UNITED COM-SERVE: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
UNITED COM-SERVE (EIN 94-3015356)
Tax period
2013-07-01 to 2014-06-30
Filed
2015-05-14
IRS object ID
201511349349309031
Schema version
2013v4.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2015-05-14T19:51:37-05:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN910189318PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MOSS ADAMS LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13121 W MARCH LN STE 100AddressLine1
CitySTOCKTONCity
StateCAState
ZIP Code952192303ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN943015356EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1UNITED COM-SERVEBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlUNITBusinessNameControlTxt
Phone5307401920PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1989 PLUMAS STREETAddressLine1
CityYUBA CITYCity
StateCAState
ZIP Code95991ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTARUN GHOSHPersonNm
Person TitleCHIEF FINANCIAL OFFICERPersonTitleTxt
Phone5307401920PhoneNum
Signature2015-05-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTRACY S PAGLIAPreparerPersonNm
PTINP00366884PTIN
Phone2099556100PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTARUN GHOSHPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1989 PLUMAS STREETAddressLine1
CityYUBA CITYCity
StateCAState
ZIP Code95991ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$30,776,827GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.FRHG.ORG/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1983FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTO PROVIDE COMPASSIONATE AND SUPERIOR HEALTHCARE TO EVERYONE IN OUR COMMUNITY AND REGION, REGARDLESS OF THE ABILITY TO PAY.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee357TotalEmployeeCnt
Total Volunteers177TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$35,041PYContributionsGrantsAmt
CY Contributions Grants$45,783CYContributionsGrantsAmt
PY Program Service Revenue$21,385,647PYProgramServiceRevenueAmt
CY Program Service Revenue$21,152,987CYProgramServiceRevenueAmt
PY Investment Income$1,277,834PYInvestmentIncomeAmt
CY Investment Income$1,270,412CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$22,698,522PYTotalRevenueAmt
CY Total Revenue$22,469,182CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$15,315,305PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$15,589,436CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$8,805,138PYOtherExpensesAmt
CY Other Expenses$9,682,932CYOtherExpensesAmt
PY Total Expenses$24,120,443PYTotalExpensesAmt
CY Total Expenses$25,272,368CYTotalExpensesAmt
PY Revenues Less Expenses-$1,421,921PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,803,186CYRevenuesLessExpensesAmt
Total Assets BOY$86,678,651TotalAssetsBOYAmt
Total Assets EOY$91,281,246TotalAssetsEOYAmt
Total Liabilities BOY$26,542,113TotalLiabilitiesBOYAmt
Total Liabilities EOY$29,740,535TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$60,136,538NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$61,540,711NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE COMPASSIONATE AND SUPERIOR HEALTHCARE TO EVERYONE IN OUR COMMUNITY AND REGION, REGARDLESS OF THE ABILITY TO PAY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$10,113,119ExpenseAmt
Grant$0GrantAmt
Revenue$13,470,224RevenueAmt
DescTHE FOUNTAINS IS A SKILLED NURSING FACILITY AND SERVES AS A CONTINUING CARE PROVIDER FOR PATIENTS REQUIRING REHABILITATION SERVICES SUBSEQUENT TO ACUTE CARE HOSPITAL STAY AND AS A LONG TERM CARE PROVIDER.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$2,743,757ExpenseAmt
Grant$0GrantAmt
Revenue$2,237,315RevenueAmt
DescHOME HEALTH PROVIDES EXCEPTIONAL CARE IN THE HOME UNDER PHYSICIAN DIRECTION. OUR PROFESSIONAL STAFF WORKS WITH THE PATIENTS AND THEIR FAMILIES ON HOW TO MANAGE MOST SHORT AND LONG TERM ILLNESSES.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$1,699,594ExpenseAmt
Grant$0GrantAmt
Revenue$1,505,664RevenueAmt
DescTHE HOSPICE PROGRAM IS DESIGNED TO MAKE COPING WITH TERMINAL ILLNESS EASIER. SERVICE IS PROVIDED IN THE PATIENT'S HOME, SKILLED NURSING FACILITY OR ASSISTED LIVING FACILITY. DEDICATED NURSES, PHYSICIANS, SOCIAL WORKERS, VOLUNTEERS, CHAPLAIN AND OTHERS HELP INDIVIDUALS WITH LIMITED LIFE EXPECTANCY MAINTAIN THEIR INDEPENDENCE AND DIGNITY.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (2 entries)

ExpenseExpenseAmtGrantGrantAmtRevenueRevenueAmtDescDesc
$1,345,342$0$2,007,939THE GARDENS:ALZHEIMER CARE FACILITY
$1,030,518$1,931,845THE COURTYARD:ASSISTED LIVING FACILITY
