2015-11-16T17:01:46-06:00 2014-12-31 910189318 MOSS ADAMS LLP 3121 W MARCH LN STE 100 STOCKTON CA 952192367 990 2014-01-01 770258013 CENTRAL CALIF FOUNDATION FOR HEALTH CENT 6617254800 1401 GARCES HWY DELANO CA 93215 KEN SNYDER CONTROLLER 6617215229 2015-11-16 1 TRACY S PAGLIA P00366884 2099556100 2014 2016-04-25 22:37:26Z DELANO REGIONAL MEDICAL CENTER WILLIAM NOBLE 881 ALMA REAL DR STE 301 PACIFIC PALISADES CA 90272 93168955 0 X WWW.DRMC.COM X 1990 CA TO PROVIDE HEALTHCARE TO THE DELANO, CA AND SURROUNDING AREAS IN BOTH A HOSPITAL AS WELL AS OUT PATIENT SERVICES. 7 5 827 20 84325 -5326 58080 1651 84901620 87370077 1370387 1753288 776706 975592 87106793 90100608 0 0 0 0 36369261 37628294 0 0 0 40707650 37854393 77076911 75482687 10029882 14617921 112822979 139565126 48403246 52290864 64419733 87274262 X TO PROVIDE HEALTHCARE TO THE DELANO, CA AND SURROUNDING AREAS IN BOTH A HOSPITAL AS WELL AS OUT PATIENT SERVICES. 0 0 53975194 0 87370077 CENTRAL CALIFORNIA FOUNDATION FOR HEALTH OPERATES DELANO REGIONAL MEDICAL CENTER (THE HOSPITAL).ON MAY 29, 1992 THE COMPANY ACQUIRED THE OPERATIONS OF THE HOSPITAL. THE HOSPITAL IS A 111-BED ACUTE CARE AND 45-BED SKILLED NURSING FACILITY IN DELANO, CALIFORNIA SERVING A PRIMARILY RURAL POPULATION OF APPROXIMATELY 80,000. THE HEALTH FACILITIES PROVIDE A FULL RANGE OF PRIMARY AND SECONDARY ACUTE CARE SERVICES, SUB ACUTE, SKILLED NURSING, AND COMPREHENSIVE EMERGENCY, OUTPATIENT AND AMBULATORY CARE SERVICES.TO MEET THE NEEDS OF THE RESIDENTS OF ITS SERVICE AREA, THE HOSPITAL HAS STEADILY EXPANDED ITS SERVICES OVER TIME SINCE IT WAS FIRST OPENED. THE HOSPITAL'S PRIMARY HEALTH FACILITY, DELANO REGIONAL MEDICAL CENTER, WAS ORIGINALLY CONSTRUCTED AS AN ACUTE CARE HOSPITAL. SINCE ITS OPENING, ADDITIONS TO THE HOSPITAL AND THE EXPANSION INTO OTHER FACILITIES IN THE SURROUNDING AREA HAVE INCLUDED A WOMEN'S CLINIC IN DOWNTOWN DELANO AND THE WASCO MEDICAL PLAZA IN WASCO, CA. 53975194 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 109 0 1 827 1 1 1 0 0 0 0 0 0 0 0 0 X 7 5 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 X KEN SNYDER 6617254800 1401 GARCES HWY DELANO CA 93215 WILLIAM NOBLE CEO/CHAIRMAN 30.00 X X 363821 0 0 SHERYL WIGGINS CORPORATE SECRETARY 3.00 X X 12000 0 0 DILBAGH GEHLAWAT MD ASSISTANT SECRETARY 1.00 X 0 0 0 BRIAN KOMOTO BOARD MEMBER 1.00 X 0 0 0 LINDA HYLTON BOARD MEMBER 1.00 X 0 0 0 LYNOUS HALL CHIEF OF STAFF 1.00 X 0 0 0 IRMA BARBA BOARD MEMBER 1.00 X 0 0 0 BAHRAM GHAFFARI PRESIDENT/CFO 40.00 X 772508 0 14018 SANDY BAKICH COMPLIANCE OFFICER 40.00 X 159366 0 5464 BABITA DATTA OB PHYSICIAN 40.00 X 452115 0 0 TERRY MONRIAN PHARMACY DIRECTOR 40.00 X 201959 0 5278 LI WALTER PHARMACIST 40.00 X 178065 0 5278 KEVIN DO PHARMACIST 