2026-08-10T13:30:44-05:00 2025-09-30 390859910 BAKER TILLY ADVISORY GROUP LP 225 S LAKE AVENUE SUITE 900 PASADENA CA 91101 990 2024-10-01 951643347 REDLANDS COMMUNITY HOSPITAL REDL 9093355500 350 TERRACINA BLVD REDLANDS CA 92373 MICHELLE MOK CHIEF FINANCIAL OFFICER 9033355516 2026-08-10 1 1 LAUREN A HAVERLOCK P00545829 3104770450 2024 2025-03-06 01:10:19Z JAMES HOLMES 350 TERRACINA BLVD REDLANDS CA 92373 424769299 0 X WWW.REDLANDSHOSPITAL.ORG X 1927 CA THE HOSPITAL'S MISSION, VISION AND VALUE STATEMENTS ARE INTEGRATED INTO THE HOSPITAL'S POLICY AND PLANNING PROCESSES INCLUDING THE COMMUNITY BENEFIT PLAN. A PART OF THIS PLANNING PROCESS WAS TO INCORPORATE COMMUNITY BENEFITS IN THE HOSPITAL'S STRATEGIC PLANS. OUR MISSION IS TO PROMOTE AN ENVIRONMENT WHERE MEMBERS OF OUR COMMUNITY CAN RECEIVE HIGH QUALITY CARE AND SERVICE SO THEY CAN BE RESTORED TO GOOD HEALTH BY WORKING IN CONCERT WITH PATIENTS, PHYSICIANS, RCH STAFF, ASSOCIATES AND THE COMMUNITY. 18 16 2054 17 0 0 455461 31534662 400055699 354236421 1486549 863838 5138803 9634878 407136512 396269799 1324411 754528 0 0 179225615 179652336 0 0 0 235154227 190416575 415704253 370823439 -8567741 25446360 228043796 238356666 170524070 154862577 57519726 83494089 X OUR MISSION IS TO PROMOTE AN ENVIRONMENT WHERE MEMBERS OF OUR COMMUNITY CAN RECEIVE HIGH QUALITY CARE AND SERVICES SO THEY CAN MAINTAIN AND BE RESTORED TO GOOD HEALTH. 0 0 254064795 162896246 SCHEDULE O FOR UNREIMBURSED MEDICAL CARE DESCRIPTIONUNREIMBURSED MEDICAL CARE: THE HOSPITAL IS COMMITTED TO PROVIDING QUALITY MEDICAL CARE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. COST OF CARE FOR PATIENTS THAT MEET THE CHARITY CARE POLICY OF THE HOSPITAL ARE CLASSIFIED AS CHARITY. RCH HAD 1,299 INPATIENT/OUTPATIENT CHARITY ENCOUNTERS, 4,531 MEDICARE AND SENIOR HMO DISCHARGES, 2,314 MEDICAID AND COUNTY INDIGENT DISCHARGES. THE TOTAL ESTIMATED COST OF CHARITY CARE SERVICES AND UNPAID COST OF SERVICES ASSOCIATED WITH MEDICARE, MEDICAID AND COUNTY INDIGENT PROGRAMS AS WELL AS THE ESTIMATED COST ASSOCIATED WITH UNCOLLECTABLE ACCOUNTS WERE $254,064,795. 93747357 754528 191008552 SCHEDULE O FOR DESCRIPTION OF SERVICES THE HOSPITAL PROVIDESFOUNDED IN 1904, REDLANDS COMMUNITY HOSPITAL IS A NON-PROFIT, 211-BED HEALTHCARE FACILITY LOCATED IN THE EAST SAN BERNARDINO VALLEY OF SOUTHERN CALIFORNIA. THE HOSPITAL OFFERS ACUTE HEALTHCARE, DIAGNOSTIC AND HOME HEALTHCARE SERVICES. AS A COMMUNITY HOSPITAL, WE TAKE PRIDE IN OUR PERSONAL CARE AND COMPREHENSIVE, HIGH QUALITY SERVICES. OUR COMMUNITY SERVICE NURSES, EMERGENCY DEPARTMENT, FAMILY CLINICS, PERINATAL SERVICES PROGRAM, AND SEVERAL OTHER DEPARTMENTS THROUGHOUT THE HOSPITAL ARE INVOLVED IN OFFERING A VARIETY OF COMMUNITY SERVICES AND CHARITY CARE. PEOPLE FROM THROUGHOUT OUR LARGE SERVICE AREA DEPEND ON US FOR 24 HOUR EMERGENCY CARE, PROFESSIONAL HEALTHCARE AND A VARIETY OF COMMUNITY SERVICE OUTREACH PROGRAMS. ADDITIONALLY, RCH IN PARTNERSHIP WITH TWO LOCAL MEDICAL GROUPS, CONTRACTS WITH VARIOUS HEALTH PLANS TO PROVIDE FULL-SERVICE HEALTH CARE TO APPROXIMATELY 9,200 COMMUNITY MEMBERS ON A CAPITATED BASIS. 2559084 331623 SCHEDULE O FOR HOSPITAL'S FAMILY CLINIC DESCRIPTIONAN ON-GOING GOAL OF THE HOSPITAL'S FAMILY CLINICS IS TO PROVIDE HIGH-QUALITY, LOWCOST HEALTH CARE SERVICES TO PEOPLE WHO DO NOT OTHERWISE HAVE ACCESS TO HEALTH CARE, WHICH MAY BE DUE TO FINANCIAL, CULTURAL, LIFESTYLE OR PSYCHOLOGICAL BARRIERS. EQUALLY IMPORTANT IS THE DESIRE TO PROVIDE DISEASE SPECIFIC PATIENT/FAMILY EDUCATION, WITH EMPHASIS ON PROMOTING HEALTH AND WELLNESS AND THE SUPPORT NECESSARY TO PROMOTE INDIVIDUALIZED HEALTH CARE DECISION MAKING. THEREDLANDS AND YUCAIPA FAMILY CLINICS AND THE