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$2,375,860TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$3,939,784TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$16,932,330TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee357EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Excess Business Holdings0ExcessBusinessHoldingsInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ED GONZALEZBusinessNameLine1
FieldValueIRS element (for citing)
Phone5307401922PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1614 J STREETAddressLine1
CityMARYSVILLECity
StateCAState
ZIP Code95901ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
RONALD M SWEENEY
DIRECTOR/PAST CHAIRMAN2.0010.00Yes (X)Yes (X)$0$0$0
JOHN WRIGHT
DIRECTOR/CHAIRMAN2.0010.00Yes (X)Yes (X)$0$2,927$0
JOHN WEILER
DIRECTOR2.0010.00Yes (X)$0$5,470$0
LISA DEL PERO
DIRECTOR/SECRETARY2.0010.00Yes (X)Yes (X)$0$24,788$0
JANICE S NALL
DIRECTOR/ASSISTANT SECRETARY2.0010.00Yes (X)Yes (X)$0$17,040$0
JOHN W CARY
DIRECTOR/OFFICER2.0010.00Yes (X)Yes (X)$0$4,087$0
RUPINDER BRAR
DIRECTOR2.0010.00Yes (X)$0$78,600$0
ROBERT CHASON
DIRECTOR/VICE CHAIRMAN2.0010.00Yes (X)$0$0$0
JAMES KENNEDY
DIRECTOR (THROUGH 12/2013)2.0010.00Yes (X)$0$0$0
ALEXANDRA REICHMAN
DIRECTOR2.0010.00Yes (X)$0$881$0
DAVID TARKE
DIRECTOR2.0010.00Yes (X)$0$0$0
DAVE VAUGHN
DIRECTOR (THROUGH 02/2014)2.0010.00Yes (X)$0$0$0
GARY THIARA
DIRECTOR2.0010.00Yes (X)$0$0$0
JOHN MILLER
DIRECTOR2.0010.00Yes (X)$0$0$0
THERESA HAMILTON
CHIEF EXECUTIVE OFFICER12.0058.00Yes (X)$0$1,632,880$27,878
L WAYNE MILLS
CHIEF FINANCIAL OFFICER12.0048.00Yes (X)$0$323,541$27,878
CHANCE WHITE
SR. VP / CHIEF CLINICAL OF10.0050.00$0$283,033$27,790Yes (X)
DAWN GUERRA
REGISTERED NURSE40.00$108,301$0$15,805Yes (X)
SUSAN JASPERSON
REGISTERED NURSE40.00$112,014$0$12,564Yes (X)
CORINNE LITTLE
HOME HEALTH SUPERVISOR40.00$113,072$0$21,717Yes (X)
EMMA NELSON
ADMINISTRATOR FOUNTAINS40.00$111,858$0$21,559Yes (X)
LINDA RICE
REHAB CLINICAL MANAGER FOUNTAINS40.00$113,094$0$18,165Yes (X)
THOMAS HAYES
FORMER CEO0.008.00$0$152,576$9,940Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$558,339TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,525,823TotReportableCompRltdOrgAmt
Total Other Compensation$183,296TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K10IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
AMN HEALTHCARE
PO BOX 281939ATLANTAGA30384PROFESSIONAL PLACEMENT SERVICES$429,762
ETHIKA GROUP
PO BOX 166858IRVINGTX75016PROFESSIONAL PLACEMENT SERVICES$140,276
STREAM HC LLC
3000 INTERNET BLVD 100FRISCOTX75034PROFESSIONAL PLACEMENT SERVICES$136,707
EXPRESS SERVICES INC
PO BOX 844277LOS ANGELESCA90084PROFESSIONAL PLACEMENT SERVICES$101,476
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Related Organizations$45,783RelatedOrganizationsAmt
Total Contributions$45,783TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SKILLED NURSE ROOM623000$14,439,445$14,439,445
HEALTH CARE SERVICES621990$6,488,220$6,488,220
OTHER OPERATING REV900099$225,322$225,322
FieldValueIRS element (for citing)
Total Program Service Revenue$21,152,987TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,447,632TotalRevenueColumnAmt
Exclusion$1,447,632ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$8,130,425SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$8,307,645SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$177,220SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$177,220TotalRevenueColumnAmt
Exclusion-$177,220ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$22,469,182TotalRevenueColumnAmt
Related Or Exempt Func Income$21,152,987RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,270,412ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$11,400,404TotalAmt
Program Services$8,920,092ProgramServicesAmt
Management And General$2,480,312ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$207,410TotalAmt
Program Services$161,780ProgramServicesAmt
Management And General$45,630ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,037,377TotalAmt
Program Services$2,369,154ProgramServicesAmt
Management And General$668,223ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$944,245TotalAmt
Program Services$736,511ProgramServicesAmt
Management And General$207,734ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$501,313TotalAmt
Management And General$501,313ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$171,442TotalAmt
Management And General$171,442ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,518,826TotalAmt
Program Services$1,325,458ProgramServicesAmt
Management And General$193,368ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$888TotalAmt
Management And General$888ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,597,131TotalAmt
Program Services$1,454,098ProgramServicesAmt