40.00 X 178552 0 5278 LEE MEE YOUNG PHARMACIST 40.00 X 178065 0 5278 2496451 0 40594 51 0 1 0 SUNG HYUN MD PO BOX 7096 STOCKTON CA 95267 ANESTHESIA SERVICES 1004725 DELANO HEALTH ASSOCIATES 1401 GARCES HWY DELANO CA 93215 REGISTRY SERVICES 947374 CENTRAL CALIFORNIA HOSPITALISTS 6001 TRUXTON AVE BLDG A STE 180 BAKERSFIELD CA 93309 PHYSICIAN HOSPITAL COVERAGE 387500 DEBBIE DENNIS-JOHNSON MD 8766 SUNSET AVE FAIR OAKS CA 95628 OB GYN SERVICES 264416 HOUCHIN COMMUNITY BLOOD BANK 11515 BOLTHOUSE RD BAKERSFIELD CA 93311 BLOOD BANK SERVICES AND SUPPLIES 257512 12 1651 1651 PATIENT SERVICES 621400 86653786 86653786 INCENTIVE PROGRAMS 900099 716291 716291 87370077 1753288 1753288 287337 68347 218990 218990 218990 3000000 3000000 0 CAFETERIA SALES 722100 290526 290526 MANAGEMENT FEES - DHA 561000 84325 84325 381751 381751 756602 90100608 87370077 84325 2644555 1327176 82415 1244761 26986693 19946012 7040681 7090311 4669458 2420853 2224114 1640618 583496 83974 83974 229830 229830 6088044 3932402 2155642 255842 255842 2927269 1554963 1372306 992496 546029 446467 1196048 42524 1153524 67190 11656 55534 42848 12921 29927 1089198 1089198 5054491 3048801 2005690 625340 61 625279 QUALITY ASSURANCE FEES 6330095 6330095 PROVISION FOR BAD DEBT 5023670 5023670 MEDICAL SUPPLIES 2405889 2405889 MAINTENANCE & REPAIRS 1564013 1002383 561630 3878156 2636099 1242057 75482687 53975194 21507493 0 666870 1288291 11165484 12296071 9160876 6979492 193615 229197 840788 1034555 2248413 664748 105904904 65370663 41434492 40534241 41880983 56920981 7099 56543 5224359 19561007 112822979 139565126 6518056 7808180 286561 5490166 40964006 38362717 634623 629801 48403246 52290864 X 64419733 87274262 64419733 87274262 112822979 139565126 14617921 8236608 0 X 0 1 X 1 0 X 3526434 3526434 54640404 33006160 21634244 45078862 32364503 12714359 2659204 2659204 40534241 DEPOSITS 269529 OTHER RECEIVABLES 927004 BOND ISSUE COSTS 633926 INTEREST RECEIVABLE 291086 457(B) RECEIVABLE 446339 MEDI-CAL QAF FUND 16993123 19561007 ACCRUED BOND INTEREST 629801 629801 X PART X, LINE 2: THE FOUNDATION RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE FOUNDATION RECOGNIZES INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS IN OTHER DIRECT EXPENSES. 1 1 1 X 1 X 1 1 1 0 1 1 1756056 1756056 0.02490 32571901 22179708 10392193 0.14750 34327957 22179708 12148249 0.17240 1137762 1137762 0.01610 7434009 6542922 891087 0.01260 8571771 6542922 2028849 0.02870 42899728 28722630 14177098 0.20110 104420 104420 0.00150 178304 178304 0.00250 671654 671654 0.00950 954378 954378 0.01350 1 5023670 4800000 13754509 12208826 1545683 X 1 1 1 1 DELANO REGIONAL MEDICAL CENTER 1401 GARCES HWY DELANO CA 93215 WWW.DRMC.COM 120000180 X X X DELANO