RIDGECREST REGIONAL HOSPITAL: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- RIDGECREST REGIONAL HOSPITAL (EIN 95-2082686)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-10
- IRS object ID
- 201413149349300126
- Schema version
- 2013v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-10T06:36:37-08:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TCA Partners LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1111 East Herndon Avenue Suite 211 | AddressLine1 |
| City | Fresno | City |
| State | CA | State |
| ZIP Code | 93720 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 952082686 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Ridgecrest Regional Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | RIDG | BusinessNameControlTxt |
| Phone | 7604463551 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1081 North China Lake Blvd | AddressLine1 |
| City | Ridgecrest | City |
| State | CA | State |
| ZIP Code | 93555 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Lois Johnson | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Signature | 2014-11-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Inger Sullenger CPA | PreparerPersonNm |
| PTIN | P01464277 | PTIN |
| Phone | 5594317708 | PhoneNum |
| Self Employed | Yes (X) | SelfEmployedInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Lois Johnson | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1081 North China Lake Blvd | AddressLine1 |
| City | Ridgecrest | City |
| State | CA | State |
| ZIP Code | 93555 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $83,422,662 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| All Affiliates Included | false | AllAffiliatesIncludedInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.rrh.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1965 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | Ridgecrest Regional Hospital is a community-based organization that provides and promotes comprehensive quality healthcare for the people of the Southern Sierra Region. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 668 | TotalEmployeeCnt |
| Total Volunteers | 150 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $60,926 | PYContributionsGrantsAmt |
| CY Contributions Grants | $66,998 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $67,787,589 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $81,644,659 | CYProgramServiceRevenueAmt |
| PY Investment Income | $320,328 | PYInvestmentIncomeAmt |
| CY Investment Income | $308,122 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,214,507 | PYOtherRevenueAmt |
| CY Other Revenue | $1,046,411 | CYOtherRevenueAmt |
| PY Total Revenue | $69,383,350 | PYTotalRevenueAmt |
| CY Total Revenue | $83,066,190 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $32,759,150 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $36,997,303 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $36,582,252 | PYOtherExpensesAmt |
| CY Other Expenses | $42,973,708 | CYOtherExpensesAmt |
| PY Total Expenses | $69,341,402 | PYTotalExpensesAmt |
| CY Total Expenses | $79,971,011 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $41,948 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,095,179 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $133,052,747 | TotalAssetsBOYAmt |
| Total Assets EOY | $132,681,262 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $80,583,871 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $77,117,207 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $52,468,876 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $55,564,055 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Ridgecrest Regional Hospital is a community-based organization that provides and promotes comprehensive quality healthcare for the people of the Southern Sierra Region. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $66,102,042 | ExpenseAmt |
| Revenue | $82,303,248 | RevenueAmt |
| Desc | Ridgecrest regional hospital provides inpatient and outpatient care. Charity care is provided to qualified patients with minimum or no charge. Care accomplishments for the year are as follows:Number of visits 49,711Number of Patient Days 1,856 Home Health visits 8,670Hospice Routine Care Days 2,105DP-SNF Resident Days 5,459 1. Opened Rural Health Clinic in Trona (community of 2,100 residents)2. Opened a Women's Cardiology Clinic3. Added pediatrics services to the Rural Health Clinic as well as an onsite psychologist. | Desc |
| Total Program Service Expenses | $66,102,042 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | Yes (true) | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (true) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 145 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 668 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | false | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | Yes (true) | NondeductibleContributionsInd |
| Nondeductible Contri Discl | Yes (true) | NondeductibleContriDisclInd |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Excess Business Holdings | false | ExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Org Filed In Lieu Of Form1041 | false | OrgFiledInLieuOfForm1041Ind |
