RIDGECREST REGIONAL HOSPITAL: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- RIDGECREST REGIONAL HOSPITAL (EIN 95-2082686)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-15
- IRS object ID
- 201603219349300515
- Schema version
- 2015v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-15T00:00:00-06:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 450250958 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EIDE BAILLY LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 NICOLET MALL STE 1300 | AddressLine1Txt |
| City | MINNEAPOLIS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 554027033 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 952082686 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Ridgecrest Regional Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | RIDG | BusinessNameControlTxt |
| Phone | 7604463551 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1081 N China Lake Blvd | AddressLine1Txt |
| City | Ridgecrest | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93555 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | James Suver | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 7604463551 | PhoneNum |
| Signature | 2016-11-16 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Kim C Hunwardsen | PreparerPersonNm |
| PTIN | P00484560 | PTIN |
| Phone | 6122536500 | PhoneNum |
| Preparation | 2016-11-15 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | James Suver | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1081 N China Lake Blvd | AddressLine1Txt |
| City | Ridgecrest | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93555 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $107,035,408 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.rrh.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1965 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | Community-based organization that provides and promotes comprehensive quality healthcare for the people of the Southern Sierra Region. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 862 | TotalEmployeeCnt |
| Total Volunteers | 65 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $31,532 | PYContributionsGrantsAmt |
| CY Contributions Grants | $68,352 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $86,086,330 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $111,495,311 | CYProgramServiceRevenueAmt |
| PY Investment Income | $357,710 | PYInvestmentIncomeAmt |
| CY Investment Income | $127,245 | CYInvestmentIncomeAmt |
| PY Other Revenue | $425,585 | PYOtherRevenueAmt |
| CY Other Revenue | -$5,315,526 | CYOtherRevenueAmt |
| PY Total Revenue | $86,901,157 | PYTotalRevenueAmt |
| CY Total Revenue | $106,375,382 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $38,860,483 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $45,158,559 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $46,401,261 | PYOtherExpensesAmt |
| CY Other Expenses | $53,232,458 | CYOtherExpensesAmt |
| PY Total Expenses | $85,261,744 | PYTotalExpensesAmt |
| CY Total Expenses | $98,391,017 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,639,413 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $7,984,365 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $133,996,608 | TotalAssetsBOYAmt |
| Total Assets EOY | $145,632,853 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $76,793,140 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $80,494,869 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $57,203,468 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $65,137,984 | NetAssetsOrFundBalancesEOYAmt |
| Mission | To be a community-based organization that provides and promotes comprehensive quality healthcare for the people of the Southern Sierra Region. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $88,275,299 | ExpenseAmt |
| Revenue | $111,451,212 | RevenueAmt |
| Desc | Ridgecrest Regional Hospital provides inpatient and outpatient care. Charity care is provided to qualified patients with minimum or no charge. Care accomplishments for the year are as follows: Number of Visits 57,023Number of Patient Days 5,966Home Health Visits 6,149Hospice Routine Care Days 2,811SNF Resident Days 32,082Rural Health Visits 47,152Community Care Clinic Visits 28,876 | Desc |
| Total Program Service Expenses | $88,275,299 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (1) | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 185 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 862 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | James Suver | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7604993040 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1081 North China Lake Blvd | AddressLine1Txt |
| City | Ridgecrest | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93555 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Dana Lyons | |||||||||
| Chairperson | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Patricia Mullis | |||||||||
| Vice Chair | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Chris Ellis | |||||||||
| Secretary | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Michael Mower | |||||||||
| Treasurer | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Bud Biery | |||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Earl Ferguson MD | |||||||||
| Director/Physician | 3.00 | 0.00 | Yes (X) | $78,694 | $0 | $0 | |||
| Harriet Luzinas-Smith | |||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Lawrence Cosner MD | |||||||||
| Director/Physician | 48.00 | 0.00 | Yes (X) | $235,259 | $0 | $34,863 | |||
