2017-11-13T12:18:22-06:00 2016-12-31 910189318 Moss Adams LLP 3121 W March Ln Ste 200 Stockton CA 952192367 990 2016-01-01 770258013 Central Calif Foundation For Health CENT 6617254800 1401 Garces Hwy Delano CA 93215 Bahram Ghafarri President 6617215229 2017-11-10 1 Tracy S Paglia P00366884 2099556100 2017-11-10 12.129.7.100 2017-11-10 18:29:44 PS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 BE861C6778D90A5D3E7861ABDDE45BE6309F51A4 2016 2017-02-10 21:41:12Z Delano Regional Medical Center WILLIAM NOBLE 881 ALMA REAL DR STE 301 PACIFIC PALISADES CA 90272 147515137 0 X www.drmc.com X 1990 CA Provide Hospital and out patient care to the Delano, CA area. 7 5 807 12 148915 0 1357 1631 83056034 88812155 2543066 1735480 1071039 1009827 86671496 91559093 0 0 0 0 39977847 41749959 0 0 0 35189402 40771030 75167249 82520989 11504247 9038104 142942297 144546154 46388674 38490755 96553623 106055399 X To provide healthcare to the Delano, CA and surrounding areas in both a hospital as well as outpatient services. 0 0 61969815 0 88812155 CENTRAL CALIFORNIA FOUNDATION FOR HEALTH OPERATES DELANO REGIONAL MEDICAL CENTER (THE HOSPITAL).ON MAY 29, 1992 THE COMPANY ACQUIRED THE OPERATIONS OF THE HOSPITAL. THE HOSPITAL IS A 101-BED ACUTE CARE AND 51-BED SKILLED NURSING FACILITY IN DELANO, CALIFORNIA SERVING A PRIMARILY RURAL POPULATION OF APPROXIMATELY 84,000. THE HEALTH FACILITIES PROVIDE A FULL RANGE OF PRIMARY AND SECONDARY ACUTE CARE SERVICES, SUB ACUTE, SKILLED NURSING, AND COMPREHENSIVE EMERGENCY, OUTPATIENT AND AMBULATORY CARE SERVICES.TO MEET THE NEEDS OF THE RESIDENTS OF ITS SERVICE AREA, THE HOSPITAL HAS STEADILY EXPANDED ITS SERVICES OVER TIME SINCE IT WAS FIRST OPENED. THE HOSPITAL'S PRIMARY HEALTH FACILITY, DELANO REGIONAL MEDICAL CENTER, WAS ORIGINALLY CONSTRUCTED AS AN ACUTE CARE HOSPITAL. SINCE ITS OPENING, ADDITIONS TO THE HOSPITAL AND THE EXPANSION INTO OTHER FACILITIES IN THE SURROUNDING AREA HAVE INCLUDED A WOMEN'S CLINIC IN DOWNTOWN DELANO AND THE WASCO MEDICAL PLAZA IN WASCO, CA. 61969815 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 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 1 1 0 0 1 96 0 1 807 1 1 1 0 0 0 0 0 0 0 0 0 X 7 5 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 CA X Bahram Ghaffari 6617254800 1401 GARCES HWY DELANO CA 93215 William Noble CEO/CHAIRMAN 30.00 X X 611665 0 0 Sheryl Wiggins CORPORATE SECRETARY 3.00 X X 18000 0 0 DILBAGH GEHLAWAT MD Board Member 1.00 X 6000 0 0 Brian Komoto BOARD MEMBER 1.00 X 5500 0 0 Linda Hylton BOARD MEMBER 1.00 X 6000 0 0 Irma Barba BOARD MEMBER 1.00 X 6000 0 0 Vijay Patel MD Board Member/ Chief of Sta 2.00 X 6000 0 0 Bahram Ghaffari President 40.00 X 974096 0 23285 Sandra Bakich Compliance Officer/ IS Dir 40.00 X 177319 0 6942 Amy Scroggs Chief Nursing Officer 40.00 X 185368 0 7511 Douglas Dickson thru 0617 Chief Financial Officer 40.00 X 159225 0 644 Babita Datta OB/ GYN Physician 40.00 X 442673 0 6613 Terrance Monrian Pharmacy/ Outcomes Directo 40.00 X 282767 0 6509 Walter Li PHysical Therapist/ NP 40.00 X 193676 0 4826 Mee Young Lee Pharmacist 