COMMUNITY BASED PERINATAL SERVICES PROGRAM (MATERIAL INFANT HEALTH) SERVE THE COMMUNITIES OF REDLANDS, LOMA LINDA, SAN BERNARDINO, HIGHLAND, YUCAIPA AND MENTONE, SUPPORTING THE HEALTHY START PROGRAMS IN THE REDLANDS UNIFIED SCHOOL DISTRICT IN ADDITION TO PROVIDING AN OPPORTUNITY FOR LOW-INCOME, THE UNINSURED AND UNDERINSURED TO RECEIVE PRIMARY AND PREVENTIVE CARE, EARLY MEDICAL PROBLEM IDENTIFICATION, TREATMENT AND ASSISTANCE WITH THE APPLICATION PROCESS AND OBTAINING OF ELIGIBILITY FOR PUBLICASSISTANCE PROGRAMS. GOALS AND ACCOMPLISHMENTS IN 2025:1) ENHANCED PRIMARY CARE SERVICES,2) WORKED WITH INLAND EMPIRE HEALTH PLAN (IEHP) TO PROMOTE PREVENTATIVE SERVICES THROUGH THEIR PAY FOUR PERFORMANCE (P4P)PROGRAM, PROP 56 AND OTHER PROGRAMS,3) PROVIDED NO-COST SEASONAL FLU VACCINATIONS TO THE COMMUNITY,4) EXPANDED AWARENESS OF THE SERVICES PROVIDED BY THE FAMILY CLINICS,5) SUPPORTED REDLANDS UNIFIED SCHOOL DISTRICT BY PROVIDING EMPLOYEE TB SCREENINGS,6)EXPANDED SERVICES TO PREGNANT LOW-INCOME PATIENTS. FOR FISCAL YEAR 2025, REDLANDS AND YUCAIPA FAMILY CLINICS HAD 5,893 VISITS AND PERINATAL SERVICES HAD 2,326 VISITS. 824174 0 REDLANDS COMMUNITY HOSPITAL PROVIDEDS BENEFIT TO THE COMMUNITY IN A VARIETY OF WAYS. THE COMMUNITY CASE MANAGEMENT PROGRAM ADDRESSES THE NEEDS FOR AT-RISK, UNDERINSURED AND COMPLEX HEALTHCARE ISSUES AS WELL AS EDUCATION ON DISEASE MANAGEMENT AND COMMUNITY RESOURCES. THE PURPOSE OF THE COMMUNITY CASE MANAGEMENT IS TO PROVIDE HIGH-QUALITY SERVICE TO PEOPLE WHO DO NOT KNOW HOW TO NAVIGATE THE HEALTHCARE SYSTEM DUE TO FINANCIAL, CULTURAL, LIFESTYLE, OR PSYCHOLOGICAL BARRIERS. AN EQUALLY IMPORTANT FOCUS IS EMPOWERING THE PATIENT AND FAMILY WITH DISEASE SPECIFIC EDUCATION EMPHASIZING PROMOTION OF HEALTH, WELLNESS AND THE TOOLS NECESSARY TO PROMOTE INDIVIDUALIZED HEALTH CARE DECISION MAKING. THIS PROGRAM ASSISTS PATIENTS WITH FACILITATING REFERRALS, SECURING APPOINTMENTS AND PROVIDING SOLID CONTATCS IN ADDITIONS TO ASSITING THE PATIENT/FAMILY TO NAVIGATE THROUGH OUR HEALTH CARE SYSTEM. THESE EFFORT RESULTED IN FEWER INPATIENT DAYS AND/OR EMERGENCY ROOM VISITS FOR THOSE PATIENTS WITH HISTORICALLY HIGH EPISODES OF ADMISSIONS/ER VISITS. IN FISCAL YEAR 2025, 561 HOMELESS PATIENTS WERE ASSISTED BY PROVIDING CLOTHING, MEALS AND TRANSPORTATION. PASTORAL CARE IS PROVIDED TO PATIENTS AND STAFF NEDDING COMFORT AND SUPPORT DURING PARTICULARLY DIFFICULT TIMES. IN ADDITION, THE HOSPITAL PROVIDES SUPPORT IN THE FORM OF EDUCATION, INFECTION CONTROL, SPONSORSHIPS OF SPECIFIC COMMUNITY BENEFIT PROGRAMS AND IN-KIND STAFF HOURS FOR NUMEROUS BENEFIT ACTIVITIES DURING THE YEAR. 824174 0 351195410 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 439 0 1 2054 1 0 0 0 0 0 0 0 0 0 0 1 0 X 18 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X MICHELLE MOK 9093355516 350 TERRACINA BLVD REDLANDS CA 923730742 JAMES HOLMES PRESIDENT/CEO 40.00 6.00 X X 1130684 0 29063 MICHELLE MOK CHIEF FINANCIAL OFFICER 40.00 0.00 X 744570 0 14711 JOYCE VOLSCH VP PATIENT CARE SERVICES 40.00 0.00 X 444162 0 15663 TODD SEXTON VP PROFESSIONAL & GENERAL SERVICES 40.00 0.00 X 410655 0 42913 KAREN ZIRKLE VP BUSINESS DEVELOPMENT 40.00 0.00 X 397395 0 21568 DELLA STRANGE VP HUMAN RESOURCES 40.00 0.00 X 354514 0 15585 MANDY LENT DIRECTOR CASE MANAGEMENT 40.00 0.00 X 294423 0 14069 CAROL SNODGRESS CHAIRMAN 3.00 5.00 X X 0 0 0 TED ALEJANDRE VICE CHAIR 3.00 3.00 X X 0 0 0 ROBERT HODGES TREASURER 3.00 3.00 X X 0 0 0 STAN WEISSER SECRETARY 3.00 5.00 X X 0 0 0 KLEMENS HUYNH MD CHIEF OF STAFF 3.00 3.00 X 0 0 0 RICHARD BEEMER DIRECTOR 3.00 3.00 X 0 0 0 ALVIN UMEDA MD DIRECTOR 3.00 3.00 X 0 0 0 GARY MCBRIDE DIRECTOR 3.00 3.00 X 0 0 0 JEFF MARTINEZ DIRECTOR 3.00 3.00 X 0 0 0 JENNIFER DANIEL DIRECTOR 3.00 3.00 X 0 0 0 KATE SALVESEN DIRECTOR 3.00 3.00 X 0 0 0 NEAL WARNER DIRECTOR 3.00 4.00 X 0 0 0 SAM RACADIO DIRECTOR 3.00 3.00 X 0 0 0 WALTER JONES MD DIRECTOR 3.00 3.00 X 0 0 0 WILLIAM EMMERSON DIRECTOR 3.00 4.00 X 0 0 0 WILLIAM HATFIELD DIRECTOR 3.00 4.00 X 0 0 0 YOLANDA CONTREAS DIRECTOR 3.00 3.00 X 0 0 0 3776403 0 153572 527 0 1 0 DARIN RENTZ DO PC 12 CALLE AMENO SAN CLEMENTE CA 92672 MEDICAL SERVICES 11672267 VAYA WORKFORCE SOLUTIONS LLC PO BOX 713427 CHICAGO IL 60677 CONTRACT LABOR 6169621 ARROWHEAD NEUROSURGICAL MEDICAL GROUP 26520 CACTUS AVE RM A2006 MORENO VALLEY CA 92555 MEDICAL SERVICES 2242448 OBHG CALIFORNIA PC 777 LOWNDES HILL RD BUILDING 1 GREENVILLE SC 29607 MEDICAL SERVICES 2191712 FACULTY PHYSICIANS AND SURGEONS OF LLUSM 350 E COMMERCIAL RD STE 101 SAN BERNARDINO CA 92408 MEDICAL SERVICES 1189898 203 31534662 31534662 NET PATIENT SERVICES 621400 309823331 309823331 CAPITATION PREMIUM 621400 44413090 44413090 354236421 1168100 1168100 2 2 28181254 13982 28489760 9740 -308506 4242 -304264 -304264 OTHER REVENUE 900099 8078098 8078098 REBATES AND REFUNDS 900099 1546000 1546000 EDUCATION 900099 10780 10780 9634878 396269799 354236421 0 10498716 754528 754528 1999944 1999944 116642 116642 144740455 138587367 6153088 2856281 2738940 117341 19220153 18583320 636833 10718861 10397295 321566 2072733 2072733 266397 266397 35652 35652 700076 700076 8386756 6793272 1593484 2709339 2709339 12848520 12848520 228466 228466 206232 206232 4068354 3580152 488202 12781345 9586009 3195336 3253475 2440106 813369 MEDICAL SUPPLIES 55385737 55385737 PURCHASED SERVICES 37499284 37499284 OUTSIDE PROVIDERS 28570153 28570153 QUALITY ASSURANCE FEE 12764791 12764791 8639265 6911413 1727852 370823439 351195410 19628029 0 8301878 7164169 11902000 6128283 18803456 30085994 5150260 4926959 21074858 31245494 364407628 216661620 140934150 147746008 20881109 9751533 996085 1308226 228043796 238356666 54852036 61541119 86616998 84212701 29055036 9108757 170524070 154862577 X 57519726 72054089 11440000 57519726 83494089 228043796 238356666 25446360 528003 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 63643 63643 0 PART II-B, LINE 1: 39% OF DUES PAID TO THE CALIFORNIA HOSPITAL ASSOCIATION AND 26.74% OF DUES PAID TO HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA WERE EXPENDED FOR SPECIFIC LOBBYING PURPOSES. 4534938 4534938 254852662 145601074 109251588 88304722 71060546 17244176 16715306 16715306 147746008 LIABILITIES ASSOCIATED WITH CAPITATED PROGRAMS 6831093 ESTIMATED THIRD PARTY SETTLEMENTS 1928296 OTHER LIABILITIES 349368 9108757 X PART X, LINE 2: RCH AND RHF ARE ORGANIZED AS NOT-FOR-PROFIT ENTITIES UNDER THE GENERAL NONPROFIT CORPORATION LAWS OF THE STATE OF CALIFORNIA. THE ORGANIZATIONS ARE RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAXATION UNDER SECTION 501(C)(3) AND AS PUBLIC CHARITIES (NOT PRIVATE FOUNDATIONS) UNDER SECTIONS 509(A)(1) AND 509(A)(3) OF THE INTERNAL REVENUE CODE, RESPECTIVELY, AND SIMILAR EXEMPTIONS FROM CALIFORNIA FRANCHISE TAXATION HAVE BEEN OBTAINED. ACCORDINGLY, NO PROVISION HAS BEEN RECORDED FOR INCOME TAXES IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE HOSPITAL RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY TAX AUTHORITIES BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. 1 1 X 1 X 299.000000000000 1 X 1 0 1 1 3238246 3238246 0.00870 99245025 80512634 18732391 0.05050 102483271 80512634 21970637 0.05920 824154 824154 0.00220 2559084 331624 2227460 0.00600 3383238 331624 3051614 0.00820 105866509 80844258 25022251 0.06740 55513 55513 0.00010 824154 824154 0.00220 879667 879667 0.00230 1 0 43188796 47748392 -4559596 X 1 1 1 1 REDLANDS COMMUNITY HOSPITAL 350 TERRACINA BLVD REDLANDS CA 92373 REDLANDSHOSPITAL.ORG 240000191 X X X REDLANDS COMMUNITY HOSPITAL 1 0 0 1 X X X X X X X X 22 1 1 0 1 X HTTPS://WWW.REDLANDSHOSPITAL.