| Licensed More Than One State | false | LicensedMoreThanOneStateInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Lois Johnson | PersonNm |
| Phone | 7604993040 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1081 N China Lake Blvd | AddressLine1 |
| City | Ridgecrest | City |
| State | CA | State |
| ZIP Code | 93555 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Dana Lyons | |||||||||
| Chairperson | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Patricia Mullis | |||||||||
| Vice Chair | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Chris Ellis | |||||||||
| Secretary | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Michael Mower | |||||||||
| Treasurer | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Bud Biery | |||||||||
| Board Member | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Earl Ferguson MD | |||||||||
| Member/Physcn | 1.00 | 0.00 | Yes (X) | $88,845 | $0 | $0 | |||
| Harriet Luzinas-Smith | |||||||||
| Board Member | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Lawrence Cosner MD | |||||||||
| Member/Physcn | 1.00 | 0.00 | Yes (X) | $183,996 | $0 | $0 | |||
| Don Zdeba | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| James Suver | |||||||||
| CEO | 50.00 | 2.00 | $315,598 | $0 | $18,170 | Yes (X) | |||
| Lois Johnson | |||||||||
| CFO | 50.00 | 0.00 | $144,380 | $0 | $27,502 | Yes (X) | |||
| Sandra Gilliam | |||||||||
| Admin Patient Care | 50.00 | 0.00 | $168,668 | $0 | $21,597 | Yes (X) | |||
| Vilasinee Morkjaroenpong | |||||||||
| Physician | 40.00 | 0.00 | $309,621 | $0 | $18,388 | Yes (X) | |||
| Hope Zissos MD | |||||||||
| Physician | 40.00 | 0.00 | $238,949 | $0 | $31,443 | Yes (X) | |||
| Gul Anwar | |||||||||
| Physician | 40.00 | 0.00 | $233,758 | $0 | $9,100 | Yes (X) | |||
| Aaron Milstein | |||||||||
| RN Spvsr | 49.00 | 0.00 | $190,618 | $0 | $14,408 | Yes (X) | |||
| Katherine Ferguson MD | |||||||||
| Physician | 40.00 | 0.00 | $183,912 | $0 | $9,230 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,058,345 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $149,838 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 64 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Quantum Plus Inc | |||||
| PO Box 634850 | Cincinnati | OH | 452634850 | Physician Prof Svcs | $1,032,283 |
| Healthy Desai MD | |||||
| 316 Monterey Dr | Ridgecrest | CA | 93555 | Physician Prof Svcs | $529,429 |
| Maurice Dusol Jr MD | |||||
| 900 Beverly Court | Ridgecrest | CA | 93555 | Physician Prof Svcs | $505,798 |
| Medical & Surgical Health & Healing | |||||
| 406 E Far Vista Ave | Ridgecrest | CA | 93555 | Physician Prof Svcs | $499,343 |
| Flexcare Medical Staffing | |||||
| PO Box 202056 | Dallas | TX | 753202056 | Nrsg Cntr Lbr | $440,377 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 38 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $11,294 | FundraisingAmt |
| All Other Contributions | $55,704 | AllOtherContributionsAmt |
| Noncash Contributions | $11,294 | NoncashContributionsAmt |
| Total Contributions | $66,998 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Net Patient Service Rev | Desc |
| Total Revenue Column | $81,644,659 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $81,644,659 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $81,644,659 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $308,122 | TotalRevenueColumnAmt |
| Exclusion | $308,122 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $540,522 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $349,210 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $191,312 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $191,312 | TotalRevenueColumnAmt |
| Exclusion | $191,312 | ExclusionAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $3,590 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $11,294 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $7,062 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$3,472 | TotalRevenueColumnAmt |
| Exclusion | -$3,472 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $200 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $200 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Exclusion | -$200 | ExclusionAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| Cafeteria and Other | 622000 | $199,982 | $199,982 | |
| Meaningful Use Revenue | 622000 | $658,589 | $658,589 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $858,571 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $83,066,190 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $82,303,248 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $695,744 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $784,760 | TotalAmt |
| Program Services | $648,604 | ProgramServicesAmt |
| Management And General | $136,156 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $183,996 | TotalAmt |
| Program Services | $152,073 | ProgramServicesAmt |
| Management And General | $31,923 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,906,050 | TotalAmt |
| Program Services | $22,237,850 | ProgramServicesAmt |
| Management And General | $4,668,200 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $622,068 | TotalAmt |
| Program Services | $514,139 | ProgramServicesAmt |