40.00 X 196432 0 6491 Martiza Orozco- Robles Nurse Practitioner 40.00 X 181257 0 149 3451978 0 62970 56 0 1 0 Comfort Anesthesia Associates Inc 11704 Nantwick Ct Bakersfield CA 93311 Anesthesia services 1075153 Delano Health Associates 1401 Garces Hwy Delano CA 93215 Registry Services 771080 Central California Hospitalists 6001 Truxton Ave Bldg a ste 180 Bakersfield CA 93309 Hospitalists Services 452617 Team Physicians of California Medical Gr PO Box 634850 Cincinnati OH 452634850 ER Physicians Services 300000 Comprehensive Cardiovascular Medical Gro 5945 Truxtun Ave Bakersfield CA 93309 Cardiology Service 220000 8 1631 1631 PATIENT SERVICES 621400 88424645 88424645 incentive programs 900099 387510 387510 88812155 926305 926305 64590 64590 332833 82135 250698 250698 250698 56618494 55873909 744585 744585 744585 CAFETERIA SALES 722100 321686 321686 MANAGEMENT FEES - DHA 561000 84325 84325 353118 353118 759129 91559093 88812155 148915 2596392 2193554 285009 1908545 27375030 22040748 5334282 9863672 5313088 4550584 2317703 1761143 556560 140260 140260 244080 244080 5826852 5642515 184337 29848 29848 577371 130538 446833 1245685 747411 498274 1383516 52831 1330685 73856 11373 62483 896348 896348 5925726 3947704 1978022 253457 253457 Quality Assurance Fees 7862176 7862176 Medical Supplies 5613257 5491363 121894 Provision For Bad Debt 2692877 2692877 Other Non-Medical Suppl 2050279 1567328 482951 5955442 3527363 2428079 82520989 61969815 20551174 0 1211311 6102706 33666284 33667660 8054731 7631113 292457 290887 1033829 871386 587207 705679 117570128 76305637 39707960 41264491 48886168 38017861 138440 162262 9363910 15832109 142942297 144546154 9633825 11812223 1588588 1697263 34567396 24425319 598865 555950 46388674 38490755 X 96553623 106055399 96553623 106055399 142942297 144546154 9038104 463672 0 X 0 1 X 1 0 X 4314177 4314177 55372191 36640964 18731227 51695988 39271220 12424768 6187772 393453 5794319 41264491 DEPOSITS 659382 OTHER RECEIVABLES 2542739 BOND ISSUE COSTS 364221 interest receivable 223607 457(b) receivable 494339 Medi-Cal QAF Fund 11547821 15832109 accrued bond interest 555950 555950 X Part X, Line 2: The Foundation recognizes the tax benefit from uncertain tax positions only if it is more likely than 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. The Foundation recognizes interest and penalties related to income tax matters in other direct expenses. 1 1 1 X 1 X 1 1 1 0 1 1 417315 417315 0.00520 52225054 50565510 1659544 0.02080 52642369 50565510 2076859 0.02600 1536419 1536419 0.01920 423969 423969 0.00530 28722 28722 0.00040 1989110 1989110 0.02490 54631479 50565510 4065969 0.05090 1 2692877 835203 11997600 11591583 406017 X 1 1 1 1 DELANO REGIONAL MEDICAL CENTER 1401 Garces Hwy Delano CA 93215 WWW.DRMC.COM 120000180 X X X DELANO REGIONAL MEDICAL CENTER 1 0 0 1 X X X X 16 0 1 0 1 X WWW.DRMC.COM/ABOUT-DRMC/COMMUNITY-BENEFITS-REPORTS.PHP X WWW.HEALTHYKERN.ORG X 1 16 1 http://www.drmc.com/about-drmc/community-benefits-reports.php 0 1 X 200.000000000000 400.000000000000 X X X 1 1 X X X 1 X HTTP://WWW.DRMC.COM