Management And General$1,143,033ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$610,130TotalAmt
Program Services$79,428ProgramServicesAmt
Management And General$530,702ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$87,443TotalAmt
Program Services$82,375ProgramServicesAmt
Management And General$5,068ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,075,720TotalAmt
Management And General$1,075,720ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,305,632TotalAmt
Program Services$1,305,632ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$237,858TotalAmt
Management And General$237,858ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
LICENSE/TAXES$894,191$894,191
BAD DEBT$476,376$476,376
REPAIRS$205,982$184,556$21,426

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$25,272,368TotalAmt
Program Services$16,932,330ProgramServicesAmt
Management And General$8,340,038ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,830,168BOYAmt
EOY$525,799EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,421,151BOYAmt
EOY$5,405,060EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$25,739BOYAmt
EOY$23,316EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$91,471BOYAmt
EOY$89,035EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$36,604,065LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$14,827,242LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$22,709,964BOYAmt
EOY$21,776,823EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$57,780,460BOYAmt
EOY$61,394,111EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,819,698BOYAmt
EOY$2,067,102EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$86,678,651BOYAmt
EOY$91,281,246EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,116,489BOYAmt
EOY$2,606,372EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$23,992,978BOYAmt
EOY$23,352,735EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$432,646BOYAmt
EOY$3,781,428EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$26,542,113BOYAmt
EOY$29,740,535EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$60,136,538BOYAmt
EOY$61,540,711EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$60,136,538BOYAmt
EOY$61,540,711EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$86,678,651BOYAmt
EOY$91,281,246EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$2,803,186ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$4,207,359NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type2Yes (X)SupportingOrgType2Ind
CertificationYes (X)CertificationInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1RIDEOUT MEM HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
EIN941387866EIN
Organization Type3OrganizationTypeDesc
Governing Document ListedYes (1)GoverningDocumentListedInd
Support$0SupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,999,481OtherCostOrOtherBasisAmt
Book Value$2,999,481BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$28,886,449OtherCostOrOtherBasisAmt
Depreciation$10,916,879DepreciationAmt
Book Value$17,969,570BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,432,465OtherCostOrOtherBasisAmt
Depreciation$1,380,658DepreciationAmt
Book Value$51,807BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,028,478OtherCostOrOtherBasisAmt
Depreciation$2,529,705DepreciationAmt
Book Value$498,773BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$257,192OtherCostOrOtherBasisAmt
Book Value$257,192BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$21,776,823TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DUE TO OTHER AFFILIATES$3,411,746
ACCRUED MALPRACTICE INSURANCE$369,682
FieldValueIRS element (for citing)
Total Liability$3,781,428TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationIN THE EVENT THE GROUP HAD A TAX PROVISION THAT WAS UNCERTAIN OF BEING SUSTAINED, THE GROUP WOULD APPLY THE MINIMUM PROBABILITY THRESHOLD SPECIFIED IN THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES TOPIC OF THE ACCOUNTING STANDARDS CODIFICATION TO DETERMINE WHETHER A FINANCIAL STATEMENT LIABILITY OR BENEFIT SHOULD BE RECOGNIZED. THERE WERE NO UNCERTAIN TAX POSITIONS AT JUNE 30, 2014 AND 2013.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
THERESA HAMILTON
CHIEF EXECUTIVE OFFICER$0$460,341$0$0$0$1,172,539$0$10,838$0$17,040$0$1,660,758$0$0
L WAYNE MILLS
CHIEF FINANCIAL OFFICER$0$321,984$0$0$0$1,557$0$10,838$0$17,040$0$351,419$0$0
CHANCE WHITE
SR. VP / CHIEF CLINICAL OF$0$282,776$0$0$0$257$0$10,750$0$17,040$0$310,823$0$0
THOMAS HAYES
FORMER CEO$0$152,576$0$0$0$0$0$0$0$9,940$0$162,516$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3THE ORGANIZATION RELIED ON A RELATED ORGANIZATION THAT USED ONE OR MORE OF THE METHODS DESCRIBED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION.
