RIDGECREST REGIONAL HOSPITAL: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- RIDGECREST REGIONAL HOSPITAL (EIN 95-2082686)
- Tax period
- 2011-02-01 to 2012-01-31
- Filed
- 2012-11-19
- IRS object ID
- 201223249349300202
- Schema version
- 2011v1.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-19T06:30:34-08:00 | Timestamp |
| Tax Period End Date | 2012-01-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TCA Partners LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| 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 | ReturnType |
| Tax Period Begin Date | 2011-02-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 952082686 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Ridgecrest Regional Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | RIDG | NameControl |
| Phone | 7604463551 | Phone |
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 |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Lois Johnson | Name |
| Title | CFO | Title |
| Date Signed | 2012-11-19 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Inger Sullenger CPA | Name |
| Phone | 5594317708 | Phone |
| Self Employed | X | SelfEmployed |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Lois Johnson | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| 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 | 71151996 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| All Affiliates Included | false | AllAffiliatesIncluded |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.rrh.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1965 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | Ridgecrest Regional Hospital is a community-based organization that provides and promotes comprehensive quality healthcare for the people of the Southern Sierra Region. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 8 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 7 | NbrIndependentVotingMembers |
| Total Nbr Employees | 587 | TotalNbrEmployees |
| Total Nbr Volunteers | 97 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 205840 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 13679 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 67895094 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 70036726 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 222043 | InvestmentIncomePriorYear |
| Investment Income Current Year | 344487 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 606645 | OtherRevenuePriorYear |
| Other Revenue Current Year | 389014 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 68929622 | TotalRevenuePriorYear |
| Total Revenue Current Year | 70783906 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 30442273 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 32385741 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 35964306 | OtherExpensePriorYear |
| Other Expenses Current Year | 42420302 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 66406579 | TotalExpensesPriorYear |
| Total Expenses Current Year | 74806043 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 2523043 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -4022137 | RevenuesLessExpensesCY |
| Total Assets BOY | 140542177 | TotalAssetsBOY |
| Total Assets EOY | 136502770 | TotalAssetsEOY |
| Total Liabilities BOY | 84093112 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 84075842 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 56449065 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 52426928 | NetAssetsOrFundBalancesEOY |
| Mission Description | Ridgecrest Regional Hospital is a community-based organization that provides and promotes comprehensive quality healthcare for the people of the Southern Sierra Region. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 62819001 | Expense |
| Revenue | 70036726 | Revenue |
| Description | 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 49,016Number of patients 2,549 Home Health visits 5,373Hospice Routine Care Days 2,457The Hospital acquired Southern Sierra Medical Clinic, a primary care physician clinic, on June 21, 2011 and opened specialty clinics including: Gastroenterology, and Pulmonology. | Description |
| Total Program Service Expense | 62819001 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | true | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | true | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | false | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 146 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 587 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Form990-T Filed | false | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Form8886 T Filed | false | Form8886TFiled |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Non Deductible Disclosure | false | NonDeductibleDisclosure |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Quid Pro Quo Disclosure | false | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Filed Lieu1041 | false | FiledLieu1041 |
| Licensed More Than One State | false | LicensedMoreThanOneState |
| Indoor Tanning Services | false | IndoorTanningServices |
| Form720 Filed | false | Form720Filed |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 8 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 7 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Policies Reference Chapters | false | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Lois Johnson | NamePerson |
| Telephone Number | 7604993040 | TelephoneNumber |
Address US AddressUS
| 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 | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (19 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| Cornelis Vanderhoek MD | |||||||
| Board Member | 1.00 | X | 8824 | 0 | 0 | ||
| Harriet Luzinas-Smith | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| Patricia Mullis | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| Cecile Biery | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| Michael Mower | |||||||
| Treasurer | 1.00 | X | 0 | 0 | 0 | ||
| Dana Lyons | |||||||
| Secretary | 1.00 | X | 0 | 0 | 0 | ||