X HTTP://WWW.DRMC.COM X HTTP://WWW.DRMC.COM X X X X X X 1 X 0 X X X X 1 X 0 0 DELANO REGIONAL MEDICAL CENTER Part V, Section B, Line 3j: - Assessed quality of life needs and specific health needs in the county- Prioritized health needs with community input- Drmc specified womens clinic and maternal education programs to address the needs and educational needs of the community- COMPREHENSIVE HEALTH SCREENINGS AT VARIOUS LOCATIONS THROUGHOUT THE YEAR AND DIFFERENT LOCATIONS in the community- Through a diabetic program we are providing education on nutrition and exercise to affected populations DELANO REGIONAL MEDICAL CENTER Part V, Section B, Line 6a: Kern County hospitals combined to do a county wide assessment for the county with areas of geographic needs and outreach identified. 5 1 - Wasco Medical Plaza 2300 7th Street Wasco CA 93280 Primary Care Clininc 2 - Delano Women's Medical Clinic 1201 Jefferson Delano CA 93215 Obstetrics & Gynecology Clinic 3 - Delano Diabetic Clinic 1519 Garces Hwy Delano CA 93215 Diabetic Monitoring & Screening 4 - Delano Prompt Care Clinic 1201 Jefferson Delano CA 93215 After hours Prompt Care 5 - Delano Wound Care 1519 Garces Hwy Delano CA 93215 Wound Care Clinic 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 $ 2,692,877. Part III, Line 4: SEE FOOTNOTE 1 ON AUDITED FINANCIAL STATEMENTS FOR FOOTNOTES DISCUSSING BAD DEBT ("ACCOUNTS RECEIVABLE AND "CHARITY AND INDIGENT CARE" SECTIONS).DUE TO THE AREA WE SERVE MOST OF OUR TRADING AREA CITIZENS ARE LOWER AND LOW MIDDLE INCOME PEOPLE AND THEREFORE MOST OF THE BAD DEBT IS A COMMUNITY BENEFIT AS THEY ARE GETTING MEDICAL CARE AT FREE OR LOWERED AMOUNTS.IF A PATIENT IS IDENTIFIED AT REGISTRATION OR AFTER THE BILLING PROCESS IS INITIATED, THE PATIENT IS, DEPENDING ON INCOME, OFFERED A SLIDING SCALE DISCOUNT BASED ON % OF POVERTY THAT THEY ARE AT, OR FULL WRITEOFF. IF THE PATIENT DOES NOT RESPOND TO BILLING EFFORTS THEN POLICY DICTATES THAT WE SEND THEM, AFTER 4 STATEMENTS, TO COLLECTION. CHARITY CARE CAN STILL BE GIVEN IF THE PATIENT RESPONDS AFTER BEING SENT TO COLLECTION. BECAUSE WE ARE A FARMING COMMUNITY, MOST SELF PAYS ARE TRANSIENT FARM WORKERS AND OFTEN DO NOT STAY AT THE ADDRESS WE HAVE IN THE RECORDS. Part III, Line 8: Depending on Utilization and CMI average of the patients we may be either above or below cost.Costing methodology: Total cost as a percentage of total net revenue and apply total cost to the net revenue for Medicare. Part III, Line 9b: Once a patient is identified as a charity care patient all collection efforts cease. Part VI, Line 2: DELANO REGIONAL MEDICAL CENTER IS PART OF A CORE GROUP OF LOCAL HEALTHCARE AND COMMUNITY AGENCIES, THAT ASSESSES THE COMMUNITY NEEDS WE SERVE. THROUGH THE CREATION OF A WEB BASED INTERACTIVE NEEDS ASSESSMENT (WWW.HEALTHYKERN.ORG) NEEDS ARE ASSESSED THROUGH A CONSTANTLY UPDATED NEEDS ASSESSMENT WITH REPORTING AND TRACKING TOOLS. THIS WEB BASED ASSESSMENT PROVIDES A TOOL FOR COMMUNITY STRATEGIC PLANNING, BRINGS US TOGETHER WITH OTHER STAKEHOLDERS IN OUR COMMUNITY FOR PARTNERSHIP IN DETERMINING