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ X X 1 22 1 HTTPS://WWW.REDLANDSHOSPITAL.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ 0 1 X 299.000000000000 400.000000000000 X X X X X 1 1 X X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X 1 X 0 X X X X 1 X 0 0 REDLANDS COMMUNITY HOSPITAL PART V, SECTION B, LINE 5: FOR THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT(CHNA), IN COLLABORATION WITH INLAND EMPIRE HEALTH PLAN AND PARTICIPATING HOSPITALS, A COMMITTEE OF STAKEHOLDERS WAS INTENTIONALLY SELECTED TO REPRESENT ORGANIZATIONS THAT WORK WITH VULNERABLE POPULATIONS IN THE REGION TO REVIEWCOLLECTED DATA AND IDENTIFY THE TOP HEALTH AND WELL-BEING NEEDS OF THE INLAND EMPIRE TO IDENTIFY AND FOCUS ON THE VITAL CONDITIONS OUR COMMUNITIES NEED TO ACHIEVE VIBRANT HEALTH. THE CHNA PROCESS WAS TO GIVE SPECIAL CONSIDERATION TO LOW-INCOME, MINORITY AND UNDERSERVED MEMBERS OF THE COMMUNITY. ORGANIZATIONS REPRESENTED ON THE COMMITTEE ARE: ARROWHEAD REGIONAL MEDICALCENTER, BARSTOW COMMUNITY HOSPITAL, CORONA REGIONAL MEDICAL CENTER, DESERT REGIONAL MEDICAL CENTER, COMMON SPRIIT HEALTH, FIRST 5 RIVERSIDE COUNTY, FIRST 5 SAN BERNARDINO COUNTY, HARC (HEALTH ASSESSMENT AND RESEARCH FOR COMMUNITIES), HC STRATEGIES INC, HEMET VALLEY MEDICAL CENTER, HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA, INLAND EMPIRE COMMUNITY FOUNDATION, INLAND EMPIRE HEALTH PLAN, KAISER PERMANENTE, LOMA LINDA UNIVERSITY HEALTH, MONTCLAIR HOSPITAL MEDICAL CENTER, REDLANDS COMMUNITY HOSPITAL, RIVERSIDE UNIVERSITY HEALTH SYSTEM, SAN ANTONIO REGIONAL HOSPITAL, SAN BERNARDINO COUNTY DEPARTMENT OF PUBLIC HEALTH, SAN GORGONIO MEMORIAL, ST. BERNARDINE MEDICAL CENTER, UNIVERSITY OF CLIFORNIA RIVERSIDE MEDICAL SCHOOL AND VISION Y COMPROMISO. REDLANDS COMMUNITY HOSPITAL PART V, SECTION B, LINE 6A: FOR THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT REDLANDS COMMUNITY HOSPITAL (RCH) PARTICIPATED IN THE PROCESS HOSTED BY COMMUNITIES LIFTING COMMUNITIES (CLC) AN AFFILIATE OF THE HOSPITAL ASSOCIATION OF SOUTHERN CA (HASC). IN COLLABORATION WITH FIVE HOSPITAL SYSTEMS, RCH WORKED COLLECTIVELY TO DESIGN THE OVERALL 2022 CHNA STRATEGY AND THE COORDINATION OF PRIMARY AND SECONDARY DATA COLLECTION. THE HOSPITALS THAT PARTICIPATED IN THE 2022 REGIONAL CHNA INCLUDED:REDLANDS COMMUNITY HOSPITALMONTCLAIR HOSPITAL MEDICAL CENTERSAN ANTONIO REGIONAL HOSPITALSAN GORGONIO MEMORIAL HOSPITALCHINO VALLEY MEDICAL CENTER REDLANDS COMMUNITY HOSPITAL PART V, SECTION B, LINE 6B: OTHER ORGANIZATIONS THAT PARTICIPATED IN THE 2022 CHNA DEVELOPEMENT WERE: RIVERSIDE UNIVERSITY HEALTH SYSTEM PUBLIC HEALTH, SAN BERNARDINO COUNTY DEPARTMENT OF PUBLIC HEALTH, CALAIM PATH COLLABORATIVE PLANNING AND IMPLEMENTATION GROUP AND STEERING COMMITTEE, INLAND EMPIRE BEHAVIORAL HEALTH COLLABORATIVE, DIGNITY HEALTH: COMMUNITY HOSPITAL OF SAN BERARDINO AND ST BERNARDINE MEDICAL CENTER, ST MARY MEDICAL CENTER, KAISER PERMANENTE (APPLE VALLEY, FONTANA, ONTARIO, RIVERSIDE), LOMA LINDA UNIVERSITY, IEHP, AND MOLINA HEALTHCARE. REDLANDS COMMUNITY HOSPITAL PART V, SECTION B, LINE 7D: THE CHNA IS SUBMITTED TO THE DEPARTMENT OF HEALTH CARE ACCESS AND INFORMATION (HCAI) AND THEY MAKE IT AVAILABLE ON THE HCAI WEBSITE. REDLANDS COMMUNITY HOSPITAL PART V, SECTION B, LINE 11: THE STAKEHOLDERS REVIEWED PRIMARY DATA THAT WAS COLLECTED FOR THE INLAND EMPIRE REGIONAL CHNA FROM TWO SOURCES: KEY INFORMANT INTERVIEWS AND COMMUNITY LISTENING SESSIONS. STAKEHOLDERSIDENTIFIED 