2015-11-16T13:15:26-08:00 2014-12-31 JWT & Associates LLP 1111 East Herndon Avenue Suite 211 Fresno CA 93720 990 2014-01-01 952082686 Ridgecrest Regional Hospital RIDG 7604463551 1081 North China Lake Blvd Ridgecrest CA 93555 Lois Johnson CFO 2015-11-16 true Inger Sullenger CPA P01464277 5413636707 X 2014 2016-03-07 17:11:31Z Lois Johnson 1081 North China Lake Blvd Ridgecrest CA 93555 87183628 false false X www.rrh.org X 1965 CA Ridgecrest Regional Hospital is a community-based organization that provides and promotes comprehensive quality healthcare for the people of the Southern Sierra Region. 11 9 668 51 0 66998 31532 81644659 86086330 308122 357710 1046411 425585 83066190 86901157 0 0 36997303 38860483 0 0 42973708 46401261 79971011 85261744 3095179 1639413 132681262 133996608 77117207 76793140 55564055 57203468 Ridgecrest Regional Hospital is a community-based organization that provides and promotes comprehensive quality healthcare for the people of the Southern Sierra Region. false false 70468832 86231647 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 54,986Number of Patient Days 1,958 Home Health visits 7,390Hospice Routine Care Days 2,027SNF Resident Days 16,825Rural Health visits 21,704Community Care Clinic visits 27,680Also achieved during the year: The Hospital was licensed for 99 additional Long Term Care beds. 70468832 true true false false false false false false true false true false false true true false true false false false false false false false false false true true false false true true false false false false false true false true false false false false false false false true false false false false true 167 0 true 668 true false false false false false true true true true false 0 false false false false false false false false false false X 11 9 false false true false true true true true true false false true true true true true true true true false X X Lois Johnson 7604993040 1081 N China Lake Blvd Ridgecrest CA 93555 X Dana Lyons Chairperson 1.00 1.00 X 0 0 0 Patricia Mullis Vice Chair 1.00 0.00 X 0 0 0 Chris Ellis Secretary 1.00 0.00 X 0 0 0 Michael Mower Treasurer 1.00 0.00 X 0 0 0 Bud Biery Board Member 1.00 1.00 X 0 0 0 Earl Ferguson MD Member/Physcn 1.00 0.00 X 95656 0 0 Harriet Luzinas-Smith Board Member 1.00 1.00 X 0 0 0 Lawrence Cosner MD Member/Physcn 1.00 0.00 X 197276 0 31999 Don Zdeba Board Member 1.00 0.00 X 0 0 0 Gerald Baker Board Member 1.00 0.00 X 0 0 0 Martin Walter Board Member 1.00 0.00 X 0 0 0 James Suver CEO 50.00 2.00 X 327947 0 19864 Lois Johnson CFO 50.00 0.00 X 149940 0 29694 Sandra Gilliam Admin Patient Care 50.00 0.00 X 173100 0 23387 Healthy Desai Physician 40.00 0.00 X 741236 0 29830 Hope Zissos MD Physician 40.00 0.00 X 260848 0 33204 Aisha Rollins Physician 40.00 0.00 X 245890 0 9492 Gul Anwar Physician 40.00 0.00 X 224800 0 18310 Andrew Ryan Phys Asst 40.00 0.00 X 183340 0 24337 2600033 220117 78 false true false Quantum Healthcare Medical PO Box 634850 Cincinnati OH 452634850 Physician Prof Svcs 995457 OGrady Peyton 4441 Collections Center Dr Chicago IL 60693 Nursing Contract Lbr 887207 Medical Surgical Health Healing 7031 E Thunderbird Rd Scottsdale AZ 85254 Physician Prof Svcs 786883 Maurice Dusol Jr MD PO Box 1297 Ridgecrest CA 93556 Physician Prof Svcs 543550 William P Cannata MD 9187 Altura Lane Whittier CA 90603 Physician Prof Svcs 444846 47 10155 21377 31532 Net Patient Service Rev 622000 86086330 86086330 86086330 357710 357710 0 0 460773 274472 186301 186301 186301 0 2830 10155 7999 -5169 -5169 0 0 Cafeteria and Other 622000 99136 99136 Meaningful Use Revenue 622000 145317 145317 244453 86901157 86231647 637978 X 0 0 0 0 819588 677395 142193 229275 189496 39779 29207877 24140310 5067567 656828 542868 113960 5726231 4732730 993501 2220684 1835395 385289 903854 747035 156819 473428 391288 82140 154069 127338 26731 0 0 0 9006101 7443542 1562559 0 368858 304861 63997 0 0 0 246386 203638 42748 0 187410 154894 32516 3494265 2888010 606255 0 6483273 5358425 1124848 1600142 1322517 277625 Supplies 9665318 7988385 1676933 Purchased Services 5369515 4437904 931611 Contract Services 4339490 3586588 752902 Miscellaneous 2133526 1763359 370167 1975626 1632854 342772 85261744 70468832 14792912 0 2149292 7810674 9686748 11588752 0 16205142 12248908 37919 0 0 1793368 1900823 2346081 2957544 133661904 50089495 87647511 83572409 0 0 0 0 12853120 13879579 132681262 133996608 8998911 10266253 66720000 65115000 13047 1398296 1398840 77117207 76793140 X 55564055 57203468 55564055 57203468 132681262 133996608 1639413 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false 13047 13047 true X 2055341 2055341 99861303 30836799 69024504 518776 349191 169585 29425307 18903505 10521802 1801177 1801177 83572409 HUD proceeds held by trustee 12675435 Other Deferred Financing Fees 1204144 13879579 Estimated Third Party Payor Settlements 1398840 1398840 86909156 7999 7999 86901157 86901157 85269743 7999 7999 85261744 85261744 Part IV, Line 2b: Explanation of escrow account liability Skilled nursing facility residents private monies maintained as a drawing account as required by Title 22 of the California Code of Regulations Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990 Special Events