The Fremont-Rideout Health Group: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
The Fremont-Rideout Health Group (EIN 94-2917251)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-06
IRS object ID
201411269349300721
Schema version
2012v2.1
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-06T16:52:25-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN910189318EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MOSS ADAMS LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line13121 W MARCH LANE SUITE 100AddressLine1
CitySTOCKTONCity
StateCAState
ZIP Code95219ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN942917251EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1FREMONT-RIDEOUT HEALTH GROUPBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlFREMNameControl
Phone5307401920Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameL WAYNE MILLSName
TitleCHIEF FINANCIAL OFFICERTitle
Phone5307401920Phone
Date Signed2014-05-02DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTRACY S PAGLIAName
PTINP00366884PTIN
Phone2099556100Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1RIDEOUT HEALTHBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonL WAYNE MILLSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1989 PLUMAS STREETAddressLine1
CityYUBA CITYCity
StateCAState
ZIP Code95991ZIPCode
FieldValueIRS element (for citing)
Gross Receipts27816408GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteHTTP://WWW.FRHG.ORG/WebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1984YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE COMPASSIONATE AND SUPERIOR HEALTHCARE TO EVERYONE IN OUR COMMUNITY AND REGION, REGARDLESS OF THE ABILITY TO PAY.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees161TotalNbrEmployees
Total Nbr Volunteers169TotalNbrVolunteers
Total Gross UBI29065TotalGrossUBI
Net Unrelated Business Txbl Income-14923NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year27164874ProgramServiceRevenuePriorYear
Program Service Revenue CY27721859ProgramServiceRevenueCY
Investment Income Prior Year25870InvestmentIncomePriorYear
Investment Income Current Year94549InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year27190744TotalRevenuePriorYear
Total Revenue Current Year27816408TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year16301552SalariesEtcPriorYear
Salaries Etc Current Year15340974SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year9975651OtherExpensePriorYear
Other Expenses Current Year10013000OtherExpensesCurrentYear
Total Expenses Prior Year26277203TotalExpensesPriorYear
Total Expenses Current Year25353974TotalExpensesCurrentYear
Revenues Less Expenses Prior Year913541RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2462434RevenuesLessExpensesCY
Total Assets BOY35140606TotalAssetsBOY
Total Assets EOY35435882TotalAssetsEOY
Total Liabilities BOY29732793TotalLiabilitiesBOY
Total Liabilities EOY27565635TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5407813NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY7870247NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE COMPASSIONATE AND SUPERIOR HEALTHCARE TO EVERYONE IN OUR COMMUNITY AND REGION, REGARDLESS OF THE ABILITY TO PAY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense18165026Expense
Grants0Grants
Revenue27692794Revenue
DescriptionPROVIDING SHARED MANAGEMENT SERVICES FOR RELATED TAX EXEMPT ENTITIES - RIDEOUT MEMORIAL HOSPITAL AND UNITED COM-SERVE.Description
Total Program Service Expense18165026TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip0ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest1ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096327NumberFormsTransmittedWith1096
Number W2 G Included1NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees161NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Excess Business Holdings0ExcessBusinessHoldings
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs1ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1CHRIS ROBERTSBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5307401920TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
RONALD M SWEENEY
DIRECTOR / CHAIRMAN5.007.00XX000
JOHN WRIGHT
DIRECTOR / VICE CHAIRMAN5.007.00XX242900
JOHN WEILER
DIRECTOR / PAST CHAIRMAN5.007.00X000
LISA DEL PERO
DIRECTOR/SECRETARY5.007.00XX2462200
JANICE S NALL
DIRECTOR / ASST. SECRETARY5.007.00XX1715100
JOHN W CARY
DIRECTOR/TREASURER5.007.00XX1009800
RUPINDER BRAR
DIRECTOR5.007.00X5660000
ROBERT CHASON
DIRECTOR5.007.00X000
JAMES KENNEDY
DIRECTOR5.007.00X000
ALEXANDRA REICHMAN
DIRECTOR5.007.00X1715100
DAVID TARKE
DIRECTOR5.007.00X000
DAVE VAUGHN
DIRECTOR5.007.00X000
FLOYD BURTON
DIRECTOR (THROUGH 8/2012)5.007.00X000
THERESA HAMILTON
CHIEF EXECUTIVE OFFICER16.0054.00X2293127028291
L WAYNE MILLS
CHIEF FINANCIAL OFFICER16.0044.00X346078026681
CHANCE WHITE
SR. VP / CHIEF CLINICAL OFFICER10.0050.00316451026523X
ROBERT PLASS
CHIEF MEDICAL OFFICER40.000.00399231027054X
TARUN GHOSH
SR. VP / CHIEF INFO. OFFICER40.000.00327154019023X
ANTHONY MODDESETTE
SR. VP / FACILITIES & PROJECTION40.000.00287165018773X
TRESHA MORELAND
SR. VP / HR (THROUGH 4/2012)40.000.0026074005410X
THERESA GRASSAU
CHIEF NURSING OFFICER40.000.00205093016888X
THOMAS HAYES
FORMER CEO8.000.00283355017151X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4846445TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation185794TotalOtherCompensation
Number Individuals GT100 K21NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MCKESSON INFORMATION SOLUTIONS
PO BOX 98347CHICAGOIL60693SUPPORT & MAINTENANCE SERVICES2577439
FOLEY AND LARDNER
555 S FLOWER STREET SUITE 3500LOS ANGELESCA90071LEGAL SERVICES600873
PRESS GANEY ASSOCIATES INC
PO BOX 88335MILWAUKEEWI53288SURVEY & CONSULTING SERVICES324016
MOSS ADAMS LLP
PO BOX 2147SEATTLEWA98111AUDITING & TAX SERVICES222807
RESOURCES GLOBAL PROFESSIONALS
FILE 55221LOS ANGELESCA90074PROFESSIONAL PLACEMENT SERVICES175886
FieldValueIRS element (for citing)
Number Of Contractors GT100 K13NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
MANAGEMENT FEES541610248288242477511053714
INCOME FROM FRD MGMT54161030693383069338
LOSS FROM SHC541610-24649-24649
LOSS FROM MSO541610-42381-42381
LOSS FROM DRUG PHARMA541610-185551-185551

