2012-11-19T06:30:34-08:00 2012-01-31 TCA Partners LLP 1111 East Herndon Avenue Suite 211 Fresno CA 93720 990 2011-02-01 952082686 Ridgecrest Regional Hospital RIDG 7604463551 1081 North China Lake Blvd Ridgecrest CA 93555 Lois Johnson 2012-11-19 true Inger Sullenger CPA 5594317708 X 2011 2016-02-24 21:20:13Z Lois Johnson 1081 North China Lake Blvd Ridgecrest CA 93555 71151996 false false X www.rrh.org X 1965 CA Ridgecrest Regional Hospital is a community-based organization that provides and promotes comprehensive quality healthcare for the people of the Southern Sierra Region. 8 7 587 97 0 205840 13679 67895094 70036726 222043 344487 606645 389014 68929622 70783906 0 0 30442273 32385741 0 0 35964306 42420302 66406579 74806043 2523043 -4022137 140542177 136502770 84093112 84075842 56449065 52426928 Ridgecrest Regional Hospital is a community-based organization that provides and promotes comprehensive quality healthcare for the people of the Southern Sierra Region. false false 62819001 70036726 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. 62819001 true false false false false false false false false false true false false true true false true false false false false false false false false false true true false false true true true false false false false false false true true true false false false false false false false false false false true 146 0 true 587 true false false false false false false false false false false false 0 false false false false false false false false false false false X 8 7 true false false false true true true true true false false false true true true true true true true true false false X Lois Johnson 7604993040 1081 N China Lake Blvd Ridgecrest CA 93555 X Cornelis Vanderhoek MD 1.00 X 8824 0 0 Harriet Luzinas-Smith 1.00 X 0 0 0 Patricia Mullis 1.00 X 0 0 0 Cecile Biery 1.00 X 0 0 0 Michael Mower 1.00 X 0 0 0 Dana Lyons 1.00 X 0 0 0 Stephen Redmond 1.00 X 0 0 0 William Ferguson MD 50.00 X 129026 0 8197 Sally Kennedy 50.00 X 135602 0 19683 Randy Ferguson 50.00 X 92744 0 15063 Sandra Gilliam 50.00 X 183176 0 21745 Michelle Lemke 50.00 X 91333 0 12504 Lois Johnson 50.00 X 144433 0 26715 James Suver 50.00 X 266090 0 29817 Kathy Arzamendi 51.00 X 150123 0 27238 Sandra Osburn 50.00 X 152734 0 10219 Scott Davis 50.00 X 134709 0 26322 Katherine Ferguson MD 50.00 X 148105 0 8970 Jalene Martin 41.00 X 137479 0 12889 1774378 219362 26 false true false 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 29 13679 13679 Net Patient Service Rev 70036726 70036726 70036726 344487 344487 0 0 568809 368090 200719 200719 200719 0 0 0 0 Cafeteria and Other 188295 188295 188295 70783906 70036726 733501 0 0 0 0 1049655 867540 182115 137223 113415 23808 23425560 19361225 4064335 725889 599947 125942 5257056 4344957 912099 1790358 1479731 310627 540275 446537 93738 300965 248748 52217 92470 76426 16044 0 0 0 5220571 4314802 905769 0 288177 238178 49999 0 0 0 126801 104801 22000 0 113205 93564 19641 3620263 2992147 628116 0 6423844 5309307 1114537 883724 730398 153326 Supplies 8378196 6924579 1453617 Purchased Services 4568718 3776045 792673 Provision for Bad Debts 5716465 5716465 Miscellaneous 1305793 1079238 226555 Contract Services 3343397 2763318 580079 1497438 1237633 259805 74806043 62819001 11987042 0 2208274 14001249 13979366 526515 0 7631573 10204225 0 0 0 1370766 1448489 1347939 1598794 135823186 39170439 97228652 96652747 0 0 0 0 16775607 12070751 140542177 136502770 7362132 8653050 72215000 70805000 4515980 4617792 84093112 84075842 X 56449065 52426928 56449065 52426928 140542177 136502770 -4022137 X false true true X true true X 790834 790834 99144843 16780579 82364264 421677 288900 132777 33594651 22100960 11493691 1871181 1871181 96652747 Other Deferred Financing Fees 1372724 HUD proceeds held by trustee 10698027 12070751 Estimated Third Party Payor Settlements 4617792 4617792 70783906 74806043 -4022137 -4022137 70783906 70783906 70783906 74806043 74806043 74806043 true true X true X 300.000000000 true X true true true false false false 1640000 1640000 0.02190 5830114 1837340 3992774 0.05340 7470114 1837340 5632774 0.07530 53890 26215 27675 0.00040 127403 127403 0.00170 181293 26215 155078 0.00210 7651407 1863555 5787852 0.07740 1296 1296 2231 2231 993951 88660 905291 0.01210 997478 88660 908818 0.01210 true 2047957 512000 9841315 9750012 91303 X true true 1 0 Ridgecrest Regional Hospital

1081 North China Lake Blvd Ridgecrest CA 93555

X X X Ridgecrest Regional Hospital 1 false true true 300.0000 true 300.0000 true X X X X X X true true X X X X X X X true false X X X true X false false 9 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 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. Number of Hospital Faciltiy - 0 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. 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 X X X true false false false false false false false false false Scott Davis 124539 10170 5085 21237 161031 155958 Sandra Osburn 94284 9497 48953 3710 6509 162953 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 38654 5875 3095 157075 James Suver 242590 23500 18800 11017 295907 290439 Jalene Martin 137479 5305 7584 150368 167636 Sch J, Part III, Additional Information Part III, Additional Information 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. CA Statewide Dvlpmt Authority FHA Insured Mortgage 130795MR5 2007-11-08 72215000 Hospital Construction false false 74226498 5400000 1298000 1618370 52169178 2010 false false false true false false false false true false false false NA true FSA Capital Management Services LLC 3.0000 true true false X 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 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, 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 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available All public documents are made available upon request. Form 990, Part VI, Line 15b 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 12c 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 11 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 7b 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 7a 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 6 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 2 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).