Reclassifications $7999 Part XII, Line 2d: Other expenses and losses per audited F/S Special Events Reclassifications $7999 true true X true X 300.000000000 true X true true true false false false 707784 707784 0.00830 15903582 9701621 6201961 0.07270 16611366 9701621 6909745 0.08100 76152 35690 40462 0.00050 221081 221081 0.00260 297233 35690 261543 0.00310 16908599 9737311 7171288 0.08410 3820 3820 1553 1553 6025 6025 0.00010 344823 344823 0.00400 356221 356221 0.00410 true 1130679 282670 12305868 14013363 -1707495 X true true 2 1 Ridgecrest Regional Hospital 1081 N China Lake Blvd Ridgecrest CA 93555 www.rrh.org 120000186 X X X X 1 2 Ridgecrest Healthcare Center 1131 N China Lake Blvd Ridgecrest CA 935553131 WWW.RRH.ORG 120000150 X Skilled Nursing 2 Ridgecrest Regional Hospital 1 false false true X X X X X X X X X 13 true false false true X www.rrh.org X X true 13 false true false true X 300.0000 300.0000 X X X true true X X X true X X X X X X true X true X X X X X X true X false false Ridgecrest Healthcare Center 2 true false false true X 300.0000 300.0000 X X X true true X X X true X X X X X true X true X X X X X X true X false false Part V, Line 5 - Account Input from Persons Who Represent the Community 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. Part V, Line 7d - Description of Making Needs Assessment Widely Available Distributed results by direct mail in quarterly mailer "Outlook" Part V, Line 11 - Explanation of Needs Not Addressed and Reasons Why Due to the great number of needs in the community, not all needs have been addressed. It will take time to address all of the health needs, or at least as many as are feasible. Some of the needs mentioned in the assessment will not be addressed because they are not hospital related. Part V, Line 13h - Other Factors Used in Determing Amounts Charged Patients Other eligibility criteria: Medicaid/Medicare, State regulation, and discount if paid in full at time of service or shortly after visit. Part V, Line 13h - Other Factors Used in Determing Amounts Charged Patients Other eligibility criteria: Medicaid/Medicare, State regulation, and discount if paid in full at time of service or shortly after visit. Part V, Line 16i - Other Means Hospital Facility Publicized the Policy 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. Part V, Line 16i - Other Means Hospital Facility Publicized the Policy Box f should be checked, as the plain language summary of FAP was available upon request and without charge. A software error is preventing the box from being checked. 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. Part V, Line 19d - Other Actions Took Before Any Collection Actions Financial assistance availability notices are posted in all patient access areas.After reasonable efforts have been made to collect from patients, including: notifications regarding financial assistance and communications about their bill, the hospital will take more aggressive collection action. Those actions may include: reporting to a credit agency; and lawsuits.The actions taken and noted for responses in this section were taken only after all the initial collection notifications and determinations of financial assistance eligibility occurred. The hospital will only initiate aggressive collection actions, such as reporting to a credit agency and actions that require a legal or judicial process, as last resort collection procedures. Part V, Line 19d - Other Actions Took Before Any Collection Actions Financial assistance availability notices are posted in all patient access areas.After reasonable efforts have been made to collect from patients, including: notifications regarding financial assistance and communications about their bill, the hospital will take more aggressive collection action. Those actions may include: reporting to a credit agency; and lawsuits.The actions taken and noted for responses in this section were taken only after all the initial collection notifications and determinations of financial assistance eligibility occurred. The hospital will only initiate aggressive collection actions, such as reporting to a credit agency and actions that require a legal or judicial process, as last resort collection procedures. Part V, Line 20e - Other Actions Took Before Any Collection Actions Financial assistance availability notices are posted in all patient access areas.After reasonable efforts have been made to collect from patients, including: notifications regarding financial assistance and communications about their bill, the hospital will take more aggressive collection action. Those actions may include: reporting to a credit agency; and lawsuits.The actions taken and noted for responses to Questions 19 of this section were taken only after all the initial collection notifications and determinations of financial assistance eligibility occurred. The hospital will only initiate aggressive collection actions, such as reporting to a credit agency and actions that require a legal or judicial process, as last resort collection procedures. Part V, Line 20e - Other Actions Took Before Any Collection Actions Financial assistance availability notices are posted in all patient access areas.After reasonable efforts have been made to collect from patients, including: notifications regarding financial assistance and communications about their bill, the hospital will take more aggressive collection action. Those actions may include: reporting to a credit agency; and lawsuits.The actions taken and noted for responses to Questions 19 of this section were taken only after all the initial collection notifications and determinations of financial assistance eligibility occurred. The hospital will only initiate aggressive collection actions, such as reporting to a credit agency and actions that require a legal or judicial process, as last resort collection procedures. 