| Don Zdeba | |||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Gerald Baker | |||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Martin Walter | |||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| James Suver | |||||||||
| CEO | 50.00 | 2.00 | Yes (X) | $362,891 | $0 | $22,211 | |||
| Lois Johnson | |||||||||
| CFO | 50.00 | 0.00 | Yes (X) | $156,599 | $0 | $41,333 | |||
| Sandra Gilliam | |||||||||
| Admin Patient Care | 50.00 | 0.00 | $180,635 | $0 | $29,148 | Yes (X) | |||
| Healthy Desai | |||||||||
| Orthopedic Surgeon | 40.00 | 0.00 | $658,662 | $0 | $44,841 | Yes (X) | |||
| Hope Zissos MD | |||||||||
| Family Practice Physician | 40.00 | 0.00 | $251,854 | $0 | $48,383 | Yes (X) | |||
| Aisha Rollins | |||||||||
| Pediatrician | 40.00 | 0.00 | $279,544 | $0 | $18,348 | Yes (X) | |||
| Gul Anwar | |||||||||
| Family Practice Physician | 40.00 | 0.00 | $243,874 | $0 | $43,263 | Yes (X) | |||
| James Antes | |||||||||
| Physician Assistant | 40.00 | 0.00 | $221,743 | $0 | $40,001 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,669,755 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $322,391 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 88 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Comphealth Medical Staffing | |||||
| PO Box 972670 | Dallas | TX | 75397 | Staffing | $749,731 |
| Maurice Dusol Jr MD | |||||
| PO Box 1297 | Ridgecrest | CA | 93556 | Medical | $559,008 |
| William P Cannata MD | |||||
| 9187 Altura Lane | Whittier | CA | 90603 | Medical | $508,529 |
| Rene Salinas | |||||
| 919 N Heritage Drive 7 | Ridgecrest | CA | 93555 | Medical | $464,100 |
| Rose Stone MD Inc | |||||
| 120 W Franklin | Ridgecrest | CA | 93555 | Medical | $435,164 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 58 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $16,431 | FundraisingAmt |
| All Other Contributions | $51,921 | AllOtherContributionsAmt |
| Total Contributions | $68,352 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Patient Service Rev | 622000 | $111,066,332 | $111,066,332 |
| Skilled Nursing Management Fees | 900099 | $61,741 | $61,741 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $367,238 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $367,238 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $111,495,311 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $108,693 | TotalRevenueColumnAmt |
| Exclusion | $108,693 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $447,979 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $302,215 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $145,764 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $145,764 | TotalRevenueColumnAmt |
| Exclusion | $145,764 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $21,420 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $2,868 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $21,420 | SecuritiesAmt |
| Other | -$2,868 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $18,552 | TotalRevenueColumnAmt |
| Exclusion | $18,552 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $4,146 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $16,431 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $8,957 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$4,811 | TotalRevenueColumnAmt |
| Exclusion | -$4,811 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $301,887 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $345,986 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$44,099 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$44,099 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Loss Defeasance Long Term Debt | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | -$5,412,380 | TotalRevenueColumnAmt |
| Exclusion | -$5,412,380 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | -$5,412,380 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $106,375,382 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $111,451,212 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$5,144,182 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,139,059 | TotalAmt |
| Program Services | $348,663 | ProgramServicesAmt |
| Management And General | $790,396 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $173,009 | TotalAmt |
| Program Services | $173,009 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,033,335 | TotalAmt |
| Program Services | $30,720,553 | ProgramServicesAmt |
| Management And General | $3,312,782 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $664,804 | TotalAmt |
| Program Services | $604,368 | ProgramServicesAmt |
| Management And General | $60,436 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,683,025 | TotalAmt |
| Program Services | $6,195,322 | ProgramServicesAmt |
| Management And General | $487,703 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,465,327 | TotalAmt |
| Program Services | $2,199,970 | ProgramServicesAmt |
| Management And General | $265,357 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $289,299 | TotalAmt |
| Management And General | $289,299 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $126,014 | TotalAmt |
| Management And General | $126,014 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,656,118 | TotalAmt |
| Program Services | $19,029,400 | ProgramServicesAmt |
| Management And General | $1,626,718 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,329,512 | TotalAmt |
| Program Services | $4,036,189 | ProgramServicesAmt |
