FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER (EIN 94-1156276)
Tax period: 2024-09-01 to 2025-08-31
Filed: 2026-07-13
IRS object ID: 202641949349301414
Schema version: 2024v5.5
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-07-13T13:35:17-05:00	ReturnTs
Tax Period End	2025-08-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	390859910	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BAKER TILLY ADVISORY GROUP LP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	3121 W MARCH LN STE 200	AddressLine1Txt
City	STOCKTON	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	952192367	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-09-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	941156276	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	FRESNO COMMUNITY HOSPITAL	BusinessNameLine1Txt
Business Name Line2	AND MEDICAL CENTER	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	FRES	BusinessNameControlTxt
Phone	5594596000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1560 E SHAW AVENUE	AddressLine1Txt
City	FRESNO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	93710	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DEBORAH MOFFETT	PersonNm
Person Title	VP, FINANCE	PersonTitleTxt
Phone	5594596000	PhoneNum
Signature	2026-07-09	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	WENDY CAMPOS	PreparerPersonNm
PTIN	P00448102	PTIN
Phone	2099556100	PhoneNum
Preparation	2026-07-09	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	SEE SCHEDULE O	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	CRAIG WAGONER	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1560 E SHAW AVENUE	AddressLine1Txt
City	FRESNO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	93710	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$4,221,473,829	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.COMMUNITYMEDICAL.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1947	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	FCH&MC MEETS THE MEDICAL NEEDS OF ITS COMMUNITY THROUGH ITS ACUTE-CARE HOSPITALS AND FACILITIES.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	8818	TotalEmployeeCnt
Total Volunteers	976	TotalVolunteersCnt
Total Gross UBI	$28,853,983	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$656,436	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$11,416,708	PYContributionsGrantsAmt
CY Contributions Grants	$22,850,121	CYContributionsGrantsAmt
PY Program Service Revenue	$2,643,561,356	PYProgramServiceRevenueAmt
CY Program Service Revenue	$2,491,095,305	CYProgramServiceRevenueAmt
PY Investment Income	$78,456,282	PYInvestmentIncomeAmt
CY Investment Income	$55,718,243	CYInvestmentIncomeAmt
PY Other Revenue	$9,031,628	PYOtherRevenueAmt
CY Other Revenue	$10,534,842	CYOtherRevenueAmt
PY Total Revenue	$2,742,465,974	PYTotalRevenueAmt
CY Total Revenue	$2,580,198,511	CYTotalRevenueAmt
PY Grants And Similar Paid	$492,306	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$246,973	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$1,092,237,000	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$1,172,805,000	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,331,002,891	PYOtherExpensesAmt
CY Other Expenses	$1,288,080,518	CYOtherExpensesAmt
PY Total Expenses	$2,423,732,197	PYTotalExpensesAmt
CY Total Expenses	$2,461,132,491	CYTotalExpensesAmt
PY Revenues Less Expenses	$318,733,777	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$119,066,020	CYRevenuesLessExpensesAmt
Total Assets BOY	$3,113,716,823	TotalAssetsBOYAmt
Total Assets EOY	$3,199,235,760	TotalAssetsEOYAmt
Total Liabilities BOY	$1,156,851,315	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,129,158,040	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,956,865,508	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$2,070,077,720	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER (FCH&MC) EXISTS TO BETTER THE LIVES OF ALL THOSE WE SERVE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$2,245,318,456	ExpenseAmt