101 KEY INFORMANTS WHO REPRESENTED COMMUNITY, CIVIC AND GOVERNMENT LEADERS, AND INTERVIEWED THEM INDIVIDUALLY TO IDENTIFY AREAS OF NEED. REDLANDS COMMUNITY HOSPITAL'S PRIORITY OF FOCUS IS ACCESS TO BEHAVIORAL HEALTH, ACCESS TO PRIMARY CARE AND ACCESS TO PRENATAL CARE.THE HOSPITAL CONTINUES TO OWN AND OPERATE TWO PRIMARY CARE MEDICAL CLINICS AND A COMMUNITY-BASED PERINATAL OUTREACH PROGRAM. BOTH PROGRAMS OFFER ACCESS TO CARE FOR VULNERABLE POPULATIONS AND THE FACILITIES ARE LOCATED IN HIGH-RISK AREAS OF THE COMMUNITY. THE HOSPITAL CONTINUES TO EXPLORE OPPORTUNITIES FOR PARTNERSHIPS AND OPENING ADDITIONAL MEDICAL CLINICS TOINCREASE ACCESS.THE HOSPITAL OWNS AND OPERATE TWO PRIMARY CARE MEDICAL CLINICS AND A COMMUNITY-BASED PERINATAL OUTREACH PROGRAM. BOTH PROGRAMS OFFER ACCESS TO CARE FOR VULNERABLE POPULATIONS AND THE FACILITIES ARE LOCATED IN HIGH-RISK AREAS OF THE COMMUNITY. THE GOAL OF THE CLINICS IS TO PROVIDE HIGH-QUALITY, LOW COST HEALTH TO PEOPLE WHO DO NOT OTHERWISE HAVE ACCESS WHICH MAY BE DUE TO FINANCIAL, CULTURAL, LIFESTYLE, OR PSYCHOLOGICAL BARRIERS. THE EMPHASIS IS TO PROVIDE DISEASE SPECIFIC PATIENT/FAMILY EDUCATION, PROMOTING HEALTH AND WELLNESS, AND THE SUPPORT NECESSARY TO PROMOTE INDIVIUALIZED HEALTHCARE DECISION MAKING. THE HOSPITAL CONTINUES TO EXPLORE OPPORTUNITIES FOR PARTNERSHIPS AND OPENING ADDITIONAL MEDICAL CLINICS TO INCREASE ACCESS. OUR OUTPATIENT BEHAVIORAL MEDICINE PROGRAM SERVES AS A MULTI-DISCIPLINARY RECOVERY-ORIENTED PROGRAM THAT FOCUSES ON THE ADULT-INDIVIDUAL'S POSITIVE ATTRIBUTES AND STRENGTHS. WE PROVIDE ADULT PATIENTS A SAFE, PERSONALIZED SUPPORTIVE ENVIRONMENT WITH THE SENSITIVE AND INTENSIVE TREATMENT THEY DESERVE. WE ARE COMMITTED TO SUPPORTING INDIVIDUALS TO BUILD RESILIENCE AND REGAIN THEIR FOOTING WITHIN THE COMMUNITY. REDLANDS COMMUNITY HOSPITAL HAS MADE IT A GOAL TO EXPAND THE OUTPATIENT BEHAVIORAL MEDICINE PROGRAM TO MEET OUR COMMUNITY'S ON-GOING MENTAL HEALTH NEEDS. REDLANDS COMMUNITY HOSPITAL PART V, SECTION B, LINE 13B: RCH USES THE FEDERAL POVERTY GUIDELINES (FPG), WITH FPG FAMILY INCOME LIMIT FOR ELIGIBILITY FOR FREE CARE OF 299% AND FPG FAMILY INCOME LIMIT FOR DISCOUNTED CARE OF 400%. REDLANDS COMMUNITY HOSPITAL PART V, SECTION B, LINE 18E: REDLANDS COMMUNITY HOSPITAL MAKES NUMEROUS EFFORTS TO DETERMINE THE INDIVIDUAL'S ELIGIBILITY UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. REDLANDS COMMUNITY HOSPITAL DID NOT TAKE ANY EXTRAORDINARY MEASURES AND MAKES A REASONABLE EFFORT TO DETERMINE THE INDIVIDUAL'S ELIGIBILITY. PART V, LINE 16A, FAP WEBSITE: HTTPS://WWW.REDLANDSHOSPITAL.ORG/PATIENT-VISITORS/FOR-PATIENTS/INSURANCE-BILLING/FINANCIAL-ASSISTANCE-POLICY-FAP-/ PART V, LINE 16B, FAP APPLICATION WEBSITE: HTTPS://WWW.REDLANDSHOSPITAL.ORG/PATIENT-VISITORS/FOR-PATIENTS/INSURANCE-BILLING/FINANCIAL-ASSISTANCE-POLICY-FAP-/ PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: HTTPS://WWW.REDLANDSHOSPITAL.ORG/PATIENT-VISITORS/FOR-PATIENTS/INSURANCE-BILLING/FINANCIAL-ASSISTANCE-POLICY-FAP-/ PART I, LINE 7: COST-TO-CHARGE RATIOS WERE USED IN DETERMINING COST. IN ADDITION, FOR MEDICARE RELATED COST, THE STEP-DOWN METHOD OF COST FINDING WAS USED. FOR THIS METHOD, ALL COSTS OF NON-REVENUE PRODUCING CENTERS ARE ALLOCATED TO ALL CENTERS WHICH THEY SERVE, REGARDLESS OF WHETHER OR NOT THESE CENTERS PRODUCE REVENUE. PART II, COMMUNITY BUILDING ACTIVITIES: HOSPITAL EMPLOYEES SPENT APPROXIMATELY 893 HOURS ORGANIZING NUMEROUS COMMUNITY VACCINATION CLINICS, GRIEF SUPPORT EVENTS, HEALTH FAIRS, BLOOD DRIVES AND BENEFIT EVENTS THAT SUPPORT ILL AND INDIGENT MEMBERS OF THE COMMUNITY. IN ADDITION, THEY PROVIDED HOLIDAY BASKETS FOR SENIORS, HIGH SCHOOL STUDENT