| Management And General | $293,323 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,481,020 | TotalAmt |
| Program Services | $1,481,020 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $332,598 | TotalAmt |
| Program Services | $279,062 | ProgramServicesAmt |
| Management And General | $53,536 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $212,068 | TotalAmt |
| Program Services | $173,845 | ProgramServicesAmt |
| Management And General | $38,223 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,921,188 | TotalAmt |
| Program Services | $2,921,188 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,266,869 | TotalAmt |
| Program Services | $6,422,299 | ProgramServicesAmt |
| Management And General | $844,570 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,646,640 | TotalAmt |
| Program Services | $1,646,640 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $7,017,021 | $7,017,021 | |
| Repair and Maintenance | $2,798,961 | $1,501,579 | $1,297,382 |
| Provision for Bad Debts | $497,557 | $497,557 | |
| Equipment Lease and Ren | $422,610 | $369,301 | $53,309 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,234,983 | TotalAmt |
| Program Services | $2,658,313 | ProgramServicesAmt |
| Management And General | $576,670 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $98,391,017 | TotalAmt |
| Program Services | $88,275,299 | ProgramServicesAmt |
| Management And General | $10,115,718 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,810,674 | BOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,588,752 | BOYAmt |
| EOY | $17,454,067 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,248,908 | BOYAmt |
| EOY | $15,444,578 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,919 | BOYAmt |
| EOY | $26,308 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $279,550 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,900,823 | BOYAmt |
| EOY | $2,010,002 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,957,544 | BOYAmt |
| EOY | $3,025,334 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $146,750,193 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $57,808,268 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $83,572,409 | BOYAmt |
| EOY | $88,941,925 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $17,371,889 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,879,579 | BOYAmt |
| EOY | $1,079,200 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $133,996,608 | BOYAmt |
| EOY | $145,632,853 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,266,253 | BOYAmt |
| EOY | $9,310,892 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $15,304 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,115,000 | BOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,047 | BOYAmt |
| EOY | $8,726 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $65,779,069 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,398,840 | BOYAmt |
| EOY | $5,380,878 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,793,140 | BOYAmt |
| EOY | $80,494,869 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,203,468 | BOYAmt |
| EOY | $65,137,984 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,203,468 | BOYAmt |
| EOY | $65,137,984 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $133,996,608 | BOYAmt |
| EOY | $145,632,853 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $7,984,365 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $18,253 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | -$68,102 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,053,349 | OtherCostOrOtherBasisAmt |
| Book Value | $4,053,349 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $107,798,182 | OtherCostOrOtherBasisAmt |
| Depreciation | $33,537,110 | DepreciationAmt |
| Book Value | $74,261,072 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $558,442 | OtherCostOrOtherBasisAmt |
| Depreciation | $385,124 | DepreciationAmt |
| Book Value | $173,318 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $30,978,261 | OtherCostOrOtherBasisAmt |
| Depreciation | $23,886,034 | DepreciationAmt |
| Book Value | $7,092,227 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,361,959 | OtherCostOrOtherBasisAmt |
| Book Value | $3,361,959 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $88,941,925 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Estimated Third Party Payor Settlements | $4,523,878 |
| Malpractice Insurance Payable | $857,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $5,380,878 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $106,556,104 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $18,253 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$497,557 | OtherRevenueAmt |
| Revenue Not Reported | -$479,304 | RevenueNotReportedAmt |
| Revenue Subtotal | $107,035,408 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$660,026 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$660,026 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $106,375,382 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $98,553,486 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $660,026 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $660,026 | ExpensesNotReportedAmt |
| Expenses Subtotal | $97,893,460 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $497,557 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $497,557 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $98,391,017 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part IV, Line 2b: | Skilled nursing facility residents private monies maintained as a drawing account as required by Title 22 of the California Code of Regulations. |
