2011-05-13T11:44:10-05:00 2010-06-30 Moss Adams LLP 3121 W March Lane Suite 100 Stockton CA 95219 990 2009-07-01 942917251 FREMONT-RIDEOUT HEALTH GROUP FREM 5307401920 989 PLUMAS STREET YUBA CITY CA 95991 Theresa Hamilton 5307401920 2011-05-02 1 Tracy S Paglia 2099556100 2009 2016-02-24 21:20:13Z Theresa Hamilton 989 PLUMAS STREET YUBA CITY CA 95991 24580542 0 X http://www.frhg.org/ X 1984 CA To provide compassionate and superior healthcare to everyone in our community and region, regardless of the ability to pay. 12 6 164 100 60434 -28348 0 23325449 24582578 74151 39839 262626 -41875 23662226 24580542 0 0 12589363 13829974 0 0 15469295 9641054 28058658 23471028 -4396432 1109514 27868927 22582956 24705818 18320727 3163109 4262229 To provide compassionate and superior healthcare to everyone in our community and region, regardless of the ability to pay. 0 0 17133850 0 24480269 Providing lower cost shared management services for related tax exempt entities - Fremont Medical Center, Rideout Hospital and United Com-Serv. 17133850 1 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 1 386 0 1 164 1 1 1 0 0 0 0 0 0 0 0 12 6 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X CHRIS ROBERTS 5307401920 614 J STREET MARYSVILLE CA 95901 Jim Kennedy 10.00 X X 0 0 0 John Weiler 10.00 X X 0 0 0 Mallard R Huntley 10.00 X 0 0 0 Lisa Del Pero 10.00 X X 17429 0 0 John W Cary 10.00 X X 0 0 0 William H Gilbert 10.00 X 18292 0 0 Tom Pfeffer 10.00 X X 738 0 0 Alexandra Reichman 10.00 X 0 0 0 Ronald M Sweeney 10.00 X 0 0 0 Rupinder Brar 10.00 X 0 0 0 Floyd Burton 10.00 X 10850 0 0 Janice S Nall 10.00 X 0 0 0 David Tarke 10.00 X 0 0 0 Chuck Aldridge 10.00 X 16387 0 0 Jerry Gross 10.00 X 10971 0 0 Robert Chason 10.00 X 0 0 0 Theresa Hamilton 16.00 X 880416 0 32920 Kevin Woodward 16.00 X 241344 0 25100 Chance White 40.00 X 60145 122085 25412 Robert Plass 40.00 X 288611 0 32461 Tarun Ghosh 40.00 X 267536 0 28604 Janice Frank 40.00 X 240351 0 14961 Anthony Moddesette 40.00 X 235831 0 29934 Christopher Parker 40.00 X 178261 0 29721 Thomas Hayes 8.00 X 284077 0 16041 2751239 122085 235154 18 1 1 0 Foley and Lardner 555 S Flower St Suite 3500 Los Angeles CA 90071 Legal Services 1377579 Seyfarth Shaw 131 S Dearborn St Suite 2400 Chicago IL 60603 Legal Services 926808 Ernst & Young 725 South Figueroa Street Los Angeles CA 90017 Accounting Services 287261 LECG LLC PO Box 952423 St Louis MO 63195 Consulting Services 221725 NERA Economic Consulting PO Box 7247-6754 Philadelphia PA 17170 Consulting Services 110162 6 Management Fees 541610 21246213 21143904 102309 Income fr FRD Mgmt 541610 3293169 3293169 Other revenue 900099 43196 43196 24582578 39839 39839 Loss fr Sierra Health 541610 -41875 -41875 -41875 24580542 24480269 60434 39839 1137204 830159 307045 283355 206849 76506 9008637 6576305 2432332 415721 303476 112245 2265116 1653535 611581 719941 525557 194384 1368069 998690 369379 299073 218323 80750 76000 55480 20520 2795341 2040599 754742 227252 165894 61358 2031208 1482782 548426 575412 420051 155361 220762 161156 59606 98707 72056 26651 172914 126227 46687 Repair and Maintenance 1776316 1296711 479605 23471028 17133850 6337178 0 1623551 3098277 165672 1508644 952269 13641163 16898701 11095569 1468037 27868927 22582956 24347400 14612452 358418 3708275 24705818 18320727 X 3163109 4262229 3163109 4262229 27868927 22582956 X 0 1 1 X 0 X X X 0 0 0 Rideout Mem Hospital 941387866 3 0 1 1 0 1 0 0 Investment in FRD Management LLC 16505596 F Investment in Sierra HealthCare Center 36483 F Investment in Fremont Rideout Int. Health Org. 233092 F Capital Contrib Chic 123530 F 16898701 Due from Affiliates 1468037 1468037 Due to affiliates 3349857 Investment in Drug Pharma Inc 358418 3708275 X 0 0 X X X X X 1 1 0 0 0 0 0 0 0 Theresa Hamilton 353528 0 0 0 526888 0 18020 0 14900 0 913336 0 0 0 Kevin Woodward 241344 0 0 0 0 0 11575 0 13525 0 266444 0 0 0 Chance White 60145 122085 0 0 0 0 10546 0 14866 0 85557 122085 0 0 Robert Plass 288611 0 0 0 0 0 17571 0 14890 0 321072 0 0 0 Tarun Ghosh 267536 0 0 0 0 0 13738 0 14866 0 296140 0 0 0 Janice Frank 240351 0 0 0 0 0 13840 0 1121 0 255312 0 0 0 Anthony Moddesette 235831 0 0 0 0 0 15044 0 14890 0 265765 0 0 0 Christopher Parker 178261 0 0 0 0 0 11544 0 18177 0 207982 0 0 0 Thomas Hayes 284077 0 0 0 0 0 0 0 16041 0 300118 0 0 0 Part I, Line 1a Theresa Hamilton received tax gross up payments as part of a SERP during the year. The benefit was treated as taxable compensation on an amended Form W-2. Part I, Line 4a KEVIN