THE NEEDS AS WELL AS DEFINING BEST PRACTICES. Part VI, Line 3: BY LETTER AND AT ADMISSION, WE INFORM PATIENTS ABOUT THE AVAILABILITY TO HELP APPLY FOR SPECIFIC GOVERNMENTAL PROGRAM ASSISTANCE AND THE PATIENTS' ABILITY TO APPLY FOR CHARITY CONSIDERATION. ALSO, POSTERS IN BOTH ENGLISH AND SPANISH ARE DISPLAYED IN THE ER, WAITING AREA, CLINICS AND HOSPITAL ADMISSION AREAS INFORMING OF THE AVAILABILITY OF THE HOSPITAL'S PROGRAM TO ASSIST THROUGH THE CHARITY OR SLIDING FEE SCALE FOR THEIR BILL. Part VI, Line 4: THE HOSPITAL SERVES A CULTURALLY ABUNDANT AND DIVERSE POPULATION OF APPROXIMATELY 130,000 PEOPLE FROM THREE PRIMARY CULTURAL GROUPS: HISPANIC, FILIPINO AND CAUCASIAN. DRMC IS THE SOLE HOSPITAL PROVIDER WITHIN A 30 MILE RADIUS. OVER THE YEARS, THE HOSPITAL'S SERVICE AREA HAS BEEN FACED WITH MANY CHALLENGES. THESE INCLUDE HIGH RATES OF UNEMPLOYMENT, OBESITY, TEEN PREGNANCY, DIABETES, ASTHMA, POVERTY, SUBSTANCE ABUSE, LOW EDUCATIONAL ATTAINMENT, AND LIMITED ACCESS TO HEALTHCARE SERVICES. ALTHOUGH THESE ISSUES ARE NOT UNIQUE TO OUR SERVICE AREA, DATA SHOW THAT OUR COMMUNITIES ARE MUCH WORSE THAN THE AVERAGE COMMUNITY IN KERN COUNTY OR CALIFORNIA AS A WHOLE.THE FOLLOWING STATISTICS PRESENT A PICTURE OF THE COMMUNITIES WE SERVE.ETHNIC COMPOSITION: HISPANIC 68.47% WHITE 9.2% ASIAN/PACIFIC ISLANDER 15.9% BLACK 5.07% AMERICAN INDIAN 1.4%UNEMPLOYMENT RATE: OUR COMMUNITIES RANK #7 OUT OF THE 101 COMMUNITIES IN THE US FOR THE HIGHEST UNEMPLOYMENT RATE AT 35.2% (SEASONALLY ADJUSTED)ECONOMIC LEVELS: ACCORDING TO 2007 DATA, 28.2% OF OUR POPULATION FALL BELOW THE NATIONAL POVERTY LEVELS. THE CALIFORNIA STATE AVERAGE IS 14.2%EDUCATION: DESPITE GOOD API SCORES, 52% OF FAMILIES CONTINUE TO HAVE AN EDUCATION ATTAINMENT AND READING LEVEL AT THE THIRD GRADE LEVEL OR LOWER.PUBLIC ASSISTANCE: 285 OF FAMILIES RECEIVE AFDC AND 85% OF STUDENTS, DEPENDING ON SEASON, QUALIFY FOR FREE OR REDUCED PRICE LUNCHES AT SCHOOL.CULTURAL: OVER 20% OF FAMILIES ARE MIGRANT FARM WORKERS. 72% OF FAMILY ARE PRIMARILY SPANISH SPEAKING. Part VI, Line 5: DRMC's Commitment to the communities extends to the employment of a Director of Marketing and Community Relations, as well as a Marketing & Community Relations Coordinator both of which provide outreach services within the communities DRMC Serves. The Community Relations Coordinator serves as a liaison between DRMC's services and the community, in an effort to provide assistance to the medically underserved. Part VI, Line 6: n/a Part VI, Line 7, Reports Filed With States CA X X X X 0 0 0 0 0 1 0 0 0 William Noble CEO/CHAIRMAN 611665 0 0 0 0 0 0 0 0 0 611665 0 0 0 Bahram Ghaffari President 643750 0 311146 0 19200 0 0 0 23285 0 997381 0 0 0 Sandra Bakich Compliance Officer/ IS Dir 160082 0 15437 0 1800 0 0 0 6942 0 184261 0 0 0 Amy Scroggs Chief Nursing Officer 166942 0 16026 0 2400 0 0 0 7511 0 192879 0 0 0 Douglas Dickson thru 0617 Chief Financial Officer 156525 0 0 0 2700 0 0 0 644 0 159869 0 0 0 Babita Datta OB/ GYN Physician 442673 0 0 0 0 0 0 0 6613 0 449286 0 0 0 Terrance Monrian Pharmacy/ Outcomes Directo 263125 0 