| Part X, Line 2: | The Hospital is a nonprofit California corporation as defined in Section 501(c)(3) of the Internal Revenue Code and is generally exempt from both federal and state income taxes on related income pursuant to Section 501(a) of the same code. The Hospital is annually required to file a Return of Organization Exempt from Income Tax (Form 990) with the IRS. Further, management believes that none of the current activities of the Hospital qualify for unrelated business income taxes. As a result, no provision for income taxes has been made in the accompanying financial statements. The Hospital believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Hospital would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. |
| Part XI, Line 2d - Other Adjustments: | Provision for Bad Debts Included in Expenses for Tax Reporting -497,557. |
| Part XI, Line 4b - Other Adjustments: | Loss on Sale of Property Included in Expenses for Financials -2,868. Retail Pharmacy Expenses Included in Expenses for Financials -345,986. Fundraising Expenses Included in Expenses for Financials -8,957. Rental Expenses Included in Expenses for Financials -302,215. |
| Part XII, Line 2d - Other Adjustments: | Loss on Sale of Property Included in Revenues for Tax Reporting 2,868. Retail Pharmacy Expenses Included in Revenues for Tax Reporting 345,986. Fundraising Expenses Included in Revenue for Tax Reporting 8,957. Rental Expenses Included in Revenue for Tax Reporting 302,215. |
| Part XII, Line 4b - Other Adjustments: | Provision for Bad Debts Included in Revenue in Financials 497,557. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Hospice Auction | Event1Nm |
| Gross Receipts Event1 | $16,252 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $12,106 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $4,146 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $760 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $4,146 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $2,821 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $16,252 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $12,106 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $4,146 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $760 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $4,146 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $2,821 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $7,727 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$3,581 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 300.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $386,243 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $386,243 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00390 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,572,024 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,454,110 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,117,914 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09310 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,958,267 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,454,110 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,504,157 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09700 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $50,492 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $27,975 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $22,517 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $124,361 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $124,361 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,800 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $14,800 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $189,653 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $27,975 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $161,678 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00170 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $26,147,920 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,482,085 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,665,835 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09870 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,368 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,368 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,469 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $8,469 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $337,952 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $337,952 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00350 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $347,789 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $347,789 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00360 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $497,557 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $25,830,744 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $27,075,137 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,244,393 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Ridgecrest Regional Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1081 N China Lake Blvd | AddressLine1Txt |
| City | Ridgecrest | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93555 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.rrh.org | WebsiteAddressTxt |
