CENTER PO BOX 619135 ROSEVILLE CA 95661 951816017 HOSPITAL CA 501(C)(3) LINE 1 ADVENTIST HEALTH SYSTEMWEST 0 HANFORD COMMUNITY HOSPITAL PO BOX 619135 ROSEVILLE CA 95661 940535360 HOSPITAL CA 501(C)(3) LINE 1 ADVENTIST HEALTH SYSTEMWEST 0 LODI MEMORIAL HOSPITAL ASSOCIATION INC PO BOX 619135 ROSEVILLE CA 95661 941044474 HOSPITAL CA 501(C)(3) LINE 3 ADVENTIST HEALTH SYSTEMWEST 0 NORTHWEST MED FND OF TILLAMOOK PO BOX 619135 ROSEVILLE CA 95661 930622075 HOSPITAL OR 501(C)(3) LINE 1 ADVENTIST HEALTH SYSTEMWEST 0 PARADISE VALLEY HOSPITAL PO BOX 619135 ROSEVILLE CA 95661 951816034 DISCONTINUED OPERATIONS CA 501(C)(3) LINE 1 ADVENTIST HEALTH SYSTEMWEST 0 PORTLAND ADVENTIST MEDICAL CENTER PO BOX 619135 ROSEVILLE CA 95661 930429015 HOSPITAL OR 501(C)(3) LINE 1 ADVENTIST HEALTH SYSTEMWEST 0 REEDLEY COMMUNITY HOSPITAL PO BOX 619135 ROSEVILLE CA 95661 453220509 HOSPITAL CA 501(C)(3) LINE 1 ADVENTIST HEALTH SYSTEMWEST 0 RIDEOUT MEMORIAL HOSPITAL 989 PLUMAS ST YUBA CITY CA 95991 941387866 ACUTE CARE HOSPITAL CA 501(C)(3) LINE 3 FREMONT-RIDEOUT HEALTH GROUP 1 SAN JOAQUIN COMMUNITY HOSPITAL PO BOX 619135 ROSEVILLE CA 95661 952294234 HOSPITAL CA 501(C)(3) LINE 1 ADVENTIST HEALTH SYSTEMWEST 0 SIMI VALLEY HOSPITAL & HEALTH CARE SERV PO BOX 619135 ROSEVILLE CA 95661 956064971 HOSPITAL CA 501(C)(3) LINE 1 ADVENTIST HEALTH SYSTEMWEST 0 SONORA COMMUNITY HOSPITAL PO BOX 619135 ROSEVILLE CA 95661 941415069 HOSPITAL CA 501(C)(3) LINE 1 ADVENTIST HEALTH SYSTEMWEST 0 ST HELENA HOSPITAL PO BOX 619135 ROSEVILLE CA 95661 941279779 HOSPITAL CA 501(C)(3) LINE 1 ADVENTIST HEALTH SYSTEMWEST 0 STONE POINT HEALTH PO BOX 619135 ROSEVILLE CA 95661 823763347 SUPPORTING ORGANIZATION CA 501(C)(3) LINE 12B, II ADVENTIST HEALTH SYSTEMWEST 0 UKIAH ADVENTIST HOSPITAL PO BOX 619135 ROSEVILLE CA 95661 941639901 HOSPITAL CA 501(C)(3) LINE 1 ADVENTIST HEALTH SYSTEMWEST 0 UNITED COM-SERVE 989 PLUMAS ST YUBA CITY CA 95991 943015356 SKILLED NURSING/ASSISTED LIVING/HOME HEALTH CA 501(C)(3) LINE 12B, II FREMONT-RIDEOUT HEALTH GROUP 1 WALLA WALLA GENERAL HOSPITAL PO BOX 619135 ROSEVILLE CA 95661 910617726 HOSPITAL WA 501(C)(3) LINE 1 ADVENTIST HEALTH SYSTEMWEST 0 WESTERN HEALTH RESOURCES PO BOX 619135 ROSEVILLE CA 95661 953867863 HOME CARE CA 501(C)(3) LINE 1 ADVENTIST HEALTH SYSTEMWEST 0 WHITE MEMORIAL MEDICAL CENTER PO BOX 619135 ROSEVILLE CA 95661 952282647 HOSPITAL CA 501(C)(3) LINE 1 ADVENTIST HEALTH SYSTEMWEST 0 WILLITS HOSPITAL INC PO BOX 619135 ROSEVILLE CA 95661 680108919 HOSPITAL CA 501(C)(3) LINE 1 ADVENTIST HEALTH SYSTEMWEST 0 FRD MANAGEMENT LLC PO BOX 2128 MARYSVILLE CA 95901 943335136 OPERATION OF CANCER CENTER CA N/A FREMONT-RIDEOUT MANAGEMENT SERVICES ORGANIZATION INC 989 PLUMAS STREET YUBA CITY CA 95991 271350379 DME SALES CA N/A C 0 RIDEOUT MEDICAL FOUNDATION 989 PLUMAS STREET YUBA CITY CA 95991 812580691 OPERATE MULTI-SPECIALTY MEDICAL CLINICS CA N/A C 0 SOUTH COAST MEDICAL CENTER PO BOX 619135 ROSEVILLE CA 95661 952037291 WIND DOWN AFTER SALE OF HOSPITAL CA N/A C 0 0 0 1 0 0 0 0 0 0 0 1 0 1 1 1 1 1 0 0 FREMONT-RIDEOUT HEALTH GROUP P 35234493 FMV FREMONT-RIDEOUT DAVIS MANAGEMENT P 472271 FMV UNITED COM-SERVE Q 156483 FMV LATE FILED RETURN DUE TO CCH SOFTWARE OUTAGE.