PART I, LINE 4BTHERESA HAMILTON, CEO, AS PART OF HER EXECUTIVE COMPENSATION PACKAGE, PARTICIPATES IN THE FRHG EXECUTIVE DEFERRED COMPENSATION PLAN - 457 (F) AND THE FRHG SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP), WHICH IS PAID BY THE ORGANIZATION. PART II, LINE (1), COLUMN B (III): OTHER REPORTABLE COMPENSATION FOR THERESA HAMILTON, CEO, PRIMARILY REPRESENTS THE PRESENT VALUE OF FUTURE RETIREMENT BENEFITS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CAL STATEWIDE COM DEVELOPMENT AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Bond Issuer EIN680164610BondIssuerEIN
CUSIP130911V72CUSIPNum
Bond Issued2006-03-28BondIssuedDt
Issue Price$26,858,494IssuePriceAmt
PurposeFINANCE COST OF IMPROVEMENTS TO SKILLED NURSING FACILITIESPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$3,545,000RetiredAmt
Total Proceeds$29,696,460TotalProceedsAmt
In Reserve Fund$2,138,208InReserveFundAmt
Capitalized Interest$5,397,901CapitalizedInterestAmt
Issuance Costs From Proceeds$537,170IssuanceCostsFromProceedsAmt
Credit Enhancement$567,484CreditEnhancementAmt
Working Capital Expenditures$5,578,095WorkingCapitalExpendituresAmt
Capital Expenditures$15,477,602CapitalExpendituresAmt
Substantial Completion2010SubstantialCompletionYr
Current Refunding0CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation Made0FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate DueYes (1)NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMEDISSUER NAME: CAL STATEWIDE COM DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 04/09/2014
SCHEDULE K, PART II, LINE 3:THE DIFFERENCE BETWEEN THE ISSUE PRICE REPORTED IN PART I, COLUMN (E) AND THE THE TOTAL PROCEEDS REPORTED ON PART II, LINE 3 IS DUE TO INTEREST EARNED.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION HAS ONE MEMBER WITH RESERVED POWERS.
FORM 990, PART VI, SECTION A, LINE 7ATHE SOLE MEMBER OF THE ORGANIZATION HAS THE POWER TO SELECT AND REMOVE DIRECTORS AND APPOINT THE CHIEF EXECUTIVE OFFICER.
FORM 990, PART VI, SECTION A, LINE 7BTHE SOLE MEMBER OF THE ORGANIZATION HAS THE POWER TO: (A) APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE ORGANIZATION, AS WELL AS ALL PURCHASES, BORROWINGS OR FINANCINGS IN ANY AMOUNT IN EXCESS OF A DOLLAR AMOUNT ESTABLISHED BY THE MEMBER (B) APPROVE THE PURCHASE, SALE, LEASE, DISPOSITION, HYPOTHECATION, EXCHANGE, GIFT, PLEDGE OR ENCUMBRANCE OF ANY REAL OR PERSONAL PROPERTY INTEREST (C) APPROVE ANY ARTICLE OR BYLAW CHANGES (D) APPROVE ANY MERGER, CONSOLIDATION, REORGANIZATION, DISSOLUTION, AFFILIATION, JOINT VENTURE ACTIVITY OR ALLIANCE BETWEEN THIS ORGANIZATION AND ANY OTHER ENTITY, (E) APPROVE THE FORMATION BY THIS ORGANIZATION OF ANY NEW CORPORATION, OR ITS PARTICIPATION IN ANY OTHER CORPORATION OR ENTITY AS A SHAREHOLDER, MEMBER, PARTNER OR JOINT VENTURER (F) REVIEW, APPROVE OR DISAPPROVE ANY PROPOSED TRANSACTION OF THIS ORGANIZATION WHICH INVOLVES SIGNIFICANT QUESTIONS OF POLICY OR WHICH WOULD HAVE SUBSTANTIAL IMPACT, FINANCIAL OR OTHERWISE, UPON THE ORGANIZATION OR THE MEMBER, AND (G) APPROVE ANY TRANSACTION IN WHICH A DIRECTOR OR OFFICER OF THIS ORGANIZATION HAS A MATERIAL FINANCIAL INTEREST.