| State License | 120000186 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Ridgecrest Regional Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | see Section C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 13 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | http://rrh.org/images/IS2013.pdf | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 300.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | See Section C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | see Section C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | See Section C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Medicare Rates | Yes (X) | MedicareRatesInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Ridgecrest Regional Hospital | Part V, Section B, Line 5: Input from community was gathered through in-person and telephone interviews. Individuals consulted consisted of 2 physicians; a psychologist; other medical professionals; and larger employers of the community. |
| Ridgecrest Regional Hospital | Part V, Section B, Line 7d: Distributed results by direct mail in quarterly mailer "Outlook". |
| Ridgecrest Regional Hospital | Part V, Section B, Line 11: Due to the great number of needs in the community, not all significant needs have been resolved but all have been addressed. It will take time to resolve all of the health needs, or at least as many as are feasible.The needs addressed were as follows:1) Substance Abuse: RRH is opening a new Crisis Stabalization Unit in collaboration with the County.2) Heart Disease and Stroke: RRH conducts health fairs and continues to dedicate articles in the community newsletter specifically to addres these issues. They also have ongoing recruitment efforts for a cardiologist.3) Cancer: RRH continues with their programs and is looking at collaborating with other area health care organizations to improve their program.4) Obesity/Nutrition/Diabetes: RRH conducts health fairs to address these issues, as well as the nutrition class in the schools and community. They are currently working on implenting an employee STEP challenge as well.5) Smoking/Tobacco Use: RRH conducted Smoking Cessation classes for the community.6) Access to Specialists/Medical Provider Recruitment: RRH has ongoing recruitment efforts for more speciality areas and has budgeted to add some more specialty physicians in 2016.7) Services for Low Income/MediCal: RRH implemented a Mobile Health Unit to reach this group of individuals8) Senior Health Services Including Dementia: RRH is working on implementing a new Department of Senior Wellness, in which they have set a goal to have implemented in 2016.9) Womens Health Services: RRH has continued recruiting efforts for more OB specialty physicians. They have budgeted for this in 2016. |
| Ridgecrest Regional Hospital | Part V, Section B, Line 13h: Uninsured patients with incomes at or below federal poverty level are offered full charity care. Patients who are insured and have high medical costs (annual expenses exceed 10% of income) are eligible for discounted care. Monetary assets are considered in connection with eligibility for charity care, but not for discounted care. |
| Ridgecrest Regional Hospital | Part V, Section B, Line 16i: Financial packets are sent to each self pay patient, in addition to: a website reference to the policy; an onsite financial counselor made available to patients; and posting of the policy in all patient access areas. |
| Form 990, Schedule H, Part V, Section B, Line 7a: | www.rrh.org/community-services-health-needs-assessment-survey-results/ |
| Form 990, Schedule H, Part V, Section B, Line 16a/16b/16c: | http://rrh.org/administration-services/billing/ |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 14 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (14 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - Ridgecrest Regional Hospital Rural Healt | ||||
| 1111 N China Lake Blvd | Ridgecrest | CA | 93555 | Rural Health Clinic |
| 2 - China Lake Community Care Clinic | ||||
| 1041 N China Lake Blvd | Ridgecrest | CA | 93555 | Community Care Clinic |
| 3 - Ridgecrest Regional Hospital Sleep Study | ||||
| 1081 N China Lake Blvd | Ridgecrest | CA | 93555 | Sleep Study Lab |
| 4 - Ridgecrest Regional Hospital Urgent Care | ||||
| 1111 N China Lake Blvd | Ridgecrest | CA | 93555 | Urgent Care |
| 5 - Ridgecrest Regional Hospital Home Health | ||||
| 1653 N Triangle Dr | Ridgecrest | CA | 93555 | Home Health |
| 6 - Ridgecrest Regional Hospital Orthopedic | ||||
| 1041 N China Lake Blvd | Ridgecrest | CA | 93555 | Orthopedic Clinic |
| 7 - China Lake Gastroenterology | ||||
| 1011 N China Lake Blvd | Ridgecrest | CA | 93555 | Gastroenterology Clinic |
| 8 - China Lake Surgical Clinic | ||||
| 1011 N China Lake Blvd | Ridgecrest | CA | 93555 | Surgical Clinic |
| 9 - Ridgecrest Regional Hospital Hospice | ||||
| 1653 N Triangle Dr | Ridgecrest | CA | 93555 | Hospice |
| 10 - China Lake Specialty Clinics-OB Clinic | ||||
| 1011 N China Lake Blvd | Ridgecrest | CA | 93555 | OB Clinic |
| 12 - China Lake Surgical Clinic | ||||
| 1011 N China Lake Blvd | Ridgecrest | CA | 93555 | Dermatology Clinic |
| 13 - Trona Rural Health Clinic | ||||
| 82824 Trona Rd Suite A | Trona | CA | 93562 | Rural Health Clinic |
| 14 - Ridgecrest Regional Hosp Living Assist | ||||
| 1653 N Triangle Dr | Ridgecrest | CA | 93555 | Living Assistance Program |
| 15 - Bella Serra Skilled Nursing Facility | ||||
| 1131 N China Lake Blvd | Ridgecrest | CA | 935553131 | Skilled Nursing Facility |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c: | Uninsured patients with incomes at or below federal poverty level are offered full charity care. Patients who are insured and have high medical costs (annual expenses exceed 10% of income) are eligible for discounted care. Monetary assets are considered in connection with eligibility for charity care, but not for discounted care. |