11 Ridgecrest Regional Hospital Rural Health Clinic 1111 N China Lake Blvd Ridgecrest CA 93555 Rural Health Clinic China Lake Community Care Clinic 1041 N China Lake Blvd Ridgecrest CA 93555 Community Care Clinic Ridgecrest Regional Hospital Sleep Study Lab 1111 N China Lake Blvd Ridgecrest CA 93555 Sleep Study Lab Ridgecrest Regional Hospital Urgent Care 1111 N China Lake Blvd Ridgecrest CA 93555 Urgent Care Ridgecrest Regional Hospital Home Health 1653 N Triangle Dr Ridgecrest CA 93555 Home Health Ridgecrest Regional Hospital Orthopedic Clinic 1041 N China Lake Blvd Ridgecrest CA 93555 Orthopedic Clinic China Lake Gastroenterology 1011 N China Lake Blvd Ridgecrest CA 93555 Gastroenterology Clinic China Lake Surgical Clinic 1041 N China Lake Blvd Ridgecrest CA 93555 Surgical Clinic Ridgecrest Regional Hospital Hospice 1653 N Triangle Dr Ridgecrest CA 93555 Hospice China Lake Specialty Clinics - OB Clinic 1011 N China Lake Blvd Ridgecrest CA 93555 OB Clinic China Lake Specialty Clinics - Pulmonary 1011 N China Lake Blvd Ridgecrest CA 93555 Pulmonary Clinic Part I, Line 7 - Explanation of Costing Methodology Medicare Cost Method Part I, Line 7, Column F - Explanation of Bad Debt Expense Please refer to the response provided for Part III, line 4. Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense Please refer to the response provided for Part III, Line 4. Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit Please refer to the response provided for Part III, Line 4. Part III, Line 4 - Bad Debt Expense 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 collectibility 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 8 - Explanation Of Shortfall As Community Benefit All shortfall should be treated as community benefits, as the costs incurred within the organization.Line 6 - The Medicare cost method is used as the methodology to determine the amount of Medicare allowable costs of care. Part III, Line 9b - Provisions On Collection Practices For Qualified Patients 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. Part VI - Needs Assessment A community needs assessment was started in July 2012 and was completed and approved by the Board in January 2013. The report was issued and dated in March 2013. An implementation plan has been developed. Part VI - Patient Education of Eligibility for Assistance Signs are posted in registration areas informing them of assistance with their bills, siting 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 - Community Information 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 - 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 VI - Explanation Of How Organization Furthers Its Exempt Purpose The Hospital provides classes on controlling disease, low cost mamography 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 - Affilated Health Care System Roles and Promotion N/A Part VI - States Where Community Benefit Report Filed CA Part V - Explanation of Number of Facility Type Ridgecrest Regional Hospital is committed to delivering quality healthcare to its patients. To that end, we offer the following services at these types of facilities: one Rural Health Clinic, one Hospice, one Home Health Agency, one Urgent Care Clinic, one Sleep Study Lab, one Outpatient Surgical Clinic, one Community Care Clinic, one Orthopedic Clinic; one Gastroenterology Clinic, one OB Clinic, and one Pulmonary Clinic. X X X false false false false false false false false false false Aisha Rollins Physician 245890 760 8732 255382 Andrew Ryan Phys Asst 183340 1533 22804 207677 Gul Anwar Physician 224800 8400 9910 243110 7938 Healthy Desai Physician 741236 10400 19430 771066 Hope Zissos MD Physician 260848 10400 22804 294052 9958 James Suver CEO 265447 62500 10258 9606 347811 9929 Lawrence Cosner MD Member/Physcn 197276 15283 16716 229275 Lois Johnson CFO 149940 6268 23426 179634 6017 Sandra Gilliam Admin Patient Care 173100 7279 16108 196487 7088 Part III, Additional Information Schedule J, Part II: James Suver is the CEO of the Hospital. His total cash compensation fell between the 10th and 25th percentile of all Southern California hospital CEO's during 2014 according to: the Allied for Health Executive Compensation Report, sponsored by the California Hospital Association.Bonus Compensation:James Suver received incentive compensation based on his unique qualifications and succcessful achievement of different goals. A CA Statewide Dvlpmt Authority FHA Insured Mortgage 130795MR5 2007-11-08 72215000 Hospital Construction false false A 74226498 5400000 1298000 