Grant	$246,973	GrantAmt
Revenue	$2,463,241,163	RevenueAmt
Desc	FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER OPERATES TWO ACUTE-CARE HOSPITALS AND NUMEROUS OUTPATIENT CENTERS, CLINICS AND OTHER SERVICES WHICH MEET THE HEALTHCARE NEEDS OF THE COMMUNITY. SEE SCHEDULE O FOR ADDITIONAL DETAILS.- COMMUNITY REGIONAL MEDICAL CENTER. CRMC IS A TERTIARY ACUTE CARE FACILITY THAT PROVIDES THE PRIMARY SERVICE AREA AND SECONDARY SERVICE AREA WITH THE FOLLOWING SERVICES: (I) THE CENTRAL VALLEY'S ONLY LEVEL I TRAUMA CENTER, (II) THE COMMUNITY REGIONAL BURN CENTER, (III) A LEVEL III NEONATAL INTENSIVE CARE UNIT, (IV) COMPREHENSIVE INPATIENT AND OUTPATIENT SERVICES, INCLUDING TECHNOLOGICALLY ADVANCED MEDICAL/SURGICAL SPECIALTIES SUCH AS CARDIOVASCULAR, NEUROSCIENCE, ORTHOPEDICS, (V) THE COMMUNITY FAMILY BIRTH CENTER, (VI) GENERAL AND SPECIALTY INTENSIVE CARE UNITS, (VII) THE LEON S. PETERS REHABILITATION CENTER, (VIII) INPATIENT AND OUTPATIENT CANCER TREATMENT, (IX) PATHOLOGY AND CLINICAL LABORATORY SERVICES, (X) DIALYSIS TREATMENT FACILITIES, (XI) DIAGNOSTIC RADIOLOGY SERVICES, (XII) SHORT STAY SURGERY SERVICES, (XIII) A CARDIOVASCULAR CARE UNIT, AND (XIV) 24 HOUR EMERGENCY SERVICES. CRMC IS ALSO A TEACHING HOSPITAL THAT IS AFFILIATED WITH UCSF. THE MAIN CAMPUS OF CRMC CONSISTS OF A HOSPITAL BUILDING WITH FIVE AND 10-STORY WINGS, CONNECTED TO A FIVE STORY TRAUMA AND CRITICAL CARE BUILDING. CRMC ALSO PROVIDES (I) BEHAVIORAL HEALTH SERVICES AT A FREESTANDING FACILITY IN NORTHERN FRESNO KNOWN AS THE COMMUNITY BEHAVIORAL HEALTH CENTER ("CBHC"), (II) SUBACUTE AND SKILLED NURSING SERVICES AT A FREESTANDING FACILITY IN NORTHERN FRESNO KNOWN AS THE COMMUNITY SUBACUTE AND TRANSITIONAL CARE CENTER ("CSTCC"), AND (III) HIV, SURGICAL, DENTAL, AND OMFS SERVICES ARE OFFERED AT THE DERAN KOLIGIAN AMBULATORY CARE CENTER LOCATED ON THE CRMC MAIN CAMPUS (THE "FRESNO CAMPUS"). - CLOVIS COMMUNITY MEDICAL CENTER. CCMC IS LOCATED IN THE CITY OF CLOVIS (WHICH IS CONTIGUOUS TO THE CITY OF FRESNO), WHERE IT SERVES THE PRIMARY SERVICE AREA AND, TO A LESSER DEGREE, THE SECONDARY SERVICE AREA. THE CHS CAMPUS IN CLOVIS (THE "CLOVIS CAMPUS") INCLUDES THE MAIN FACILITY, WHICH CONSISTS OF AN ACUTE CARE HOSPITAL WITH TWO FIVE-STORY TOWERS AND A THREE-STORY TOWER CONNECTED TO AN OUTPATIENT SURGERY/ENDOSCOPY/DIAGNOSTIC CENTER. THE FACILITY HAS ALL PRIVATE ROOMS. THE FACILITY PROVIDES: (I) COMPREHENSIVE MEDICAL AND SURGICAL CAPABILITIES, (II) 24-HOUR EMERGENCY CARE, (III) AN INTENSIVE CARE UNIT, (IV) THE COMMUNITY FAMILY BIRTH CENTER, (V) THE MARJORIE E. RADIN BREAST CARE CENTER (VI) SHORT STAY AND INPATIENT SURGICAL SERVICES, INCLUDING ROBOTICS AND ADVANCED MINIMALLY INVASIVE SURGERY, (VII) A LEVEL II NEONATAL INTENSIVE CARE UNIT, (VIII) INPATIENT CANCER TREATMENT, (IX) PATHOLOGY AND CLINICAL LABORATORY SERVICES, (X) ADVANCED DIAGNOSTIC AND INTERVENTIONAL RADIOLOGY, AND (XI) INVASIVE AND NON-INVASIVE CARDIAC SERVICES. OTHER FACILITIES AND SERVICES PROVIDED ON THE CLOVIS CAMPUS INCLUDE: (I) AN OUTPATIENT WOUND CARE CLINIC WITH TWO HYPERBARIC OXYGEN CHAMBERS, (II) AN OUTPATIENT PHYSICAL REHABILITATION CLINIC, INCLUDING LYMPHEDEMA THERAPY, (III) COMMUNITY CANCER INSTITUTE (CCI), A THREE-STORY BUILDING WHICH IS CENTRAL CALIFORNIA'S PREMIER COMPREHENSIVE CANCER CARE CENTER - AND THE ONLY ONE IN THE AREA WITH MANY OUTPATIENT SERVICES IN A SINGLE LOCATION, AND (IV) THE H. MARCUS RADIN CONFERENCE CENTER, WHICH OPENED IN 2012 AND PROVIDES A 214- SEAT AUDITORIUM THAT IS FULLY INTEGRATED FOR TRAINING IN CHS'S OPERATING ROOMS AND FOR BROADCASTING OTHER EVENTS, AND TWO STATE-OF-THE-ART COMPUTER TRAINING LABS.