REGIONAL MEDICAL CENTER 1 0 0 1 X X X X 13 0 1 0 1 X WWW.DRMC.COM/ABOUT-DRMC/COMMUNITY-BENEFITS-REPORTS.PHP X WWW.HEALTHYKERN.ORG X 1 13 1 WWW.DRMC.COM 0 0 1 X 200.000000000000 400.000000000000 X X X 1 1 X X X 1 X X X X 1 X X 0 X X X X 1 X 0 0 DELANO REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 3J: - ASSESSED QUALITY OF LIFE NEEDS AND SPECIFIC HEALTH NEEDS IN THE COUNTY- PRIORITIZED HEALTH NEEDS WITH COMMUNITY INPUT- DRMC SPECIFIED WOMENS CLINIC AND MATERNAL EDUCATION PROGRAMS TO ADDRESS THE NEEDS AND EDUCATIONAL NEEDS OF THE COMMUNITY- COMPREHENSIVE HEALTH SCREENINGS AT VARIOUS LOCATIONS THROUGHOUT THE YEAR AND DIFFERENT LOCATIONS IN THE COMMUNITY- THROUGH A DIABETIC PROGRAM WE ARE PROVIDING EDUCATION ON NUTRITION AND EXERCISE TO AFFECTED POPULATIONS DELANO REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 6A: KERN COUNTY HOSPITALS COMBINED TO DO A COUNTY WIDE ASSESSMENT FOR THE COUNTY WITH AREAS OF GEOGRAPHIC NEEDS AND OUTREACH IDENTIFIED. 5 WASCO MEDICAL PLAZA CLINIC 2300 7TH STREET WASCO CA 93280 RURAL CLINIC DELANO WOMEN'S MEDICAL CLINIC 1201 JEFFERSON DELANO CA 93215 RURAL HEALTH CLINIC OB GYN DELANO DIABETIC CLINIC 1519 GARCES HWY DELANO CA 93215 DIABETIC MONITORING AND SCREENING CLINIC DELANO PROMPT CARE CLINIC 1201 JEFFERSON DELANO CA 93215 AFTER HOURS PROMPT CARE DELANO WOUND CARE 1519 GARCES HWY DELANO CA 93215 WOUND CARE CLINIC FOR WOUNDS THAT ARE NOT HEALING PROPERLY. 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 $ 5,023,670. PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY EDUCATION ON HEALTH, PROFESSIONAL EDUCATION, COMMUNITY SERVICE AND INVOLVEMENT, OUTREACHES, SPONSORSHIPS & DONATIONS, COMMUNITY SUPPORT - THESE PROGRAMS ARE AN EFFORT TO RAISE HEALTH AWARENESS, ENCOURAGE SCREENINGS AND PREVENTATIVE HEALTH CARE, IN ALL AREAS INCLUDING OB AND PRE NATEL EDUCATION.WE BEGAN, IN 2012, A PROGRAM IN CONJUNCTION WITH KERN FAMILY MANAGED CARE FOR DIABETIC PATIENTS TO COUNSEL, TRACK AND ENCOURAGE THE PATIENTS TO GET THEIR REGULAR LAB WORK, DR VISITS, MONTHLY MEETINGS ON DIET, EXERCISE, AND PHYSICAL SCREENINGS TO PREVENT HIGH ER ROOM UTILIZATION.PART III, LINE 2: COSTING METHODOLOGY: SEE FOOTNOTES PROVIDED FOR PART III, LINE 4. PART III, LINE 2: THE BAD DEBT IS RECORDED WHEN AN ACCOUNT IS SENT FOR FURTHER COLLECTION ACTIVITIES. PART III, LINE 3: AS A LOW INCOME COMMUNITY WITH A LOT OF FARM WORKERS, MOST OF OUR BAD DEBTS ARE FOR PATIENTS THAT ARE BELOW THE POVERTY LINE IF WE COULD GET THEM TO COME IN WITH DOCUMENTATION. PART III, LINE 4: SEE FOOTNOTE 1 ON AUDITED FINANCIAL STATEMENTS FOR FOOTNOTES DISCUSSING BAD DEBT ("ACCOUNTS RECEIVABLE" AND "CHARITY AND INDIGENT CARE" SECTIONS).DUE TO THE AREA WE SERVE MOST OF OUR TRADING AREA CITIZENS