ADVISORY PROGRAMS AS WELL AS CPR AND SAFETY CLASSES TO MEMBERS OF THE COMMUNITY. PART II, LINE 7 LEADERSHIP, ADVOCACY AND PARTICIPATION IN COMMUNITY HEALTH PLANNING COSTS FACILITATE BRINGING BENEFITS TO THE AT-RISK AND VULNERABLE POPULATIONS IN THE COMMUNITY. HOSPITAL STAFF, BOARD STAFF AND MEDICAL STAFF VOLUNTEERS PROVIDE LEADERSHIP SKILLS THAT BRING FACILITATOR, CONVENER AND CAPACITY CONSULTATION TO THE COMMUNITY HEALTHCARE COLLABORATION EFFORTS. PART III, LINE 8: INDIVIDUALS 65 YEARS AND OLDER ARE THE FASTEST GROWING AGE GROUP IN REDLANDS COMMUNITY HOSPITAL'S PRIMARY SERVICE AREA, WITH PROJECTED GROWTH ESTIMATED AT 13.1% OVER THE NEXT 5 YEARS. PROVIDING NECESSARY HEALTHCARE SERVICES TO THIS GROWING POPULATION OF MEDICARE BENEFICIARIES IS ESSENTIAL TO PROMOTING THE HEALTH OF THE COMMUNITY AS A WHOLE.HOSPICE REVENUE OF $4,067,020 IS FROM THE PS&R REPORT. REVENUE DERIVED FROM FEE REIMBURSED MEDICARE SERVICES, NOT INCLUDED IN THE COST REPORT, WAS $216,067 AND THE ASSOCIATED COST OF THESE SERVICES WAS $375.428 CREATING A SHORTFALL OF ($159,361). IN ADDITION, REVENUE FROM SERVICES PROVIDED TO NON-RCH CAPITATED SENIOR HMO PATIENTS WAS $88,132,854 WITH ASSOCIATED COSTS OF $114,039,476 FOR A SHORTFALL OF ($25,906,622).THE STEP-DOWN METHOD OF COST FINDING WAS USED. ALL COSTS OF NON-REVENUE PRODUCING CENTERS ARE ALLOCATED TO ALL CENTERS WHICH THEY SERVE, REGARDLESS OF WHETHER OR NOT THESE CENTERS PRODUCE REVENUE.THE MEDICARE COST REPORT USES PATIENT DAYS TO APPORTION ROUTINE, SPECIAL CARE AND SNF NURSING COSTS TO THE MEDICARE PROGRAM. ANCILLARY COSTS ARE APPORTIONED USING GROSS CHARGES. HOME HEALTH AND HOSPICE COSTS ARE APPORTIONED USING PATIENT VISITS AND UNDUPLICATED DAYS. PART III, LINE 9B: IF A PATIENT DEMONSTRATES THAT THEY HAVE INCOME LEVELS AT OR BELOW 400% OF THE FEDERAL POVERTY LIMIT, THEY WOULD BE SCREENED FOR CHARITY CARE AND TAKEN OUT OF THE COLLECTION PROCESS PROVIDED THEY COMPLETED OUR CHARITY CARE APPLICATION AND SUBMITTED THE REQUIRED VERIFICATION AND DOCUMENTATION TO SUPPORT THEIR CLAIM. PART VI, LINE 2: NEEDS ASSESSMENT: SEE RESPONSE TO COMMUNITY NEEDS ASSESSMENT, PART V, SECTION B, LINE 3. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: ALL SELF PAY PATIENTS RECEIVE INFORMATION REGARDING OUR FINANCIAL ASSISTANCE AND DISCOUNT POLICIES AT THE TIME OF TREATMENT AT OUR FACILITY. THEY ARE ALSO PROVIDED WITH INFORMATION REGARDING ANY POSSIBLE FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAM THAT THEY MAY BE ELIGIBLE FOR AT THE TIME OF ADMISSION. ADDITIONALLY THEY RECEIVE DUPLICATES OF THIS INFORMATION AT THE TIME OF 1ST BILLING. SIGNS REGARDING OUR POLICY ARE PLACED THROUGHOUT THE FACILITY IN AN ATTEMPT TO INFORM PATIENTS AND THEIR FAMILIES ABOUT OUR ASSISTANCE PROGRAMS. PART VI, LINE 4: COMMUNITY INFORMATION: LOCATED IN THE MOST DENSELY POPULATED AREA OF SAN BERNARDINO COUNTY, COMMUNITIES IDENTIFIED AS BEING IN THE PRIMARY SERVICE AREA OF THE HOSPITAL ARE BANNING, BEAUMONT, CALIMESA, HIGHLAND, LOMA LINDA, MENTONE, REDLANDS, AND YUCAIPA. THE SECONDARY SERVICE AREA IS COMPRISED OF THE CITIES OF COLTON, CRESTLINE, FONTANA, GRAND TERRACE, RIALTO, SAN BERNARDINO, AND SEVERAL MOUNTAIN COMMUNITIES. THE FASTEST GROWING ETHNIC GROUP IS MULTIRACIAL; THE HISPANIC/LATINO AND BLACK/AFRICAN AMERICAN POPULATION WILL CONTINUE TO GROW AT A SLIGHTLY HIGHER RATE THAN THE WHITE POPULATION. THE PERCENTAGE OF THE POPULATION OVER THE AGE OF 65 IN THE PRIMARY SERVICE AREA IS ESTIMATED TO INCREASE 13% OVER THE NEXT FIVE YEARS. THIS GROWTH WILL REQUIRE SUSTAINED HEALTHCARE SERVICES AND AVAILABILITY. THE POPULATION GROWTH IN OUR PRIMARY SERVICE AREA IS EXPECTED TO GROW BY 3.7% OVER THE NEXT FIVE YEARS. THE PRIMARY