- FRESNO HEART AND SURGICAL HOSPITAL. HEART HOSPITAL IS AN ACUTE CARE FACILITY WITH ALL PRIVATE ROOMS LOCATED IN THE CITY OF FRESNO OVERLOOKING WOODWARD PARK IN NORTHEAST FRESNO. THE FACILITY OPENED IN OCTOBER 2003 AND PROVIDES THE PRIMARY AND SECONDARY SERVICE AREAS WITH (I) CARDIOLOGY AND CARDIAC SURGERY SERVICES, (II) VASCULAR SURGERY SERVICES, AND (III) BARIATRIC AND OTHER MINIMALLY INVASIVE SURGERY SERVICES. THE ORGANIZATION IS THE PRINCIPAL TEACHING HOSPITAL IN THE CENTRAL VALLEY THROUGH A GRADUATE MEDICAL EDUCATION PROGRAM AFFILIATED WITH THE UNIVERSITY OF CALIFORNIA AT SAN FRANCISCO MEDICAL EDUCATION PROGRAM. CHS SUPPORTS A FULLY ACCREDITED EDUCATIONAL PROGRAM WITH CALIFORNIA STATE UNIVERSITY, FRESNO, BY PROVIDING CLINICAL EXPERIENCE TO ITS NURSING, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY AND DIETETIC STUDENTS. ADDITIONALLY, THE ORGANIZATION PROVIDES CLINICAL EXPERIENCE TO FRESNO CITY COLLEGE'S NURSING, SURGERY AND RADIOLOGY TECHNOLOGY STUDENTS. CHS ALSO PROVIDES CLINICAL EXPERIENCE TO STUDENTS IN THE SAN JOAQUIN VALLEY COLLEGE LVN TO RN PROGRAM, FRESNO ADULT SCHOOL AND CLOVIS ADULT SCHOOL LICENSED VOCATIONAL NURSE PROGRAMS, AS WELL AS STUDENTS IN MANY OTHER PROGRAMS AT AREA COMMUNITY COLLEGES. EACH OF THE THREE ACUTE HOSPITALS CONDUCTS EDUCATIONAL PROGRAMS FOR THE BENEFIT OF PHYSICIANS, NURSES, TECHNICIANS, MANAGEMENT PERSONNEL, EMPLOYEES, AND THE PUBLIC. IN ADDITION, CHS SPONSORS NUMEROUS HEALTH PROMOTION AND EDUCATION PROGRAMS FOR ITS EMPLOYEES AND MEMBERS OF THE COMMUNITY IN MANY AREAS, INCLUDING ASTHMA, DIABETES, NUTRITION AND WEIGHT CONTROL, STRESS MANAGEMENT, HEALTH AND WELLNESS, AND SMOKING CESSATION. THE ORGANIZATION IS AN ACTIVE PARTNER IN SEVERAL COMMUNITY SERVICE PROJECTS SUPPORTING EDUCATION IN HEALTH CAREERS FOR HIGH SCHOOLS AND OTHER COMMUNITY GROUPS. TO ADDRESS THE NATION-WIDE NURSING SHORTAGE, THE ORGANIZATION HAS IMPLEMENTED SEVERAL SYSTEM-WIDE INITIATIVES TO INCREASE RECRUITMENT AND RETENTION INCLUDING THE IMPLEMENTATION OF A NURSE RESIDENCY PROGRAM AND CLINICAL LADDER, BOTH DESIGNED TO EXPAND THE EDUCATION OF NEW NURSES AND PROMOTE RETENTION OF A HIGHER PERCENTAGE OF THESE NURSES.	Desc
Total Program Service Expenses	$2,245,318,456	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	Yes (1)	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	Yes (1)	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	234	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	8818	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	Yes (1)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DEBORAH MOFFETT	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	5594596000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1560 E SHAW AVENUE	AddressLine1Txt
City	FRESNO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	93710	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
ROGER STURDEVANT
CHAIR	1.40	0.50	Yes (X)	Yes (X)	$0	$0	$0
GREG ESTEP
CHAIR-ELECT	1.40	2.40	Yes (X)	Yes (X)	$0	$0	$0
KAREN MCCAFFREY
SECRETARY	1.40	0.50	Yes (X)	Yes (X)	$0	$0	$0
SUSAN ABUNDIS
BOARD MEMBER	1.40	0.50	Yes (X)		$0	$0	$0
LORI BENNETT EDD
BOARD MEMBER	1.40	0.50	Yes (X)		$0	$0	$0
RONALD BIERMA MD
BOARD MEMBER (THRU 12/24)	1.40	0.50	Yes (X)		$0	$0	$0
KEITH BOONE MD
BOARD MEMBER	1.40	0.50	Yes (X)		$0	$0	$0
MARK COELHO
BOARD MEMBER	1.40	0.50	Yes (X)		$0	$0	$0
GREG COPELAND DO
BOARD MEMBER (AS OF 02/25)	1.40	0.50	Yes (X)		$0	$0	$0
NICHOLAS DUGAN
BOARD MEMBER (AS OF 02/25)	1.40	0.50	Yes (X)		$0	$0	$0
FABIOLA GONZALEZ
BOARD MEMBER (AS OF 05/25)	1.40	0.50	Yes (X)		$0	$0	$0
GERARDO HERNANDEZ
BOARD MEMBER	1.40	0.50	Yes (X)		$0	$0	$0
WAGIH IBRAHIM MD
BOARD MEMBER	1.40	0.50	Yes (X)		$0	$0	$0
LELAND PARNAGIAN
BOARD MEMBER	1.40	0.50	Yes (X)		$0	$0	$0
JOSHUA PETERSON
BOARD MEMBER (THRU 12/24)	1.40	0.50	Yes (X)		$0	$0	$0
RUTH QUINTO
BOARD MEMBER (THRU 12/24)	1.40	0.50	Yes (X)		$0	$0	$0
CHANDRASEKAR VENUGOPAL MD
BOARD MEMBER	1.40	0.50	Yes (X)		$0	$0	$0
CRAIG S CASTRO - PRES CEO
(THRU 02/25)/CONSULTANT(AS OF 02/25)	55.00	5.00		Yes (X)	$0	$2,275,887	$839,820
CRAIG WAGONER
PRESIDENT & CEO (AS OF 02/25)	55.00	6.90		Yes (X)	$0	$1,725,153	$42,468
CHRISTOPHER NEUMAN
SVP, CHIEF FINANCIAL OFFICER	55.00	5.00		Yes (X)	$0	$1,317,242	$36,699
DEBORAH MOFFETT - VICE
FINANCIAL OFFICER/VP, FINANCE	50.00	5.00		Yes (X)	$0	$547,555	$36,904
ISABEL MARTINEZ - FIRST VS