ARE LOWER AND LOW MIDDLE INCOME PEOPLE AND THEREFORE MOST OF THE BAD DEBT IS A COMMUNITY BENEFIT AS THEY ARE GETTING MEDICAL CARE AT FREE OR LOWERED AMOUNTS.IF A PATIENT IS IDENTIFIED AT REGISTRATION OR AFTER THE BILLING PROCESS IS INITIATED, THE PATIENT IS, DEPENDING ON INCOME, OFFERED A SLIDING SCALE DISCOUNT BASED ON % OF POVERTY THAT THEY ARE AT, OR FULL WRITEOFF. IF THE PATIENT DOES NOT RESPOND TO BILLING EFFORTS THEN POLICY DICTATES THAT WE SEND THEM, AFTER 4 STATEMENTS, TO COLLECTION. CHARITY CARE CAN STILL BE GIVEN IF THE PATIENT RESPONDS AFTER BEING SENT TO COLLECTION. BECAUSE WE ARE A FARMING COMMUNITY, MOST SELF PAYS ARE TRANSIENT FARM WORKERS AND OFTEN DO NOT STAY AT THE ADDRESS WE HAVE IN THE RECORDS. PART III, LINE 8: DEPENDING ON UTILIZATION AND CMI AVERAGE OF THE PATIENTS WE MAY BE EITHER ABOVE OR BELOW COST.COSTING METHODOLOGY: TOTAL COST AS A PERCENTAGE OF TOTAL NET REVENUE AND APPLY TOTAL COST TO THE NET REVENUE FOR MEDICARE. PART III, LINE 9B: ONCE A PATIENT IS IDENTIFIED AS A CHARITY CARE PATIENT ALL COLLECTION EFFORTS CEASE. PART VI, LINE 2: DELANO REGIONAL MEDICAL CENTER IS PART OF A CORE GROUP OF LOCAL HEALTHCARE AND COMMUNITY AGENCIES, THAT ASSESSES THE COMMUNITY NEEDS WE SERVE. THROUGH THE CREATION OF A WEB BASED INTERACTIVE NEEDS ASSESSMENT (WWW.HEALTHYKERN.ORG) NEEDS ARE ASSESSED THROUGH A CONSTANTLY UPDATED NEEDS ASSESSMENT WITH REPORTING AND TRACKING TOOLS. THIS WEB BASED ASSESSMENT PROVIDES A TOOL FOR COMMUNITY STRATEGIC PLANNING, BRINGS US TOGETHER WITH OTHER STAKEHOLDERS IN OUR COMMUNITY FOR PARTNERSHIP IN DETERMINING THE NEEDS AS WELL AS DEFINING BEST PRACTICES. PART VI, LINE 3: BY LETTER AND AT ADMISSION, WE INFORM PATIENTS ABOUT THE AVAILABILITY TO HELP APPLY FOR SPECIFIC GOVERNMENTAL PROGRAM ASSISTANCE AND THE PATIENTS' ABILITY TO APPLY FOR CHARITY CONSIDERATION. ALSO, POSTERS IN BOTH ENGLISH AND SPANISH ARE DISPLAYED IN THE ER, WAITING AREA, CLINICS AND HOSPITAL ADMISSION AREAS INFORMING OF THE AVAILABILITY OF THE HOSPITAL'S PROGRAM TO ASSIST THROUGH THE CHARITY OR SLIDING FEE SCALE FOR THEIR BILL. PART VI, LINE 4: THE HOSPITAL SERVES A CULTURALLY ABUNDANT AND DIVERSE POPULATION OF APPROXIMATELY 130,000 PEOPLE FROM THREE PRIMARY CULTURAL GROUPS: HISPANIC, FILIPINO AND CAUCASIAN. DRMC IS THE SOLE HOSPITAL PROVIDER WITHIN A 30 MILE RADIUS. OVER THE YEARS, THE HOSPITAL'S SERVICE AREA HAS BEEN FACED WITH MANY CHALLENGES. THESE INCLUDE HIGH RATES OF UNEMPLOYMENT, OBESITY, TEEN PREGNANCY, DIABETES, ASTHMA, POVERTY, SUBSTANCE ABUSE, LOW EDUCATIONAL ATTAINMENT, AND LIMITED ACCESS TO HEALTHCARE SERVICES. ALTHOUGH THESE ISSUES ARE NOT UNIQUE TO OUR SERVICE AREA, DATA SHOW THAT OUR COMMUNITIES ARE MUCH WORSE THAN THE AVERAGE COMMUNITY IN KERN