1618370 52169178 2010 false false false true A false false false false true A false false false NA true FSA Capital Management Services LLC 3.0000 true false false A true Part VI Arbitrage, Part IV, Line 2C: The Rebate computation was performed on November 8, 2012. Gul Anwar Hi Pd EE Personal X 40000 37919 false false true 37919 Lawrence Cosner MD Self 229275 Physician Prof Fees false Schedule L, Part V Supplemental Information Lawrence Cosner, MD served as a Board member, and was also compensated for providing professional physician services to the Hospital in the amount of $229,275. Cosner was compensated at comparable market rates for the medical services provided and his compensation was properly approved by the Hospital Board, and adequately documented as to reasonableness. Thus, no excess benefit transactions occurred.Since Lawrence Cosner, MD had business transactions with the hospital reportable on Schedule L (exceeding $100,000 in total compensation and other payments): He is deemed to have lost independence in voting as a hospital Board member (Per Form 990 Instructions.)During the year, a personal loan was made to Gul Anwar in the amount of $40,000. The loan was documented in a written agreement between the parties. The balance due on the loan is now $37,919. Since Gul Anwar is one of the five highest paid employees this transaction is required to reported on Schedule L. Form 990, Part VI, Line 1a: Explanation of Delegated Broad Authority to Committee Please refer to explanation for Form 990, Part VI, Lines 7A and 7B. Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents 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 miscellaneous changes. Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body The Corporate Members have the right to elect the members of the Board of Directors. The Corporate Membership consists of the Emeritus Members as approved by the Board of Directors, and 40 persons, who must reside in the hospital service area, elected to membership by a vote of the Corporate Members. Employees of the hospital are not eligible for Corporate Membership.The duties of Corporate Members are as follows: a) Serve on committees; b)Elect directors at the annual meeting; c) Amend the bylaws; and d) Approve dissolutions or mergers. Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders The Corporate Members have the right to one vote per Member for voting on certain decisions. 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, Line 11b: Form 990 Review Process The 990 is provided to the executive board via electronic distribution. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts There is Annual Disclosure on Conflict of Interest Policy for directors, Officers, Medical Staff Officers, and Administrative Employees. Compliance with conflict of interest policy is monitored by the CEO. Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management Compensation for the CEO was determined by a compensation committee of the executive board using compensation comparison provided by HASC. Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees 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, Line 18: Explanation of Other Means Forms Available For Public Inspection Financial Statements are available on MSRB.org Form 990, Part VI, Line 19: Other Organization Documents Publicly Available All public documents are made available upon request. Form 990, Part IX, Statement of Functional Expenses Program Services and Management expenses were allocated according to the Medicare Cost Report expense allocations.The Hospital typically doesn't have fundraising expenses, except for in the case of expenses related to special events. Those exepenses are typically minor ($7,999 in 2014) and are netted with revenues for purposes of complying with the reporting format on Form 990, Page 9, Part VIII Statement of Revenue. Form 990, Part VII, Section A, Column B and Column F Hours and compensation for related organizations - Hours worked per week for the RRH Development Foundation by Hospital employees are listed in Column B. None were compensated for time spent during 2014, as the RRH Development Foundation was just being established. Accordingly, there are no values recorded for related party salaries in Column F. Lois Johnson, CFO to both the Hospital and the RRH Development Foundation designated another employee (non-officer) to handle her duties for 2014. Thus, Lois Johnson had no hours or compensation to report. RRH Development Foundation 1081 N China Lake Blvd Ridgecrest CA 93555 464181603 Raising Hosp Capital Equip Funds CA N/A C false false true false false false false false false false false false false false true true false false false false Schedule R, Part IV, Line 1 The RRH Development Foundation's purpose is to raise capital equipment funds for Ridgecrest Regional Hospital. A majority of the Foundation's Board is comprised of the same Board members as the Hospital. The two also share common officers. Thus, the Foundation is listed as a related organization. Schedule R, Part V, Section 2 For all items marked "Yes" in Part V, Section 1, the amounts are less than the transaction threshold of $50,000 and thus are not reported.