DIRECTOR CORP GOVERNANCE	40.00	5.00		Yes (X)	$0	$170,781	$40,056
KATHY MELENDEZ - SECOND
VS/BOARD GOVERNANCE SPECIALIST	35.00	5.00		Yes (X)	$0	$92,344	$7,238
BRIANNE L MARRIOTT
SVP, CHIEF LEGAL OFFICER	50.00	5.00			$0	$1,016,326	$44,412	Yes (X)
ALDO DE LA TORRE - DIVISION
PRESIDENT, INS SVCS & MANAGED CARE	50.00	6.90			$0	$921,502	$39,056	Yes (X)
CARLA MILTON
SVP, CHIEF HUMAN RESOURCES OFFICER	50.00	6.90			$0	$883,262	$48,854	Yes (X)
THOMAS UTECHT
SVP, CHIEF MEDICAL OFFICER	50.00	5.00			$1,281,866	$0	$53,220		Yes (X)
JEFFREY THOMAS - VP
CHIEF MEDICAL & QUALITY OFFICER CRMC	50.00	5.00			$710,116	$0	$48,719		Yes (X)
TRACY KIRITANI
VP, HOSPITAL FINANCIAL OPERATIONS	50.00	5.00			$803,315	$0	$41,297		Yes (X)
DANIEL DAVIS
DIVISION PRESIDENT, HOSPITALS	50.00	6.90			$887,056	$0	$37,607		Yes (X)
ALAN CHRISTIANSON
VP, CHIEF OPERATING OFFICER CCMC	50.00	5.00			$510,723	$0	$55,480		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,193,076	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$8,950,052	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,371,830	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	2786	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
CARDINAL HEALTH
PO BOX 56412	LOS ANGELES	CA	90074	MEDICAL	$160,433,785
MEDLINE INDUSTRIES INC
DEPARTMENT LA 21588	PASADENA	CA	91185	MEDICAL	$70,298,387
CCFMG
2625 EAST DIVISADERO	FRESNO	CA	93721	MEDICAL	$65,761,151
THOMAS CUISINE MANAGEMENT
700 E FRANKLIN ROAD	MERIDIAN	ID	83642	FOOD SERVICES	$37,164,351
HALLMARK HEALTH CARE SOLUTIONS
20 CITY SQUARE SUITE 202	CHARLESTOWN	MA	02126	MEDICAL	$23,889,943

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	465	CntrctRcvdGreaterThan100KCnt
Related Organizations	$20,787,902	RelatedOrganizationsAmt
Government Grants	$2,062,219	GovernmentGrantsAmt
Total Contributions	$22,850,121	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
MEDICAL SERVICE	622110	$2,453,382,998	$2,453,382,998
PHARMACY SALES	456110	$30,820,315	$2,966,173	$27,854,142
GRANTS AND CONTRACTS	622110	$6,891,992	$6,891,992

Field	Value	IRS element (for citing)
Total Program Service Revenue	$2,491,095,305	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$33,420,158	TotalRevenueColumnAmt
Exclusion	$33,420,158	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,663,444,935	SecuritiesAmt
Other	$128,468	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,641,199,921	SecuritiesAmt
Other	$75,397	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$22,245,014	SecuritiesAmt
Other	$53,071	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$22,298,085	TotalRevenueColumnAmt
Exclusion	$22,298,085	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
HOSPITAL CAFETERIA REV	722514	$9,429,101	$9,429,101
INCOME FR PARTNERSHIPS	900099	$755,618		$755,618
PARKING AND SECURITY	812930	$244,223		$244,223

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$105,900	TotalRevenueColumnAmt
Exclusion	$105,900	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$10,534,842	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,580,198,511	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,463,241,163	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$28,853,983	UnrelatedBusinessRevenueAmt
Exclusion	$65,253,244	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$246,973	TotalAmt
Program Services	$246,973	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$8,386,840	TotalAmt
Management And General	$8,386,840	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$182,135	TotalAmt
Program Services	$182,135	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$970,281,641	TotalAmt
Program Services	$844,121,350	ProgramServicesAmt
Management And General	$126,160,291	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$32,022,061	TotalAmt
Program Services	$27,859,193	ProgramServicesAmt
Management And General	$4,162,868	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$91,762,566	TotalAmt
Program Services	$79,833,433	ProgramServicesAmt