FORM 990, PART VI, SECTION B, LINE 11THE AUDIT AND COMPLIANCE COMMITTEE WILL PERFORM A DETAILED REVIEW AND BE PART OF THE PRESENTATION BY THE PREPARER (MOSS ADAMS LLP). THE AUDIT AND COMPLIANCE COMMITTEE WILL THEN MAKE A RECOMMENDATION TO THE FULL BOARD. A FULL COPY OF THE FORM 990 WILL BE MADE AVAILABLE TO THE FULL BOARD PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CDIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY. IN-HOUSE LEGAL COLLECTS AND REVIEWS THE CONFLICT OF INTEREST STATEMENTS FOR ALL BOARD MEMBERS AND KEY EMPLOYEES. BOARD MEMBERS ARE EXCUSED FROM ANY PORTION OF THE MEETINGS WHERE THEIR PERSONAL INTEREST WOULD CREATE A CONFLICT ON AN ISSUE OR INFLUENCE A VOTE.
FORM 990, PART VI, SECTION B, LINE 15THE GOVERNANCE COMMITTEE DEVELOPS THE EXECUTIVE COMPENSATION POLICY AND STRATEGY TO BE FOLLOWED IN ESTABLISHING THE CEO'S COMPENSATION AND FOR THE CEO TO FOLLOW IN ESTABLISHING COMPENSATION FOR OTHER KEY EMPLOYEES. THE PRIMARY STRATEGY IS TO UTILIZE AN OUTSIDE FIRM TO PROVIDE EXECUTIVE SALARY MARKET DATA WITHIN THE HEALTH CARE INDUSTRY FOR COMPARABILITY WHEN SETTING EXECUTIVE COMPENSATION LEVELS. THE CEO THEN REPORTS SALARY DECISIONS FOR KEY EMPLOYEES UTILIZING THIS DATA TO THE GOVERNANCE COMMITTEE. ANNUALLY THE GOVERNANCE COMMITTEE REPORTS A SUMMARY OF ITS ACTIONS AND ESTABLISHED COMPENSATION PHILOSOPHY TO THE BOARD.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST DURING NORMAL BUSINESS HOURS. CONFLICT OF INTEREST POLICY IS NOT MADE AVAILABLE TO THE PUBLIC.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
RIDEOUT MEMORIAL HOSPITAL
989 PLUMAS STREETYUBA CITYCA95991941387866ACUTE CARE HOSPITALCA501(C)(3)LINE 3FREMONT RIDEOUT HEALTH GROUPYes (1)
FREMONT-RIDEOUT HEALTH GROUP
989 PLUMAS STREETYUBA CITYCA95991942917251HOSPITAL MGMT SERVICESCA501(C)(3)LINE 11B, II0N/A
FREMONT-RIDEOUT FOUNDATION
989 PLUMAS STREETYUBA CITYCA95991237366330SUPPORT FOR FRHG AND ITS AFFILIATESCA501(C)(3)LINE 7FREMONT RIDEOUT HEALTH GROUPYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1FRD MANAGEMENT LLCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2128AddressLine1
CityMARYSVILLECity
StateCAState
ZIP Code95901ZIPCode
FieldValueIRS element (for citing)
EIN943335136EIN
Primary ActivitiesOPERATION OF CANCER CENTERPrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1FREMONT-RIDEOUT MANAGEMENT SERVICES ORGANIZATION INCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1989 PLUMAS STREETAddressLine1
CityYUBA CITYCity
StateCAState
ZIP Code95991ZIPCode
FieldValueIRS element (for citing)
EIN271350379EIN
Primary ActivitiesDME SALESPrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1RIDEOUT MEMORIAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeQTransactionTypeTxt
Involved$291,587InvolvedAmt
Method Of Amount DeterminationFMVMethodOfAmountDeterminationTxt

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