| Management And General | $107,929 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,522,048 | TotalAmt |
| Program Services | $5,390,473 | ProgramServicesAmt |
| Management And General | $1,131,575 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,978,381 | TotalAmt |
| Program Services | $1,635,132 | ProgramServicesAmt |
| Management And General | $343,249 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $645,390 | TotalAmt |
| Program Services | $533,415 | ProgramServicesAmt |
| Management And General | $111,975 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $460,993 | TotalAmt |
| Program Services | $381,011 | ProgramServicesAmt |
| Management And General | $79,982 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $118,387 | TotalAmt |
| Program Services | $97,847 | ProgramServicesAmt |
| Management And General | $20,540 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,696,637 | TotalAmt |
| Program Services | $7,187,770 | ProgramServicesAmt |
| Management And General | $1,508,867 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $344,252 | TotalAmt |
| Program Services | $284,524 | ProgramServicesAmt |
| Management And General | $59,728 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $238,189 | TotalAmt |
| Program Services | $196,863 | ProgramServicesAmt |
| Management And General | $41,326 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $137,132 | TotalAmt |
| Program Services | $113,340 | ProgramServicesAmt |
| Management And General | $23,792 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,541,953 | TotalAmt |
| Program Services | $2,927,424 | ProgramServicesAmt |
| Management And General | $614,529 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,624,397 | TotalAmt |
| Program Services | $5,475,064 | ProgramServicesAmt |
| Management And General | $1,149,333 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,338,010 | TotalAmt |
| Program Services | $1,105,865 | ProgramServicesAmt |
| Management And General | $232,145 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Supplies | $9,191,984 | $7,597,175 | $1,594,809 |
| Purchased Services | $5,267,416 | $4,353,519 | $913,897 |
| Contract Services | $3,243,108 | $2,680,429 | $562,679 |
| Miscellaneous | $1,466,453 | $1,218,025 | $248,428 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,659,407 | TotalAmt |
| Program Services | $1,371,500 | ProgramServicesAmt |
| Management And General | $287,907 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,971,011 | TotalAmt |
| Program Services | $66,102,042 | ProgramServicesAmt |
| Management And General | $13,868,969 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,366,797 | BOYAmt |
| EOY | $2,149,292 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,389,761 | BOYAmt |
| EOY | $9,686,748 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,805,757 | BOYAmt |
| EOY | $16,205,142 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,414,006 | BOYAmt |
| EOY | $1,793,368 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,626,402 | BOYAmt |
| EOY | $2,346,081 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $134,134,398 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $46,486,887 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $91,525,773 | BOYAmt |
| EOY | $87,647,511 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,924,251 | BOYAmt |
| EOY | $12,853,120 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $133,052,747 | BOYAmt |
| EOY | $132,681,262 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,541,944 | BOYAmt |
| EOY | $8,998,911 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,290,000 | BOYAmt |
| EOY | $66,720,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,751,927 | BOYAmt |
| EOY | $1,398,296 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,583,871 | BOYAmt |
| EOY | $77,117,207 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,468,876 | BOYAmt |
| EOY | $55,564,055 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,468,876 | BOYAmt |
| EOY | $55,564,055 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $133,052,747 | BOYAmt |
| EOY | $132,681,262 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $3,095,179 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,055,357 | OtherCostOrOtherBasisAmt |
| Book Value | $2,055,357 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $99,862,357 | OtherCostOrOtherBasisAmt |
| Depreciation | $26,736,957 | DepreciationAmt |
| Book Value | $73,125,400 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $459,108 | OtherCostOrOtherBasisAmt |
| Depreciation | $322,937 | DepreciationAmt |
| Book Value | $136,171 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $30,529,500 | OtherCostOrOtherBasisAmt |
| Depreciation | $19,426,993 | DepreciationAmt |
| Book Value | $11,102,507 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,228,076 | OtherCostOrOtherBasisAmt |
| Book Value | $1,228,076 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $87,647,511 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| HUD proceeds held by trustee | $11,591,177 |
| Other Deferred Financing Fees | $1,261,943 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $12,853,120 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Estimated Third Party Payor Settlements | Desc |