Management And General	$11,929,133	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$70,169,757	TotalAmt
Program Services	$61,047,689	ProgramServicesAmt
Management And General	$9,122,068	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$323,837	TotalAmt
Management And General	$323,837	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$146,313	TotalAmt
Program Services	$146,313	ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,726,910	TotalAmt
Management And General	$1,726,910	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$419,401,524	TotalAmt
Program Services	$405,334,045	ProgramServicesAmt
Management And General	$14,067,479	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,914,156	TotalAmt
Management And General	$1,914,156	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,011,098	TotalAmt
Management And General	$4,011,098	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$37,121,163	TotalAmt
Program Services	$31,181,777	ProgramServicesAmt
Management And General	$5,939,386	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$608,964	TotalAmt
Program Services	$511,530	ProgramServicesAmt
Management And General	$97,434	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$221,756	TotalAmt
Program Services	$221,756	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$27,799,000	TotalAmt
Program Services	$23,351,160	ProgramServicesAmt
Management And General	$4,447,840	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$84,455,000	TotalAmt
Program Services	$70,942,200	ProgramServicesAmt
Management And General	$13,512,800	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$15,896,000	TotalAmt
Program Services	$13,352,640	ProgramServicesAmt
Management And General	$2,543,360	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
MEDICAL SUPPLIES	$498,943,356	$498,943,356
MEDI-CAL PROVIDER FEE	$99,720,684	$99,720,684
MINOR EQUIPMENT	$48,528,890	$48,528,890
UBI TAX	$100,000	$100,000

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$47,161,867	TotalAmt
Program Services	$39,693,332	ProgramServicesAmt
Management And General	$7,468,535	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,461,132,491	TotalAmt
Program Services	$2,245,318,456	ProgramServicesAmt
Management And General	$215,814,035	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$18,503,625	BOYAmt
EOY	$38,893,751	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$478,041,745	BOYAmt
EOY	$519,599,416	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$10,905,455	BOYAmt
EOY	$9,686,443	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$20,163,088	BOYAmt
EOY	$22,066,005	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$28,475,827	BOYAmt
EOY	$23,794,044	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$13,117,644	BOYAmt
EOY	$13,863,818	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$2,107,796,808	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$964,974,535	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,158,150,535	BOYAmt
EOY	$1,142,822,273	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$816,513,553	BOYAmt
EOY	$731,227,865	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$40,213,006	BOYAmt
EOY	$47,855,342	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,435,968	BOYAmt
EOY	$4,742,014	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$524,196,377	BOYAmt
EOY	$644,684,789	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,113,716,823	BOYAmt
EOY	$3,199,235,760	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$250,102,719	BOYAmt
EOY	$229,109,968	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$544,290	BOYAmt
EOY	$1,869,300	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$698,663,634	BOYAmt
EOY	$683,925,392	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$131,249,362	BOYAmt
EOY	$128,028,294	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$76,291,310	BOYAmt
EOY	$86,225,086	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,156,851,315	BOYAmt
EOY	$1,129,158,040	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,956,865,508	BOYAmt