| Part I, Line 7: | Lines 7a and 7b were converted to cost based on an average ratio of costs to gross charges. Lines 7e, 7f, and 7i were based on actual expenses. |
| 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 $ 497,557. |
| Part II, Community Building Activities: | Activities include: Community Collaboration through Community Health Improvement Advocacy, physician recruitment to ensure basic care is available locally, sponsor annual health fair with free and low cost health screening, collaborate with other emergency services on disaster and emergency preparedness. Provide wellness fairs for the Navy Base and Water District. |
| Part III, Line 2: | Patient A/R consists of amounts owed by various governmental agencies, insurance companies and private patients. The Hospital manages its receivables by regularly reviewing the accounts, inquiring with respective payors as to collectability and providing for allowances on their accounting records for estimated contractual adjustments and uncollectible accounts. Bad debt is reported at charges per the audited financials. |
| Part III, Line 3: | Patient A/R consists of amounts owed by various governmental agencies, insurance companies and private patients. The Hospital manages its receivables by regularly reviewing the accounts, inquiring with respective payors as to collectability and providing for allowances on their accounting records for estimated contractual adjustments and uncollectible accounts. Line 2 and 3 are calculated by applying Medicare cost to charge ratio to the expenses on the financial statement. No other bad debt amounts included in the community benefits. |
| Part III, Line 4: | The footnote to the organization's financial statements that describes bad debt expenses is located in Foornote 1 on page 12 of the attached financial statements. |
| Part III, Line 8: | One hundred percent of any shortfall should be treated as community benefit. A facility must be able to recover its costs in order to continue to provide quality care to Medicare patients and the community as a whole. Services are provided to patients under the Medicare program knowing that not all costs associated with providing these services will be recovered. Providing these services is essential to these patients and the community and increases their access to healthcare services. Therefore, the entire Medicare shortfall is considered a community benefit.Medicare allowable costs of care are based on the Medicare cost report. The Medicare cost report is completed based on the rules and regulations set forth by Centers for Medicare and Medicaid Services. |
| Part III, Line 9b: | Prior to discharge, patients who fall under the collection practices receive a financial application packet to complete with a staff member's business card attached. They are instructed to call if they need assistance in completing the financial application, which will determine their eligibility for assistance. If eligible, they may qualify for possible charity care allowance.RRH does not send patients to collections until 120 days after the date of the invoice. If the patient begins the financial assistance process they bring the account back from collections. |
| Part VI, Line 2: | In addition to the community health needs assessment Ridgecrest uses patient satisfaction surveys to assess the health care needs of the community, along with conducting blood draws at health fairs. The HR administrator serves on the local Rotary as well to network with other community leaders. |
| Part VI, Line 3: | Signs are posted in registration areas informing them of assistance with their bills and includes citing a phone number to call for assistance in this area. Self pay patients are sent a packet of information regarding financial assistance programs. |
| Part VI, Line 4: | Rural California Desert Community located in Kern County; more than 50 miles from next nearest hospital. The population is approximately 38,000: and approximately 6.8% of that population is uninsured. |
| Part VI, Line 5: | The Hospital provides classes on controlling disease, low cost mammography screening, and help to patients to apply for Medicaid (if eligible). The Hospital distributes, via US Mail, a community newsletter that includes health tips and information and a medical directory that contains listings of the medical professionals in the community. In addition, the Hospital provides life lesson seminars monthly and has a community wellness resource center where the community can check out books and videos and pick up brochures on health-related topics, all free of charge. It also distributes mental health and health improvement guide brochures and a resource directory (for low-income individuals) to businesses within the community. |
| Part VI, Line 6: | N/A |
| Part VI, Line 7, Reports Filed With States | CA |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Lawrence Cosner MD | ||||||||||||||
| Director/Physician | $235,048 | $0 | $0 | $0 | $211 | $0 | $0 | $0 | $34,922 | $0 | $270,181 | $0 | $0 | $0 |
| James Suver | ||||||||||||||
| CEO | $274,216 | $0 | $77,250 | $0 | $11,425 | $0 | $10,600 | $0 | $13,105 | $0 | $386,596 | $0 | $0 | $0 |
| Lois Johnson | ||||||||||||||
| CFO | $152,746 | $0 | $2,889 | $0 | $964 | $0 | $6,470 | $0 | $35,623 | $0 | $198,692 | $0 | $0 | $0 |
| Sandra Gilliam | ||||||||||||||