COUNTY OR CALIFORNIA AS A WHOLE.THE FOLLOWING STATISTICS PRESENT A PICTURE OF THE COMMUNITIES WE SERVE.ETHNIC COMPOSITION: HISPANIC 68.47% WHITE 9.2% ASIAN/PACIFIC ISLANDER 15.9% BLACK 5.07% AMERICAN INDIAN 1.4%UNEMPLOYMENT RATE: OUR COMMUNITIES RANK #7 OUT OF THE 101 COMMUNITIES IN THE US FOR THE HIGHEST UNEMPLOYMENT RATE AT 35.2% (SEASONALLY ADJUSTED)ECONOMIC LEVELS: ACCORDING TO 2007 DATA, 28.2% OF OUR POPULATION FALL BELOW THE NATIONAL POVERTY LEVELS. THE CALIFORNIA STATE AVERAGE IS 14.2%EDUCATION: DESPITE GOOD API SCORES, 52% OF FAMILIES CONTINUE TO HAVE AN EDUCATION ATTAINMENT AND READING LEVEL AT THE THIRD GRADE LEVEL OR LOWER.PUBLIC ASSISTANCE: 285 OF FAMILIES RECEIVE AFDC AND 85% OF STUDENTS, DEPENDING ON SEASON, QUALIFY FOR FREE OR REDUCED PRICE LUNCHES AT SCHOOL.CULTURAL: OVER 20% OF FAMILIES ARE MIGRANT FARM WORKERS. 72% OF FAMILY ARE PRIMARILY SPANISH SPEAKING. PART VI, LINE 5: DRMC'S COMMITMENT TO THE COMMUNITIES EXTENDS TO THE EMPLOYMENT OF A FULL TIME PROMOTORA (COMMUNITY HEALTH WORKER) WORKING WITHIN THE COMMUNITIES WE SERVE, AS WELL AS IN THE FARM FIELDS, ASSISTING THE MEDICALLY UNDERSERVED. THROUGH THIS PROGRAM HEALTH SCREENINGS, HEALTHSERVICES, EDUCATION, BASIC NEEDS SERVICES AND AN EXTENSIVE REFERRAL PROGRAM, HAVE BEEN PROVIDED TO 5,765 PEOPLE IN 2014.IN ADDITION TO THE PROMOTORA OUTREACHES, THE HOSPITAL ALSO CONDUCTS SEVERAL FREE HEALTH SCREENINGS, IMMUNIZATION CLINICS, AND EDUCATIONAL PROGRAMS FOR THE COMMUNITIES ANNUALLY. DRMC SUPPORTS, SPONSORS AND PARTICIPATES IN THE ACTIVITIES OF OTHER LOCAL ORGANIZATIONS AND PROJECTS THAT FOCUS ON HELPING OUR RESIDENTS. WE WORK CLOSELY WITH COMMUNITYCOLLABORATIVES AND OTHER HEALTH AGENCIES TO IDENTIFY AND ADDRESS THE SOCIAL AND HEALTH CARE NEEDS OF THE COMMUNITY WHICH INCLUDE SUCH ACTIVITIES AS FUNDING THE COMMUNITY SENIOR NUTRITION PROGRAM WHICH HELPS SERVE MEALS TO LOCAL SENIORS.SERVICE TO ASSIST THE COMMUNITY MEET THEIR NUTRITIONAL NEEDS EXHIBITS ITSELF IN PROVIDING LOCAL GARDENERS LAND TO GROW FRUITS AND VEGETABLES FOR THEIR FAMILIES AT NO COST. PART VI, LINE 6: N/A PART VI, LINE 7, REPORTS FILED WITH STATES CA X X X 0 0 0 0 0 1 0 0 0 WILLIAM NOBLE CEO/CHAIRMAN 363821 0 0 0 0 0 0 0 0 0 363821 0 0 0 BAHRAM GHAFFARI PRESIDENT/CFO 515008 0 257500 0 0 0 0 0 14018 0 786526 0 0 0 SANDY BAKICH COMPLIANCE OFFICER 145449 0 13917 0 0 0 0 0 5464 0 164830 0 0 0 BABITA DATTA OB PHYSICIAN 452115 0 0 0 0 0 0 0 0 0 452115 0 0 0 TERRY MONRIAN PHARMACY DIRECTOR 190711 0 11248 0 0 0 0 0 5278 0 207237 0 0 0 LI WALTER PHARMACIST 178065 0 0 0 0 0 0 0 5278 0 183343 0 0 0 KEVIN DO PHARMACIST 178552 0 0 0 0 0 0 0 5278 0 183830 0 0 0 LEE MEE YOUNG PHARMACIST 178065 0 0 0 0 0 0 0 5278 0 183343 0 0 0 PART I, LINE 6 PRESIDENT AND