EOY	$2,070,077,720	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,956,865,508	BOYAmt
EOY	$2,070,077,720	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,113,716,823	BOYAmt
EOY	$3,199,235,760	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$119,066,020	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$4,433,247	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$1,420,561	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$146,313	OtherActivitiesAmt
Total Lobbying Expenditures	$146,313	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	FCH&MC ENGAGED CALIFORNIA HOSPITALS COMMITTEE ON ISSUES (CHCI) SPONSORED BY CALIFORNIA ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS (CAHHS) THROUGH INTERMEDIARY CALIFORNIA HOSPITAL ASSOCIATION TO ASSIST THE CALIFORNIA GENERAL PURPOSE COMMITTEE IN SUPPORT OF CANDIDATES AND BALLOT MEASURES AS IT RELATES TO HEALTHCARE ISSUES.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$15,908,426	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$16,148,551	OtherCostOrOtherBasisAmt
Book Value	$32,056,977	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,415,403,598	OtherCostOrOtherBasisAmt
Depreciation	$496,508,475	DepreciationAmt
Book Value	$918,895,123	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,218,953	OtherCostOrOtherBasisAmt
Depreciation	$6,207,249	DepreciationAmt
Book Value	$11,704	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$575,662,274	OtherCostOrOtherBasisAmt
Depreciation	$462,258,811	DepreciationAmt
Book Value	$113,403,463	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$78,455,006	OtherCostOrOtherBasisAmt
Book Value	$78,455,006	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,142,822,273	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
RECEIVABLE FROM AFFILIATES	$618,565,356
ROU ASSETS	$19,428,190
SUPPLEMENTAL FUNDING	$5,540,148
OTHER ASSETS	$1,151,095

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$644,684,789	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
WORKERS COMPENSATION RESERVE	$37,529,407
LEASE LIABILITY	$17,452,692
MEDICARE SETTLEMENT	$12,104,008
MALPRACTICE - IBNR	$6,179,000
ASSET RETIREMENT OBLIGATION	$5,439,218
PHYSICIAN GUARANTEE PAYABLE	$2,829,863
GROUP HEALTH	$2,797,301
CLAIM ACTIVITY	$1,893,597

Field	Value	IRS element (for citing)
Total Liability	$86,225,086	TotalLiabilityAmt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	OfficesOfficesCnt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt	Specific Services ProvidedSpecificServicesProvidedTxt
CENTRAL AMERICA AND THE CARIBBEAN	0	0	INVESTMENTS	$53,345,619
CENTRAL AMERICA AND THE CARIBBEAN	0	0	PROGRAM SERVICES	$8,926,172	CAPTIVE INSURANCE

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$62,271,791	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$62,271,791	TotalSpentAmt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 3:	FormAndLineReferenceDesc
Explanation	ACCRUAL METHOD	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	400.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	450.000000000000	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,889,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$17,889,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00730	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$467,385,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$254,906,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$212,479,000	NetCommunityBenefitExpnsAmt
Total Expense	0.08640	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,141,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$18,141,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00740	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$503,415,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$254,906,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$248,509,000	NetCommunityBenefitExpnsAmt
Total Expense	0.10110	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	9	ActivitiesOrProgramsCnt