| Admin Patient Care | $179,770 | $0 | $0 | $0 | $865 | $0 | $7,222 | $0 | $22,639 | $0 | $210,496 | $0 | $0 | $0 |
| Healthy Desai | ||||||||||||||
| Orthopedic Surgeon | $658,574 | $0 | $0 | $0 | $88 | $0 | $10,600 | $0 | $34,753 | $0 | $704,015 | $0 | $0 | $0 |
| Hope Zissos MD | ||||||||||||||
| Family Practice Physician | $247,788 | $0 | $3,920 | $0 | $146 | $0 | $10,400 | $0 | $39,310 | $0 | $301,564 | $0 | $0 | $0 |
| Aisha Rollins | ||||||||||||||
| Pediatrician | $279,483 | $0 | $0 | $0 | $61 | $0 | $7,220 | $0 | $11,660 | $0 | $298,424 | $0 | $0 | $0 |
| Gul Anwar | ||||||||||||||
| Family Practice Physician | $200,907 | $0 | $42,895 | $0 | $72 | $0 | $8,400 | $0 | $36,093 | $0 | $288,367 | $0 | $0 | $0 |
| James Antes | ||||||||||||||
| Physician Assistant | $220,723 | $0 | $1,000 | $0 | $20 | $0 | $3,073 | $0 | $37,083 | $0 | $261,899 | $0 | $0 | $0 |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Gul Anwar | PersonNm |
| Relationship With Org | Highly Compensated Employee | RelationshipWithOrgTxt |
| Loan Purpose | Personal | LoanPurposeTxt |
| Loan From Organization | Yes (X) | LoanFromOrganizationInd |
| Original Principal | $40,000 | OriginalPrincipalAmt |
| Balance Due | $26,308 | BalanceDueAmt |
| Default | 0 | DefaultInd |
| Board Or Committee Approval | 0 | BoardOrCommitteeApprovalInd |
| Written Agreement | Yes (1) | WrittenAgreementInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $26,308 | TotalBalanceDueAmt |
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Mark Mower | |||
| Family of Treasurer Michael Mower | $117,449 | Wages | 0 |
| James Gilliam | |||
| Family of Key Employee Sandy Gilliam | $41,626 | Wages | 0 |
| Kathryn Garcia | |||
| Family of Board Member Lawrence Cosner | $13,934 | Wages | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 4 | The Hospital's bylaws were changed during the year. Changes were made to the number of corporate members, and election of those members among other insignificant changes. |
| Form 990, Part VI, Section A, line 6 | There is one class of members, Corporate Members and an honorary nonvoting group of individuals called Emeritus Members who are appointed by the Board of Directors and have limited rights. Corporate Membership is limited to thirty (30) persons, who must reside in the Hospital service area (as such service area is determined by the Board of Directors) who are elected to membership by a vote of the Corporate Members present or represented at a meeting of Corporate Members. |
| Form 990, Part VI, Section A, line 7a | The Corporate Members have the right to elect the members of the Board of Directors. |
| Form 990, Part VI, Section A, line 7b | Under the bylaws, the Corporate Members have the right to: elect the members of the Board of Directors; fill a vacancy on the Board of Directors; and ratify the bylaws that have been approved by the Board of Directors. In addition, members have certain rights granted pursuant to the California Nonprofit Public Benefit Corporation Act including the right to: remove a director; approve most amendments to the Articles of Incorporation; approve a sale of assets not in the usual and regular course of its business; merge with another entity; and dissolve. |
| Form 990, Part VI, Section A, line 8b | The organization does not have any committee with the authority to act on behalf of the governing body. |
| Form 990, Part VI, Section B, line 11 | The Form 990 is provided to the Board of Directors via electronic distribution prior to filing with the IRS. |
| Form 990, Part VI, Section B, line 12c | There is annual disclosure on conflict of interest policy for directors, officers, medical staff officers, and administrative employees, and corporate members. Compliance with conflict of interest policy is monitored by the CEO. Any noted conflicts are reviewed and discussed by the Board of Directors. The individual with the potential conflict must abstain from the discussion and vote on the potential conflict. |
| Form 990, Part VI, Section B, line 15 | Compensation for the CEO was determined by a compensation committee of the Board of Directors using compensation comparison provided by HASC. For other officers, the HASC salary survey is used to comply with prohibition from direct solicitation of salary information due to anti-trust regulations. |
| Form 990, Part VI, Section C, line 19 | All public documents are made available upon request. |
| Form 990, Part IX, line 11g | Other Purchased Services: Program service expenses 7,541,057. Management and general expenses 828,579. Fundraising expenses 0. Total expenses 8,369,636. Professional Fees: Program service expenses 10,919,332. Management and general expenses 0. Fundraising expenses 0. Total expenses 10,919,332. Other Fees: Program service expenses 569,011. Management and general expenses 798,139. Fundraising expenses 0. Total expenses 1,367,150. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RRH Development Foundation | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1081 N China Lake Blvd | AddressLine1Txt |
| City | Ridgecrest | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93555 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 464181603 | EIN |
| Primary Activities | Raising Hospital Capital Equipment Funds | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Exempt Code Section | 501(c)(3) | ExemptCodeSectionTxt |
| Public Charity Status | Line 9 | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Ridgecrest Regional Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
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