SERVICE AREA MEDIAN AND AVERAGE HOUSEHOLD INCOMES ARE EXPECTED TO CONTINUE TO BE BELOW THOSE OF THE STATE THROUGH 2027. PART VI, LINE 5: COMMUNITY BASED PRIMARY CARE: REDLANDS COMMUNITY HOSPITAL OPERATES TWO FAMILY CLINICS, ONE IN REDLANDS AND ONE IN YUCAIPA, WHOSE GOAL IS TO PROVIDE HIGH-QUALITY, LOWCOST HEALTHCARE SERVICES TO PEOPLE WHO DO NOT OTHERWISE HAVE ACCESS WHICH MAY BE DUE TO FINANCIAL, CULTURAL, LIFESTYLE, OR PSYCHOLOGICAL BARRIERS. THE CLINICS PROVIDE INDIVIDUALIZED PATIENT/FAMILY EDUCATION, WITH EMPHASIS ON PROMOTING HEALTH AND WELLNESS.PERINATAL SERVICES (MATERNAL/INFANT HEALTH): THE COMMUNITY BASED PERINATAL SERVICES PROGRAM PROVIDES A VARIETY OF SERVICES PRIOR TO AND AFTER DELIVERY WITH GOALS OF IMPROVING THE OUTCOME OF EVERY PREGNANCY TO GIVE EVERY BABY A HEALTHY START IN LIFE.THE DIABETES AND PREGNANCY EDUCATION PROGRAM PROVIDES EDUCATION, EVALUATION AND INTERVENTION FOR PREGNANT WOMEN WITH DIABETES OR FOR WOMEN WITH DIABETES PLANNING TO BECOME PREGNANT.COMMUNITY CASE MANAGEMENT SERVICES INCLUDE IN-HOME ASSESSMENT OF NEEDS, DEVELOPMENT OF A PLAN OF CARE SPECIFYING GOALS WITH IMPLEMENTATION AND COLLABORATION WITH TEAM MEMBERS, AND EDUCATION OF PATIENT/FAMILY TO ENABLE SUCCESSFUL MANAGEMENT OF CARE.THE CLINICAL CHAPLAIN AT REDLANDS COMMUNITY HOSPITAL PROVIDES SPIRITUAL AND EMOTIONAL SUPPORT TO PATIENTS, FAMILIES, PHYSICIANS, AND STAFF. SERVING AS A PART OF THE CLINICAL TEAM ACROSS VARIOUS HOSPITAL UNITS - INCLUDING THE ICU, SURGICAL SERVICES, AND EMERGENCY DEPARTMENTTHE CHAPLAIN ADDRESSES SPIRITUAL CONCERNS, END-OF LIFE ISSUES, AND RELIGIOUS NEEDS IMPACTING PATIENT CARE AND RECOVERY.HOMELESS PATIENT DISCHARGE PLANNING SERVICES PROVIDE MEDICAL EXAMINATIONS AND SCREENINGS, MEALS, TRANSPORTATION, CLOTHING AND PRESCRIPTIONS ARE FREE OF COST WITH A GOAL OF IMPROVING HEALTH CARE FOR THE HOMELESS POPULATION BY PROVIDING DIRECT CARE AND LINKAGE TO FOLLOW-UP SERVICES WITHIN THE COMMUNITY.REDLANDS COMMUNITY HOSPITAL PARTICIPATED IN NUMEROUS HEALTH FAIRS, HEALTH SCREENING AND FREE IMMUNIZATION PROGRAMS FOR THE COMMUNITY. PART VI, LINE 7, REPORTS FILED WITH STATES CA 1 REDLANDS COMMUNITY HOSPITAL FOUNDATION 350 TERRACINA BLVD REDLANDS CA 92373 953368018 501(C)(3) 754528 0 CAPITAL INVESTMENT 1 0 PART I, LINE 2: AS PART OF THE OVERALL OPERATION OF THE RELATED ORGANIZATIONS, REDLANDS COMMUNITY HOSPITAL KEEPS CAREFUL TRACK OF THE USE OF FUNDS WHICH INCLUDE FUNDS GRANTED TO RELATED ORGANIZATIONS. X 1 1 X X X 1 0 0 0 0 0 0 1 0 JAMES HOLMES PRESIDENT/CEO 814709 0 313503 0 2472 0 12938 0 16125 0 1159747 0 0 0 MICHELLE MOK CHIEF FINANCIAL OFFICER 599791 0 142799 0 1980 0 12938 0 1773 0 759281 0 0 0 JOYCE VOLSCH VP PATIENT CARE SERVICES 351907 0 90275 0 1980 0 1852 0 13811 0 459825 0 0 0 TODD SEXTON VP PROFESSIONAL & GENERAL SERVICES 320946 0 88419 0 1290 0 12938 0 29975 0 453568 0 0 0 KAREN ZIRKLE VP BUSINESS DEVELOPMENT 310579 0 85526 0 1290 0 12315 0 9253 0 418963 0 0 0 DELLA STRANGE VP HUMAN RESOURCES 301213 0 51999 0 1302 0 1852 0 13733 0 370099 0 0 0 MANDY LENT DIRECTOR CASE MANAGEMENT 180125 0 14870 0 99428 0 7386 0 6683 0 308492 0 0 0 PART I, LINE 1A TAX INDEMNIFICATION AND/OR GROSS-UP PAYMENTS ARE PROVIDED TO CEO FOR LIFE INSURANCE PREMIUMS AND AUTOMOBILE ALLOWANCE AND ARE INCLUDED IN TAXABLE COMPENSATION. PART I, LINE 4A MANDY LENT RECEIVED A SEVERANCE PAYMENT DURING THE YEAR FOR $98,488. JAMES HOLMES RECEIVED A SEVERANCE AGREEMENT DURING THE YEAR WITH THE FOLLOWING TERMS: -$819,341 TO BE PAID AFTER 12/31/25 IN SALARY CONTINUATION. -$300,000 TO BE PAID IN LUMP SUM ON OR BEFORE 12/31/25. -HIS BENEFITS ENDED 12/31/25. PART I, LINE 7 EXECUTIVE INCENTIVE COMPENSATION AWARDS ARE DETERMINED AS A PERCENTAGE