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column76278TotalRevenueColumn
Related Or Exempt Function Income76278RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue27721859TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column94549TotalRevenueColumn
Exclusion$94,549ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column27816408TotalRevenueColumn
Related Or Exempt Function Income27692794RelatedOrExemptFunctionIncome
Unrelated Business Revenue29065UnrelatedBusinessRevenue
Exclusion$94,549ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3085161Total
Program Services2313871ProgramServices
Management And General771290ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total300146Total
Program Services225110ProgramServices
Management And General75036ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8998303Total
Program Services6748727ProgramServices
Management And General2249576ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total340432Total
Program Services255324ProgramServices
Management And General85108ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2457652Total
Program Services1843239ProgramServices
Management And General614413ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total159280Total
Program Services119460ProgramServices
Management And General39820ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total935783Total
Management And General935783ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total198158Total
Management And General198158ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1925309Total
Program Services1443982ProgramServices
Management And General481327ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total326185Total
Program Services244639ProgramServices
Management And General81546ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1533953Total
Program Services1150465ProgramServices
Management And General383488ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total611643Total
Program Services458732ProgramServices
Management And General152911ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total175043Total
Program Services131282ProgramServices
Management And General43761ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total8162Total
Program Services6122ProgramServices
Management And General2040ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total162632Total
Program Services121974ProgramServices
Management And General40658ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
REPAIR AND MAINTENANCE37978402848380949460
LICENSE/TAXES33829225371984573

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total25353974Total
Program Services18165026ProgramServices
Management And General7188948ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY6399161BOY
EOY8368114EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY64556BOY
EOY66378EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY981179BOY
EOY1028259EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY18141798BOY
EOY21211137EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY9553912BOY
EOY4761994EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY35140606BOY
EOY35435882EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY21931028BOY
EOY20282104EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY7801765BOY
EOY7283531EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY29732793BOY
EOY27565635EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5407813BOY
EOY7870247EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5407813BOY
EOY7870247EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY35140606BOY
EOY35435882EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses2462434ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type2XSupportingOrg509a3Type2
Certification CheckboxXCertificationCheckbox
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1RIDEOUT MEM HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
EIN941387866EIN
Type Of Organization3TypeOfOrganization
Listed In Governing Doc0ListedInGoverningDoc
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
INVESTMENT IN FRD MANAGEMENT LLC21087607F
CAPITAL CONTRIB CHIC123530C
FieldValueIRS element (for citing)
Total Of Book Value Program Related21211137TotalOfBookValueProgramRelated