| Stephen Redmond | |||||||
| Vice Chair | 1.00 | X | 0 | 0 | 0 | ||
| William Ferguson MD | |||||||
| Chair/Physician | 50.00 | X | 129026 | 0 | 8197 | ||
| Sally Kennedy | |||||||
| Admin Hm Hlth | 50.00 | 135602 | 0 | 19683 | X | ||
| Randy Ferguson | |||||||
| CIO | 50.00 | 92744 | 0 | 15063 | X | ||
| Sandra Gilliam | |||||||
| Admin Pt Care | 50.00 | 183176 | 0 | 21745 | X | ||
| Michelle Lemke | |||||||
| Dir HR/Risk | 50.00 | 91333 | 0 | 12504 | X | ||
| Lois Johnson | |||||||
| CFO | 50.00 | 144433 | 0 | 26715 | X | ||
| James Suver | |||||||
| CEO | 50.00 | 266090 | 0 | 29817 | X | ||
| Kathy Arzamendi | |||||||
| House Supervisor | 51.00 | 150123 | 0 | 27238 | X | ||
| Sandra Osburn | |||||||
| ER Manager | 50.00 | 152734 | 0 | 10219 | X | ||
| Scott Davis | |||||||
| Lab Manager | 50.00 | 134709 | 0 | 26322 | X | ||
| Katherine Ferguson MD | |||||||
| Physician | 50.00 | 148105 | 0 | 8970 | X | ||
| Jalene Martin | |||||||
| Staff Pharmacist | 41.00 | 137479 | 0 | 12889 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1774378 | TotalReportableCompFromOrg |
| Total Other Compensation | 219362 | TotalOtherCompensation |
| Number Individuals GT100 K | 26 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Trustaff Travel Nurses LLC | |||||
| PO Box 73426 | Cleveland | OH | 44193 | Nursing Contract Lbr | 466870 |
| Quantum Plus Inc | |||||
| PO Box 634850 | Cincinnati | OH | 45263 | Physician Prof Svcs | 930744 |
| Onestaff Medical LLC | |||||
| PO Box 823424 | Philadelphia | PA | 191823424 | Nursing Contract Lbr | 623622 |
| Chase Dennis Emergency Medical Grp Inc | |||||
| PO Box 634850 | Cincinatti | OH | 452634850 | Physician Prof Svcs | 362813 |
| Cardinal Health Pharmacy Mgmt | |||||
| 21377 Network Place | Chicago | IL | 60673 | Pharm Mgmt Cont Lbr | 431850 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 29 | NumberOfContractorsGT100K |
| All Other Contributions | 13679 | AllOtherContributions |
| Total Contributions | 13679 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Net Patient Service Rev | Description |
| Total Revenue Column | 70036726 | TotalRevenueColumn |
| Related Or Exempt Function Income | 70036726 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 70036726 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 344487 | TotalRevenueColumn |
| Exclusion | $344,487 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 568809 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 368090 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 200719 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 200719 | TotalRevenueColumn |
| Exclusion | $200,719 | ExclusionAmount |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Cafeteria and Other | Description |
| Total Revenue Column | 188295 | TotalRevenueColumn |
| Exclusion | $188,295 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 188295 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 70783906 | TotalRevenueColumn |
| Related Or Exempt Function Income | 70036726 | RelatedOrExemptFunctionIncome |
| Exclusion | $733,501 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1049655 | Total |
| Program Services | 867540 | ProgramServices |
| Management And General | 182115 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 137223 | Total |
| Program Services | 113415 | ProgramServices |
| Management And General | 23808 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23425560 | Total |
| Program Services | 19361225 | ProgramServices |
| Management And General | 4064335 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 725889 | Total |
| Program Services | 599947 | ProgramServices |
| Management And General | 125942 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5257056 | Total |
| Program Services | 4344957 | ProgramServices |
| Management And General | 912099 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1790358 | Total |
| Program Services | 1479731 | ProgramServices |
| Management And General | 310627 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 540275 | Total |
| Program Services | 446537 | ProgramServices |
| Management And General | 93738 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 300965 | Total |
| Program Services | 248748 | ProgramServices |
| Management And General | 52217 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 92470 | Total |
| Program Services | 76426 | ProgramServices |
| Management And General | 16044 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5220571 | Total |
| Program Services | 4314802 | ProgramServices |
| Management And General | 905769 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 288177 | Total |
| Program Services | 238178 | ProgramServices |
| Management And General | 49999 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 126801 | Total |
| Program Services | 104801 | ProgramServices |
| Management And General | 22000 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 113205 | Total |
| Program Services | 93564 | ProgramServices |
| Management And General | 19641 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3620263 | Total |
| Program Services | 2992147 | ProgramServices |
| Management And General | 628116 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6423844 | Total |
| Program Services | 5309307 | ProgramServices |
| Management And General | 1114537 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 883724 | Total |
| Program Services | 730398 | ProgramServices |
| Management And General | 153326 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Supplies | 8378196 | 6924579 | 1453617 |
| Purchased Services | 4568718 | 3776045 | 792673 |
| Provision for Bad Debts | 5716465 | 5716465 | |
| Miscellaneous | 1305793 | 1079238 | 226555 |
| Contract Services | 3343397 | 2763318 | 580079 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1497438 | Total |
| Program Services | 1237633 | ProgramServices |
| Management And General | 259805 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 74806043 | Total |
| Program Services | 62819001 | ProgramServices |