| Amt | $1,398,296 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,398,296 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $83,073,452 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $7,262 | OtherRevenueAmt |
| Revenue Not Reported | $7,262 | RevenueNotReportedAmt |
| Revenue Subtotal | $83,066,190 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $83,066,190 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $79,978,273 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $7,262 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $7,262 | ExpensesNotReportedAmt |
| Expenses Subtotal | $79,971,011 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $79,971,011 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990 | Special Events Reclassifications $7262 |
| Part XII, Line 2d: Other expenses and losses per audited F/S | Special Events Reclassifications $7262 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 300.000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
| Report Publically Available | false | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,535,715 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,535,715 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01920 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,715,153 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,622,707 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,092,446 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06370 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,250,868 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,622,707 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,628,161 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08290 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $52,293 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $42,839 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,454 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $110,897 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $110,897 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00140 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $163,190 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $42,839 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $120,351 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,414,058 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,665,546 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,748,512 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08440 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,233 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,233 | NetCommunityBenefitExpnsAmt |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,918 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,918 | NetCommunityBenefitExpnsAmt |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,620 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,620 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,130,703 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,587,649 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$456,946 | NetCommunityBenefitExpnsAmt |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,143,474 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,587,649 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$444,175 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $3,517,344 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $879,000 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $12,495,774 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $14,313,268 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,817,494 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Ridgecrest Regional Hospital | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1081 North China Lake Blvd | AddressLine1 |
| City | Ridgecrest | City |
| State | CA | State |
| ZIP Code | 93555 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.rrh.org | WebsiteAddressTxt |
| State License | 120000186 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Ridgecrest Regional Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.rrh.org | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | false | AllNeedsAddressedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Form4720 Filed | false | Form4720FiledInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (true) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 300.0000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (true) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 300.0000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| State Regulation | Yes (X) | StateRegulationInd |
| Other Factors | Yes (X) | OtherFactorsInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit Report To Credit Agency | Yes (X) | PermitReportToCreditAgencyInd |
| Permit Lawsuit | Yes (X) | PermitLawsuitInd |
| Permit Other Actions | Yes (X) | PermitOtherActionsInd |
| Collection Activities | Yes (true) | CollectionActivitiesInd |
| Reporting To Credit Agency | Yes (X) | ReportingToCreditAgencyInd |
| Lawsuit | Yes (X) | LawsuitInd |