LEADERSHIP PERSONNEL ARE PAID AN ADDITIONAL SUM TO THEIR WAGES IF CERTAIN FINANCIAL GOALS ARE MET IN REGARDS TO NET INCOME, PATIENT SATISFACTION AND DEPARTMENTS MEETING THEIR BUDGETS. PART II, LINE 2: PRESIDENT, WHO IS RESPONSIBLE FOR OPERATIONS OF THE ORGANIZATION, ALSO HOLDS THE POSITION OF CHIEF FINANCIAL OFFICER. A CITY OF DELANO 956000702 245584BG1 2006-03-16 15375000 FINANCE THE ACQUISITION OF HOSPITAL INFORMATION SYSTEM AND EQUIPMENT 0 0 0 B CITY OF DELANO 956000702 245584BU0 2012-12-20 30542500 TO REFUND AND RETIRE 1998 BONDS AT A LOWER RATE OF INTEREST 0 0 0 A 6245000 15525182 1772156 330213 13602844 21563 2011 0 0 1 1 B 450000 30587659 3054250 686695 23996825 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 1 1 0 0 0 1 B 1 0 0 0 0 1 A 1 B 1 SCHEDULE K SUPPLENTAL INFORMATION PART II, LINE 3 - THE TOTAL INCLUDES CUMULATIVE INVESTMENT EARNINGS. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS WERE APPOINTED WHEN THE ORGANIZATION WAS FORMED. UPON DEATH OR RESIGNATION OF ONE OF THE MEMBER, REMAINING MEMBERS ELECT/APPOINT NEW MEMBER. MEMBERS ARE ELECTED FOR LIFE AND CANNOT BE REMOVED UNLESS THEY CHOSE TO RESIGN. MEMBERS HAVE THE RIGHT TO NAME MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B CHANGES TO BY-LAWS BY THE GOVERNING BODY MUST BE APPROVE BY THE MEMBERS AS WELL AS THE DECISION TO SELL THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11 BEFORE FILING, FORM 990 IS REVIEWED BY THE AUDITING FIRM, CFO AND CEO. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITOR AND ENFORCE COMPLIANCE THROUGH A COMPLIANCE OFFICER MONITORING SYSTEM. WE STRESS WITH NEW EMPLOYEES AS WELL AS YEARLY AT THE EDUCATION FAIR THAT WE INVITE EMPLOYEES TO REPORT ANY HOSPITAL ACTIVITY THAT THEY THINK MIGHT BE A COMPLIANCE ISSUE EVEN TO A RECORDED PHONE # THAT IS MONITORED BY THE COMPLIANCE COMMITTEE. ALL COMPLIANCE ISSUES ARE INVESTIGATED BY THE COMPLIANCE DIRECTOR AND A COMMITTEE IF NEEDED. IF AN ISSUE EXISTS, A RECOMMENDED COURSE OF ACTION THAT WOULD INCLUDE NOTIFICATION TO THE PROPER AUTHORITY OF THE RESULT OF THE INVESTIGATION IS PRESENTED. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION IS BASED ON AN ANNUAL SURVEY OF THE CALIFORNIA HOSPITAL ASSN, SURVEYING RECRUITMENT AGENCIES, LEGAL COUNSEL CONSULTATION, DISCUSSION WITH BOARD COMMITTEE AND FINAL BOARD APPROVAL. SALARY SURVEYS AS WELL AS THE OTHER SOURCES LISTED ARE CONTINUOUSLY MONITORED. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ADMINISTRATION OFFICE. DELANO HEALTH ASSOCIATES INC 1401 GARCES HWY DELANO CA 93215 770340007 TO PROVIDE HEALTH CARE AND HEALTH RELATED SERVICES. CA N/A C 947425 348428 1.00000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 DELANO HEALTH ASSOCIATES INC P 897977 FMV