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM AFFILIATES1627994
WORKERS COMPENSATION INSURANCE RECOVERIES3134000
FieldValueIRS element (for citing)
Total Book Value Other Assets4761994TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DUE TO AFFILIATES$7,022,094
INVESTMENT IN FREMONT-RIDEOUT MSO, INC.$261,437
FieldValueIRS element (for citing)
Total Of Amounts7283531TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationIN THE EVENT THE ASSOCIATION 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, 2013 AND 2012.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
THERESA HAMILTON
CHIEF EXECUTIVE OFFICER45088202738000156844501200901628202321418000
L WAYNE MILLS
CHIEF FINANCIAL OFFICER295774045032052720103990162820372759000
CHANCE WHITE
SR. VP / CHIEF CLINICAL OFFICER274057040837015570102410162820342974000
ROBERT PLASS
CHIEF MEDICAL OFFICER3358150530120104040107720162820426285000
TARUN GHOSH
SR. VP / CHIEF INFO. OFFICER274057042125010972027410162820346177000
ANTHONY MODDESETTE
SR. VP / FACILITIES & PROJECTION2481240389330108024910162820305938000
TRESHA MORELAND
SR. VP / HR (THROUGH 4/2012)7589200018484802171032390266150000
THERESA GRASSAU
CHIEF NURSING OFFICER17604202101408037060330108550221981000
THOMAS HAYES
FORMER CEO2833550000000171510300506000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 1ATHERESA HAMILTON RECEIVED TAX GROSS UP PAYMENTS AS PART OF A SERP DURING THE YEAR. THE BENEFIT WAS TREATED AS TAXABLE COMPENSATION ON AN AMENDED FORM W-2.
PART I, LINES 4A-BLINE 4A: TRESHA MORELAND WAS PAID A SEPARATION AGREEMENT PAYMENT DURING THE YEAR. THE AMOUNT AND TERMS OF THE AGREEMENT ARE SUBJECT TO A CONFIDENTIALITY CLAUSE. DUE TO PUBLIC INSPECTION REQUIREMENTS OF THIS SCHEDULE, DETAILS HAVE NOT BEEN INCLUDED, BUT ARE AVAILABLE UPON REQUEST BY THE IRS. LINE 4B: THERESA 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.
PART IIIADDITIONAL INFORMATION: THE INCENTIVE PAY PROGRAM IS AVAILABLE FOR ALL EMPLOYEES. PAYMENTS ARE BASED ON ACTUAL PERFORMANCE EXCEEDING PRE-DEFINED FINANCIAL AND QUALITY TARGETS FOR THE FISCAL YEAR.SUPPLEMENTAL INFORMATION

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 4REQUIRED NUMBER OF DIRECTORS WAS CHANGED TO BE NO LESS THAN 11 AND NO MORE THAN 15 MEMBERS. PREVIOUSLY IT WAS 13 WITH ONE OF THE MEMBERS REQUIRED TO BE A PHYSICIAN. OFFICE TERM FOR DIRECTORS WAS CHANGED TO 3 YEARS (PREVIOUSLY WAS 1 YEAR). THE CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER POSITIONS WERE ADDED TO THE LIST OF OFFICERS OF THE CORPORATION ALONG WITH THEIR RESPECTIVE RESPONSIBILITIES. THE TREASURER POSITION WAS REMOVED FROM THE LIST OF OFFICERS. RESPONSIBILITIES OF THE MEMBERS WERE ENHANCED AND UPDATES WERE MADE TO THE RESPONSIBILITIES OF THE EXECUTIVE COMMITTEE, FINANCE COMMITTEE, NOMINATING COMMITTEE, AND AUDIT COMMITTEE. THE PLANNING COMMITTEE WAS REMOVED FROM THE LIST OF COMMITTEES.
FORM 990, PART VI, SECTION B, LINE 11THE AUDIT COMMITTEE WILL PERFORM A DETAILED REVIEW AND BE PART OF THE PRESENTATION BY THE PREPARER (MOSS ADAMS LLP). THE AUDIT 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

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
RIDEOUT MEMORIAL HOSPITAL
989 PLUMAS STREETYUBA CITYCA95991941387866ACUTE CARE HOSPITALCA501(C)(3)LINE 3FREMONT-RIDEOUT HEALTH GROUP1
UNITED COM-SERVE
989 PLUMAS STREETYUBA CITYCA95991943015356SKILLED NURSING/ASSISTED LIVING/HOME HEALTHCA501(C)(3)LINE 11B, IIFREMONT-RIDEOUT HEALTH GROUP1
FREMONT-RIDEOUT FOUNDATION
989 PLUMAS STREETYUBA CITYCA95991237366330SUPPORT FOR FRHG AND ITS AFFILIATESCA501(C)(3)LINE 7FREMONT-RIDEOUT HEALTH GROUP1

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAPredominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnershipShare Of EOY AssetsShareOfEOYAssets
SIERRA HEALTH CARE CENTER
PO BOX 2128MARYSVILLECA95901680040306DME SALESCAN/AUNRELATED-19348011.00000
FRD MANAGEMENT LLC
PO BOX 2128MARYSVILLECA95901943335136OPERATION OF CANCER CENTERCAN/ARELATED2700000000.5100021148228

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityPercentage OwnershipPercentageOwnershipControlled OrgControlledOrgShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssets
DRUG PHARMA INC
989 PLUMAS STREETYUBA CITYCA95991941390716INVESTMENTCAFRHGC1.000001
FREMONT-RIDEOUT MANAGEMENT SERVICES ORGANIZATION INC
989 PLUMAS STREETYUBA CITYCA95991271350379MANAGEMENT SERVICESCAFRHGC1.000001830207761258
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (10 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
RIDEOUT MEMORIAL HOSPITAL
Q231582281FMV
UNITED COM-SERVE
Q5832004FMV
FREMONT-RIDEOUT FOUNDATION
Q295000FMV
FRD MANAGEMENT LLC
Q7180000FMV
SIERRA HEALTH CARE CENTER
Q974187FMV
RIDEOUT MEMORIAL HOSPITAL
L23547892FMV
UNITED COM-SERVE
L477481FMV
DRUG PHARMA
L153416FMV
DRUG PHARMA
Q353132FMV
SIERRA HEALTH CARE CENTER
S286203FMV

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