| Other Actions | Yes (X) | OtherActionsInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Lowest Negotiated Rates | Yes (X) | LowestNegotiatedRatesInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 3 - Account Input from Person 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 5c - Description of Making Needs Assessment Widely Available | Distributed results by direct mail in quarterly mailer "Outlook" |
| Part V, Line 7 - 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 12h - Other Factors Used in Determing Amounts Charged Patients | This is actually the description for Part V, Line 12I (Not Part V, Line 12H as indicated above by software error):Discount if paid in full at time of service or shortly after visit. |
| Part V, Line 14g - 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 16e - Other Collection Actions Against a Patient | Wage Garnishment |
| Part V, Line 17e - Other Collection Actions by Facility or Third Party Engaged | 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 16 and 17 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 filing lawsuits, as last resort collection procedures. |
| Part V, Line 18e - 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 16 and 17 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 filing lawsuits, as last resort collection procedures. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 11 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (11 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| 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 Home Health | ||||
| 1111 N China Lake Blvd | Ridgecrest | CA | 93555 | Urgent Care |
| Ridgecrest Regional Hospital Urgent Care | ||||
| 1653 N Triangle Dr | Ridgecrest | CA | 93555 | Home Health |
| Ridgecrest Regional Hospital Sleep Study Lab | ||||
| 1111 N China Lake Blvd | Ridgecrest | CA | 93555 | Sleep Study Lab |
| Ridgecrest Regional Hospital Orthopedic Clinic | ||||
| 1041 N China Lake Blvd | Ridgecrest | CA | 93555 | Orthopedic Clinic |
| China Lake Surgical Clinic | ||||
| 1041 N China Lake Blvd | Ridgecrest | CA | 93555 | Surgical Clinic |
| China Lake Gastroenterology | ||||
| 1011 N China Lake Blvd | Ridgecrest | CA | 93555 | Gastroenterology 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 |
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 were incurred within the organization.The Costing method used is the Medicare Cost Method. |
| 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 18.7% 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, and one Pulmonary Clinic. |
| Part VI - Additional Information | Part III - Bad Debt, Medicare, & Collection Practices, Section B. Medicare, line 8, Costing Methodology or source used to determine the amount of Medicare allowable costs: Medicare Cost Method.Part V - In addition to the main hospital, there is: 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. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
| Rebuttable Presumption Proc | false | RebuttablePresumptionProcInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt |
|---|---|---|---|---|---|---|---|
| Aaron Milstein | |||||||
| RN Spvsr | $152,998 | $37,620 | $6,167 | $8,241 | $205,026 | ||
| Gul Anwar | |||||||
| Physician | $198,058 | $35,700 | $7,938 | $1,162 | $242,858 | ||
| Hope Zissos MD | |||||||
| Physician | $238,949 | $9,958 | $21,485 | $270,392 | $9,800 | ||
| James Suver | |||||||
| CEO | $256,848 | $58,750 | $9,929 | $8,241 | $333,768 | $9,400 | |
| Katherine Ferguson MD | |||||||
| Physician | $140,643 | $43,269 | $4,200 | $5,030 | $193,142 | $9,800 | |
| Lawrence Cosner MD | |||||||
| Member/Physcn | $183,996 | $183,996 | |||||
| Lois Johnson | |||||||
| CFO | $144,380 | $6,017 | $21,485 | $171,882 | $5,480 | ||
| Sandra Gilliam | |||||||
| Admin Patient Care | $168,668 | $7,088 | $14,509 | $190,265 | |||
| Vilasinee Morkjaroenpong | |||||||
| Physician | $309,621 | $10,731 | $7,657 | $328,009 | |||
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part III, Additional Information | FormAndLineReferenceDesc |
| Explanation | 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 2013 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. Dr. Anwar's bonus was based on her efforts that lead to increased productivity. Dr. Katherine Ferguson received incentive pay for her responsibilities as administrator of the primary care and specialty clinics. Aaron Milsteins's recruitment agreement stipulated that he was to receive a one-time bonus for contracting with the Hospital. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CA Statewide Dvlpmt Authority FHA Insured Mortgage | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| CUSIP | 130795MR5 | CUSIPNum |
| Bond Issued | 2007-11-08 | BondIssuedDt |
| Issue Price | $72,215,000 | IssuePriceAmt |
| Purpose | Hospital Construction | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $74,226,498 | TotalProceedsAmt |
| In Reserve Fund | $5,400,000 | InReserveFundAmt |
| Refunding Escrow | $1,298,000 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $1,618,370 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $52,169,178 | CapitalExpendituresAmt |
| Substantial Completion | 2010 | SubstantialCompletionYr |
| Current Refunding | false | CurrentRefundingInd |
| Advance Refunding | false | AdvanceRefundingInd |