| Management And General | 11987042 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2208274 | BOY |
| EOY | 14001249 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13979366 | BOY |
| EOY | 526515 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7631573 | BOY |
| EOY | 10204225 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1370766 | BOY |
| EOY | 1448489 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1347939 | BOY |
| EOY | 1598794 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 135823186 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 39170439 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 97228652 | BOY |
| EOY | 96652747 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16775607 | BOY |
| EOY | 12070751 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 140542177 | BOY |
| EOY | 136502770 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7362132 | BOY |
| EOY | 8653050 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 72215000 | BOY |
| EOY | 70805000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4515980 | BOY |
| EOY | 4617792 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 84093112 | BOY |
| EOY | 84075842 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 56449065 | BOY |
| EOY | 52426928 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 56449065 | BOY |
| EOY | 52426928 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 140542177 | BOY |
| EOY | 136502770 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -4022137 | ReconcilationRevenueExpenses |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 790834 | OtherCostOrOtherBasis |
| Book Value | 790834 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 99144843 | OtherCostOrOtherBasis |
| Depreciation | 16780579 | Depreciation |
| Book Value | 82364264 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 421677 | OtherCostOrOtherBasis |
| Depreciation | 288900 | Depreciation |
| Book Value | 132777 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 33594651 | OtherCostOrOtherBasis |
| Depreciation | 22100960 | Depreciation |
| Book Value | 11493691 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1871181 | OtherCostOrOtherBasis |
| Book Value | 1871181 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 96652747 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Other Deferred Financing Fees | 1372724 |
| HUD proceeds held by trustee | 10698027 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 12070751 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Estimated Third Party Payor Settlements | Description |
| Amount | $4,617,792 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 4617792 | TotalOfAmounts |
| Total Revenue | 70783906 | TotalRevenue |
| Total Expenses | 74806043 | TotalExpenses |
| Excess Or Deficit For Year | -4022137 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | -4022137 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 70783906 | TotRevenueEtcAuditedFinclStmt |
| Revenue Subtotal | 70783906 | RevenueSubtotal |
| Total Revenue Per Form990 | 70783906 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 74806043 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 74806043 | ExpensesSubtotal |
| Total Expenses Per Form990 | 74806043 | TotalExpensesPerForm990 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 300.000000000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | false | AnnualCommunityBenefitReport |
| Report Publically Available | false | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1640000 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1640000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02190 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5830114 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1837340 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3992774 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05340 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 7470114 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1837340 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5632774 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07530 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 53890 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 26215 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 27675 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 127403 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 127403 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00170 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 181293 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 26215 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 155078 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00210 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 7651407 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1863555 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5787852 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07740 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1296 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1296 | NetCommunityBuildingExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 2231 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 2231 | NetCommunityBuildingExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 993951 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 88660 | DirectOffsettingRevenue |
| Net Community Building Expense | 905291 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.01210 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 997478 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 88660 | DirectOffsettingRevenue |
| Net Community Building Expense | 908818 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.01210 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $2,047,957 | BadDebtExpenseAmount |
| Amount Attributable To | 512000 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 9841315 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 9750012 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 91303 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 0 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Ridgecrest Regional Hospital | BusinessNameLine1 |