OF THE EXECUTIVE'S ANNUAL BASE SALARY, EITHER 35% (PRESIDENT/CEO) OR 20% (VICE PRESIDENTS). THIS BASE AMOUNT IS THEN SUBJECT TO FOUR PERFORMANCE MEASURES WEIGHTED AS FOLLOWS: 25% FOR ORGANIZATIONAL PERFORMANCE CONSISTING OF FINANCIAL PERFORMANCE AND STRATEGIC PLAN PERFORMANCE OF THE ORGANIZATION, AND 75% FOR INDIVIDUAL PERFORMANCE CONSITING OF INDIVIDUAL STRATEGIC OBJECTIVES AND QUALITY PERFORMANCE THRESHOLDS. A CALIF STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY 680164610 13080SPM0 2016-11-10 99999207 SEE PART VI 0 0 0 A 11710000 101545524 27996 1490609 55270133 44756787 2021 1 0 1 1 A 0 1 1 1 0 0.00200 0.00200 0 0 1 A 0 0 1 1 0 0 0 1 1 A 1 SCHEDULE K, PART I, ISSUE C, PART I, COLUMN (F): THE SERIES 2016 BONDS CURRENTLY REFUNDED THE BORROWER'S SERIES 2013 BONDS WHICH WERE ISSUED ON APRIL 1, 2013 AND FUNDED THE FACILITY EXPANSION PROJECT. SCHEDULE K, PART I, COLUMN (E) AND PART II, LINE 3: THE TOTAL PROCEEDS SHOWN IN PART II, LINE 3 DIFFERS FROM THE ISSUE PRICE SHOWN IN PART I, COLUMN (E) DUE TO INTEREST EARNINGS ON INVESTED PROCEEDS. SCHEDULE K, PART III, LINE 7: AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS REPORTED IN PART III, LINE 6, IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. SCHEDULE K, PART IV, LINE 2C: THE FIRST REBATE REPORT IS COMPLETED AT THE 5 YEAR MARK, WHICH WAS NOVEMBER 10, 2021. THERE IS NO REBATE DUE. KELLY NORTH FAMILY MEMBER OF RICHARD BEEMER, DIRECTOR 116642 COMPENSATION 0 FORM 990, PART VI, SECTION B, LINE 11B AFTER REVIEW BY THE CFO AND PRESIDENT/CEO, THE CFO PRESENTED THE DRAFT IRS FORM 990 TO THE REDLANDS COMMUNITY HOSPITAL AUDIT COMMITTEE FOR THEIR REVIEW. SUBSEQUENTLY, COPIES WERE MADE AVAILABLE TO THE BOARD OF DIRECTORS AT THEIR MONTHLY BOARD MEETING, PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C GENERAL COUNSEL REVIEWS ANNUAL TRUSTEE DISCLOSURES AND COMPILES A RESPONSE FOR MANAGEMENT OF ANY POTENTIAL CONFLICTS. IN THE CASE OF A POTENTIAL OR ACTUAL CONFLICT, THE TRUSTEE WOULD RECUSE HIMSELF FROM MANAGEMENT DECISIONS RELATED TO THAT CONFLICT. DISCLOSURE IS A CONTINUOUS DUTY. FORM 990, PART VI, SECTION B, LINE 15 RCH USES AN INDEPENDENT CONSULTANT ON AN ANNUAL BASIS TO REVIEW TOTAL COMPENSATION, PAY AND BENEFITS, FOR THE CEO AND CFO. THE CONSULTANT MAKES RECOMMENDATIONS TO THE EXECUTIVE COMMITTEE OF THE GOVERNING BOARD, AND THEY HAVE FINAL APPROVAL. THE HUMAN RESOURCES DEPARTMENT PARTICIPATES IN AN ANNUAL INDEPENDENT SALARY SURVEY. MARKET DATA IS COMPARED TO THE RCH SALARY RANGE, PRIMARILY BASED ON THE SIZE OF THE FACILITY. ACTUAL COMPENSATION IS DETERMINED BASED ON THE INDIVIDUAL'S EXPERIENCE AND PERFORMANCE WITHIN THE SALARY RANGE ESTABLISHED. THIS IS DETERMINED BASED ON HUMAN RESOURCE POLICY. FORM 990, PART VI, SECTION C, LINE 19 THE AUDITED FINANCIAL STATEMENTS, GOVERNING/ORGANIZING DOCUMENTS, AND CONFLICT OF INTEREST POLICY ARE ALL AVAILABLE UPON REQUEST. REDLANDS HEALTH FOUNDATION 350 TERRACINA BLVD REDLANDS CA 92373 330900937 SUPPORT THE HOSPITAL CA 501(C)(3) 12-I REDLANDS COMMUNITY HOSPITAL 1 RHS CORP 350 TERRACINA BLVD REDLANDS CA 92373 330130773 HOSPITAL SUPPORT CORP CA 501(C)(3) 12-III-FI N/A 0 REDLANDS COMMUNITY HOSPITAL FOUNDATION 350 TERRACINA BLVD REDLANDS CA 92373 953368018 FUNDRAISING FOUNDATION CA 501(C)(3) 12-III-FI RHS CORP 0 REDLANDS COMMUNITY HOSPITAL AUXILIARY 350 TERRACINA BLVD REDLANDS CA 92373 956096710 SUPPORT THE HOSPITAL CA 501(C)(3) 12-III-FI N/A 0 REDLANDS HEALTH SERVICES 350 TERRACINA BLVD REDLANDS CA 92373 330128593 PATIENT CARE SERVICE CA N/A C 0 REDLANDS SURGICAL SERVICES 350 TERRACINA BLVD REDLANDS CA 92373 330433979 PATIENT CARE SERVICE CA N/A C 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1