WOODWARD was paid a separation agreement payment during the year. The amount and terms of the agreement are subject to a confidentiality clause. Due to public inspection requirements of this Schedule, details have not been included, but are available upon request by the IRS. Part I, line 4b: Theresa Hamilton, CEO, as part of her executive compensation package, participates in the FRHG Executive Deferred Compensation Plan - 457 (F) and the FRHG Supplemental Executive Retirement Plan (SERP), which is paid by the organization. Lafayette Developers partnership more than 5% owned by Mallard Huntley, director 244800 BUILDING LEASE TO FRHG 0 Huntley-Sheehy Inc entity more than 35% owned by Mallard Huntley, director 1294727 Insurance contract for the full Fremont-Rideout group of affiliated organizations. 0 Form 990, Part VI, Section B, line 11 The audit committee will perform a detailed review and be part of the presentation by the preparer (Moss Adams LLP). The audit committee will then make a recommendation to the full Board. A full copy of the Form 990 will be made available to the full board prior to filing, and the Board will approve of the returns before filing. Form 990, Part VI, Section B, line 12c Directors and key employees are required to sign a conflict of interest statement annually. In-House legal collects and reviews the conflict of interest statements for all board members and key employees. Board members are excused from any portion of the meetings where their personal interest would create a conflict on an issue or influence a vote. Form 990, Part VI, Section B, line 15 The governance committee develops the compensation policy and strategy to be followed in establishing the CEO's compensation and for the CEO to follow in establishing compensation for other key employees. The primary strategy is to utilize an outside firm, Integrated Health Care Strategies, to provide executive salary market data within the Health Care industry for comparability when setting executive compensation levels. The CEO then reports salary decisions for key employees utilizing this data to the governance committee. Annually the governance committee reports a summary of its actions and established compensation philosophy to the board. Form 990, Part VI, Section C, line 19 Governing documents and financial statements are available upon request during normal business hours. Conflict of interest policy is not made available to the public. FORM 990, PART VII HOURS DEVOTED TO RELATED ORGANIZATIONS: THERESA HAMILTON SPENDS A TOTAL AVERAGE OF 70 HOURS PER WEEK PERFORMING CEO SERVICES FOR THE FREMONT-RIDEOUT HEALTH GROUP AND AFFILIATES. Hours reflected on Form 990 part VII are for fremont-rideout health group only. KEVIN WOODWARD SPENDS A TOTAL AVERAGE OF 60 HOURS PER WEEK PERFORMING CFO SERVICES FOR THE FREMONT-RIDEOUT HEALTH GROUP AND AFFILIATES. Hours reflected on Form 990 part VII are for fremont-rideout health group only. THOMAS HAYES IS THE FORMER CEO OF FREMONT-RIDEOUT HEALTH GROUP AND AFFILIATES, AND is contractually obligated to provide services to the GROUP for an average of at least 8 HOURS PER WEEK. Rideout Memorial Hospital 614 J Street Marysville CA 95901 941387866 Acute Care Hospital CA 501(c)(3) Line 3 N/A United Com-Serve 614 J Street Marysville CA 95901 943015356 Skill Nursing/Assisted Living/Home Health CA 501(c)(3) Line 11b, II N/A FREMONT-RIDEOUT FOUNDATION 989 Plumas Street Yuba City CA 95991 237366330 SUPPORT FOR FRHG AND ITS AFFILIATES CA 501(c)(3) Line 7 N/A Sierra Health Care Center PO Box 2128 Marysville CA 95901 680040306 DME Sales CA N/A unrelated 661811 418983 0 1 FRD Management LLC PO Box 2128 Marysville CA 95901 943335136 Operation of cancer center CA N/A related 3293169 16475205 0 0 Drug Pharma Inc 614 J Street Marysville CA 95901 941390716 Investment CA N/A C 143549 1.00000 Fremont Rideout Integrated Health Org 614 J Street Marysville CA 95901 680315394 Promote community Health CA N/A C 2557 233092 1.00000 Fremont-Rideout Management Services Organization Inc 989 Plumas Street Yuba City CA 95991 942917251 Management Services CA N/A S 1.00000 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 1 1 1 rideout memorial hospital K 20604072 united com-serve K 539832 Rideout memorial hospital P 141634807 United com-serve P 5538801 fremont-RIDEOUT FOUNDATION P 286000 Sierra Health Care Center P 1296390 FRD Management LLC P 967300 Rideout memorial hospital K 1941816 United com-serve K 300606 FREMONT-RIDEOUT FOUNDATION Q 81453