Address Address
| 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) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Ridgecrest Regional Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | false | CHNAConducted |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 300.0000 | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 300.0000 | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Other Factors | X | OtherFactors |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Other Actions Taken | X | OtherActionsTaken |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Lowest Negotiated Rates | X | LowestNegotiatedRates |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 9 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (9 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| China Lake Specialty Clinics | ||||
| 1041 N China Lake Blvd | Ridgecrest | CA | 93555 | Specialty Clinic |
| China Lake Community Care Clinic | ||||
| 1041 N China Lake Blvd | Ridgecrest | CA | 93555 | Community Care Clinic |
| Ridgecrest Regional Hospital Urgent Care | ||||
| 1111 N China Lake Blvd | Ridgecrest | CA | 93555 | Urgent Care |
| Ridgecrest Regional Hospital Outpatient Svcs | ||||
| 1011 N China Lake Blvd | Ridgecrest | CA | 93555 | Surgical Clinic |
| Ridgecrest Regional Hospital Sleep Lab | ||||
| 1111 N China Lake Blvd | Ridgecrest | CA | 93555 | Sleep Study Lab |
| Ridgecrest Regional Hospital Urgent Care | ||||
| 1111 N China Lake Blvd | Ridgecrest | CA | 93555 | Urgent Care |
| Ridgecrest Regional Hospital Home Health | ||||
| 1652 Triangle Dr | Ridgecrest | CA | 93555 | Home Health |
| Ridgecrest Regional Hospital Hospice | ||||
| 1653 Triangle Dr | Ridgecrest | CA | 93555 | Hospice |
| Ridgecrest Regional Hospital Rural Health Clinic | ||||
| 1111 N China Lake Blvd | Ridgecrest | CA | 93555 | Rural Health Clinic |
Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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 - 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, two Urgent Care Clinics, one Sleep Study Clinic, one Surgical Clinic, one Community Care Clinic, and one Specialty Clinic. | |
| Part VI - Affilated Health Care System Roles and Promotion | N/A | |
| 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). | |
| 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. | |
| Part VI - Community Information | Rural California desert community located in Kern County; more than 50 miles from next nearest hospital. Population approximately 28,000. Approximately 6.8% of patients are uninsured. | |
| Part VI - Patient Education of Eligibility for Assistance | Signs are posted in registration areas informing them of assistance with their bills. A phone number is provided on these signs, which can be called for assistance in this area. Self Pay patients are sent a packet of information regarding financial assistance programs. | |
| Part VI - Needs Assessment | A community needs assessment was started in July 2012 and is expected to be completed by December of 2012. Follwing board and community review, an implementation plan will be developed. | |
| Part V, Line 17e - 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.Questions 15 and 16 of this section were not answered affirmatively, as the Hospital interpreted those questions to mean that aggressive actions were taken before 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. | Number of Hospital Faciltiy - 0 |
| Part V, Line 13g - 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. | Number of Hospital Faciltiy - 0 |
| Part V, Line 11h - Other Factors Used in Determing Amounts Charged Patients | Discount if paid in full at time of service or shortly after visit. | Number of Hospital Faciltiy - 0 |
| Part III, Line 9b - Provisions On Collection Practices For Qualified Patients | Patients who fall under the collection practices receive a packet to fill out for possible charity care allowance. | |
| 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 Charg ratio to the expenses on the financial statement. No other bad debt amounts included in the community benefits. | |
| Part I, Line 7, Column F - Explanation of Bad Debt Expense | Please refer to the response provided for Part III, line 4. | |
| Part I, Line 7 - Explanation of Costing Methodology | Medicare Cost Method |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
| Rebuttable Presumption Procedure | false | RebuttablePresumptionProcedure |
Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg |
|---|---|---|---|---|---|---|
| Scott Davis | ||||||
| 124539 | 10170 | 5085 | 21237 | 161031 | 155958 | |
| Sandra Osburn | ||||||
| 94284 | 9497 | 3710 | 6509 | 162953 | 48953 | |
| Sandra Gilliam | ||||||
| 170982 | 12194 | 7065 | 14680 | 204921 | 188215 | |
| Sally Kennedy | ||||||
| 128125 | 7477 | 5196 | 14487 | 155285 | 145756 | |
| Lois Johnson | ||||||
| 134843 | 9590 | 5478 | 21237 | 171148 | 150956 | |
| Kathy Arzamendi | ||||||
| 148169 | 1954 | 5806 | 21432 | 177361 | 179945 | |
| Katherine Ferguson MD | ||||||
| 109451 | 5875 | 3095 | 157075 | 38654 | ||
| James Suver | ||||||
| 242590 | 23500 | 18800 | 11017 | 295907 | 290439 | |
| Jalene Martin | ||||||
| 137479 | 5305 | 7584 | 150368 | 167636 | ||
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Sch J, Part III, Additional Information | Identifier |
| Return Reference | Part III, Additional Information | ReturnReference |
| 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 2011 according to: the Allied for Health Executive Compensation Report, sponsored by the California Hospital Association.Bonus Compensation:The max bonus for employees is 10% of the employee's base salary (with an exception for the CEO). The actual bonus was based on the successful achievemenet of different goals with an assigned weighting (employee goal-15%; Patient Satisfaction Goal-15%; Financial Goal-50%; Quality goal-20%).Katherine Ferguson, MD receives other compensation or management pay for acting as the administrator of the primary care and specialty clinics. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