19642 0 0 0 0 0 6509 0 289276 0 0 0 Walter Li PHysical Therapist/ NP 193676 0 0 0 0 0 0 0 4826 0 198502 0 0 0 Mee Young Lee Pharmacist 196432 0 0 0 0 0 0 0 6491 0 202923 0 0 0 Martiza Orozco- Robles Nurse Practitioner 181257 0 0 0 0 0 0 0 149 0 181406 0 0 0 Part I, Line 6 President and Leadership personnel are paid an additional sum to their wages if certain financial goals are met in regards to net income, Patient satisfaction and Departments meeting their budgets. A CITY OF DELANO 956000702 245584BU0 2012-12-20 30542500 To refund and retire 1998 bonds at a lower rate of interest 0 0 0 A 4570000 30607090 3091968 686695 26801555 1 0 1 1 A 0 0 0 0 0 0 1 A 1 0 0 0 0 1 A 1 Schedule K Supplental Information PART II, LINE 3 - THE TOTAL INCLUDES CUMULATIVE INVESTMENT EARNINGS. Form 990, Part VI, Section A, line 6 The organization has one class of members. Form 990, Part VI, Section A, line 7a Members were appointed when the organization was formed. Upon death or resignation of one of the member, remaining members elect/appoint new member. Members are elected for life and cannot be removed unless they chose to resign. Members have the right to name members of the governing body. Form 990, Part VI, Section A, line 7b Changes to by-laws by the governing body must be approve by the members as well as the decision to sell the organization. Form 990, Part VI, Section B, line 11b Before filing, Form 990 is reviewed by the auditing firm, CFO and CEO. Form 990, Part VI, Section B, line 12c The organization regularly and consistently monitor and enforce compliance through a compliance officer monitoring system. We stress with new employees as well as yearly at the education fair that we invite employees to report any hospital activity that they think might be a compliance issue even to a recorded phone # that is monitored by the compliance committee. All compliance issues are investigated by the compliance Director and a committee if needed. If an issue exists, a recommended course of action that would include notification to the proper authority of the result of the investigation is presented. Form 990, Part VI, Section B, line 15a Compensation for the CEO/Chairman and CFO/President are based on an annual survey of the california hospital Association, surveying recruitment agencies, legal counsel consultation, discussion with board committee and final board approval. Salary surveys as well as the other sources listed are continuously monitored. Contracts for the CEO and CFO were reviewed, approved and documented in February 2016. Compensation for key employees is determined by the CEO and CFO. Form 990, Part VI, Section C, line 19 Governing documents are not made available to the public. Conflict of interest policy and financial statements are available upon request at the administration office. DELANO HEALTH ASSOCIATES INC 1401 GARCES HWY delano CA 93215 770340007 To provide health care and health related services. CA N/A C 747137 1037393 1.00000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 Delano Health Associates inc P 716324 fmv