| Final Allocation Made | false | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | false | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | false | MgmtContractBondFincdPropInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Procs Nonqualified Bond Remdtd | Yes (true) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| No Rebate Due | false | NoRebateDueInd |
| Hedge Identified In Bks And Rec | false | HedgeIdentifiedInBksAndRecInd |
Hedge Provider Name HedgeProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested In GIC | Yes (true) | GrossProceedsInvestedInGICInd |
GIC Provider Name GICProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FSA Capital Management Services LLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Of GIC | 3.0000 | TermOfGICPct |
| Regulatory Safe Harbor Stsfd | Yes (true) | RegulatorySafeHarborStsfdInd |
| Gross Proceeds Invested | Yes (true) | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | false | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (true) | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part VI | FormAndLineReferenceDesc |
| Explanation | Arbitrage, Part IV, Line 2C: The Rebate computation was performed on November 8, 2012. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Earl Ferguson MD | |||
| Self | $88,845 | Physician Prof Fees | false |
| William Ferguson MD | |||
| Brother | $185,977 | Physician Salary | false |
| Katherine Ferguson MD | |||
| Sister inLaw | $193,142 | Phys Salary,Prof Fee | false |
| Lawrence Cosner MD | |||
| Self | $183,996 | Physician Prof Fees | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule L, Part V Supplemental Information | FormAndLineReferenceDesc |
| Explanation | Two Board members were compensated for providing professional physician services to the Hospital. Simultaneously, they both served as volunteers on the Board of Directors. Those individuals were: Earl Ferguson, MD, Physician professional fees of $88,845; Lawrence Cosner, MD, Physician professional fees of $183,966.Two family members to Board member Earl Ferguson, MD had business relationships with the Hospital. The Hospital compensated William Ferguson (Brother to Earl Ferguson, MD)$185,977 as physician salary. The Hospital also compensated Katherine Ferguson (Sister-in-Law to Earl Ferguson, MD) $193,142 in physician salary and physician On-Call professional fees. Since Earl Ferguson, MD had family members with reportable business transactions to the Schedule L; and both Earl Ferguson and Lawrence Cosner, MD had business transactions with the hospital reportable on Schedule L (exceeding $10,000 in total compensation and other payments): Both Earl Ferguson and Lawrence Cosner are deemed to have lost independence in voting as hospital Board members (Per Form 990 Instructions). | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 2: Description of Business or Family Relationship of Officers, Directors, Et | Two Board members were compensated for providing professional physician services to the Hospital. Simultaneously, they both served as volunteers on the Board of Directors. Those individuals were: Earl Ferguson, MD, Physician professional fees of $88,845; Lawrence Cosner, MD, Physician professional fees of $183,996.Two family members to Board member Earl Ferguson, MD had business relationships with the Hospital. The Hospital compensated William Ferguson (Brother to Earl Ferguson, MD)$185,977 as physician salary. The Hospital also compensated Katherine Ferguson (Sister-in-Law to Earl Ferguson, MD) $193,142 in physician salary and physician On-Call professional fees. Since Earl Ferguson, MD had family members with reportable business transactions to the Schedule L; and both Earl Ferguson and Lawrence Cosner, MD had business transactions with the hospital reportable on Schedule L (exceeding $10,000 in total compensation and other payments): Both Earl Ferguson and Lawrence Cosner are deemed to have lost independence in voting as hospital Board members (Per Form 990 Instructions). |
| Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder | 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. |
| Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body | 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 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. |
Schedule R IRS990ScheduleR
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RRH Development Foundation | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1081 N C/L Blvd | AddressLine1 |
| City | Ridgecrest | City |
| State | CA | State |
| ZIP Code | 93555 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 464181603 | EIN |
| Primary Activities | Raising Hosp Capital Equip Funds | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule R, Part IV, Line 1 | FormAndLineReferenceDesc |
| Explanation | The RRH Development Foundation is currently classified as a C Corporation with the IRS. However, the Foundation is in the process of applying for tax-exempt status. It'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 deemed "controlled" by the Hospital, and is listed as a related organization. The Foundation had no financial activity for 2013. | ExplanationTxt |
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