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 Number | 130795MR5 | CUSIPNumber |
| Date Issued | 2007-11-08 | DateIssued |
| Issue Price | 72215000 | IssuePrice |
| Description Of Purpose | Hospital Construction | DescriptionOfPurpose |
| Defeased | false | Defeased |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Proceeds | 74226498 | TotalProceeds |
| Amount In Reserve Fund | 5400000 | AmountInReserveFund |
| Refunding Escrow | 1298000 | RefundingEscrow |
| Issuance Costs From Proceeds | 1618370 | IssuanceCostsFromProceeds |
| Capital Expenditures | 52169178 | CapitalExpenditures |
| Year Of Subst Completion | 2010 | YearOfSubstCompletion |
| Current Refunding | false | CurrentRefunding |
| Advance Refunding | false | AdvanceRefunding |
| Final Allocation Made | false | FinalAllocationMade |
| Adequate Books And Recds Maintaind | true | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | false | OwningBondFinancedProperty |
| Any Lease Arrangements | false | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | false | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | false | AnyResearchAgreements |
| Post Issuance Compliance Procdrs | true | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | false | Form8038TFiled |
| Variable Rate Issue | false | VariableRateIssue |
| Hedge Identified In Books And Recds | false | HedgeIdentifiedInBooksAndRecds |
Name Of Hedge Provider NameOfHedgeProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested In GIC | true | GrossProceedsInvestedInGIC |
Name Of GIC Provider NameOfGICProvider
| 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 | TermOfGIC |
| Regulatory Safe Harbor Satisfied | true | RegulatorySafeHarborSatisfied |
| Gross Proceeds Invested | true | GrossProceedsInvested |
| Exception To Rebate | false | ExceptionToRebate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fed Tax Requirements Compliance | X | FedTaxRequirementsCompliance |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (6 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| Dr William Ferguson | |||
| Self | 44000 | Sale of Medical Clinic | false |
| Dr William Ferguson | |||
| Self | 137223 | Physician Compensation | false |
| Dr William Ferguson | |||
| Wife Board Chair | 157075 | Physician Compensation | false |
| Dr William Ferguson | |||
| Wife Board Chair | 44000 | Sale of Medical Clinic | false |
| Dr William Ferguson | |||
| Wife Board Chair | 17731 | On Call Phys Prof Fees | false |
| Dr William Ferguson | |||
| Brother Board Chr | 17265 | Telemed Consult Fees | false |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | A family member to the Chairman of the Board, Earl Ferguson had a business relationship with the Hospital. The Hospital compensated him for $17,265 in Telemedicine program consulting fees during the fiscal year ended 1/31/12.The wife chairman of the Board, Katherine Ferguson had a business relationship with the Hospital, she was compensated as an employee physician in the amount of $157,075, as a contracted physician for on-call professional fees in the amount of $17,731, and also paid $44,000 by the hospital in the sale of Southern Sierra Medical Clinic: total compensation of $218,806. The Board chairman had total compensation of $213,988 comprised of: Physician employment compensation of $137,223; and $44,000 for the Hospital's purchase of Southern Sierra Medical Clinic.Since the Chairman made in excess of $10,000 in total compensation and other payments; and had family members with reportable business transactions to the Schedule L, he is deemed to have lost independence in voting as a Board member (Per Form 990 Instructions). | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part VI, Section A, Line 1a | The Board generally has 9 members, however, at the end of the fiscal year there was one board vacancy making a total of 8 board members. | |
| Form 990, Part IX, Statement of Functional Expenses | Program Services and Management expenses were allocated according to the Medicare Cost Report expense allocations. | |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | All public documents are made available upon request. | Form 990, Part VI, Line 19 |
| Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | For the CEO, salary was determined by market standards using an outside consulting agency. 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 15b |
| 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 12c |
| Form 990, Part VI, Line 11: Form 990 Review Process | A copy of the 990 was provided to each member of the Board of Directors. | Form 990, Part VI, Line 11 |
| 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 7b |
| 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 7a |
| 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 50 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 6 |
| Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et | A family member to the Chairman of the Board, Earl Ferguson had a business relationship with the Hospital. The Hospital compensated him for $17,265 in Telemedicine program consulting fees during the fiscal year ended 1/31/12.The wife chairman of the Board, Katherine Ferguson had a business relationship with the Hospital, she was compensated as an employee physician in the amount of $157,075, as a contracted physician for on-call professional fees in the amount of $17,731, and also paid $44,000 by the hospital in the sale of Southern Sierra Medical Clinic: total compensation of $218,806. The Board chairman had total compensation of $213,988 comprised of: Physician employment compensation of $137,223; and $44,000 for the Hospital's purchase of Southern Sierra Medical Clinic.Since the Chairman made in excess of $10,000 in total compensation and other payments; and had family members with reportable business transactions to the Schedule L, he is deemed to have lost independence in voting as a Board member (Per Form 990 Instructions). | Form 990, Part VI, Line 2 |