Persons Served	1765	PersonsServedCnt
Total Community Benefit Expns	$659,377	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$36,449	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$622,928	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	30	PersonsServedCnt
Total Community Benefit Expns	$52,795,437	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,796,284	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$41,999,153	NetCommunityBenefitExpnsAmt
Total Expense	0.01710	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$138,084	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$138,084	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	12	ActivitiesOrProgramsCnt
Persons Served	1795	PersonsServedCnt
Total Community Benefit Expns	$53,592,898	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,832,733	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$42,760,165	NetCommunityBenefitExpnsAmt
Total Expense	0.01750	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	12	ActivitiesOrProgramsCnt
Persons Served	1795	PersonsServedCnt
Total Community Benefit Expns	$557,007,898	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$265,738,733	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$291,269,165	NetCommunityBenefitExpnsAmt
Total Expense	0.11860	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$729,837	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$391,464,945	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$475,427,697	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$83,962,752	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	1 CA IMAGING INSTITUTE LLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	MEDICAL IMAGING	PrimaryActivitiesTxt
Org Profit Or Ownership	0.50000	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.00000	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.50000	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
COMMUNITY REGIONAL MEDICAL CENTER
1	2823 FRESNO ST	FRESNO	CA	93721	WWW.COMMUNITYMEDICAL.ORG	040000096	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
CLOVIS COMMUNITY MEDICAL CENTER
2	2755 HERNDON	CLOVIS	CA	93612	WWW.COMMUNITYMEDICAL.ORG	040000004	Yes (X)	Yes (X)		Yes (X)	Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	FACILITY REPORTING GROUP - A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	25	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	25	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	400.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	450.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: COMMUNITY REGIONAL MEDICAL CENTER, - FACILITY 2: CLOVIS COMMUNITY MEDICAL CENTER
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 5:	THE 2025-2028 COMMUNITY HEALTH NEEDS ASSESSMENT COMBINED PRIMARY AND SECONDARY DATA TO IDENTIFY CURRENT HEALTH-RELATED ISSUES IN FRESNO, KINGS, MADERA AND TULARE COUNTIES.PRIMARY DATA WAS COLLECTED DIRECTLY FROM THE COMMUNITY THROUGH IN-PERSON AND VIRTUAL OUTREACH. THE DATA COLLECTION WAS CONDUCTED IN MULTIPLE LANGUAGES AND CONSISTED OF A COMMUNITY-WIDE SURVEY CAMPAIGN, FOCUS GROUPS, LISTENING SESSIONS AND KEY INFORMANT INTERVIEWS. SECONDARY HEALTH INDICATOR DATA WAS COLLECTED FROM PUBLIC SOURCES SUCH AS FEDERAL, STATE AND LOCAL HEALTH DEPARTMENTS. SECONDARY DATA FOR THIS ASSESSMENT WAS COLLECTED AND ANALYZED WITH THE HEALTHY COMMUNITIES INSTITUTE (HCI) COMMUNITY DASHBOARD - A WEB-BASED COMMUNITY HEALTH PLATFORM DEVELOPED BY CONDUENT HEALTHY COMMUNITIES INSTITUTE. THE COMMUNITY DASHBOARD INCLUDES OVER 150 COMMUNITY AND BEHAVIORAL HEALTH INDICATORS COVERING MORE THAN 25 TOPICS IN HEALTH, DETERMINANTS OF HEALTH AND QUALITY OF LIFE. THE DATA IS PRIMARILY DERIVED FROM SECONDARY SOURCES SUCH AS STATE AND NATIONAL SITES. THE VALUE FOR EACH OF THESE INDICATORS IS COMPARED TO OTHER COMMUNITIES, NATIONALLY OR LOCALLY SET TARGETS AND TO PREVIOUS CHNA PERIODS.
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6A:	SEVERAL HOSPITALS COLLABORATED ON THIS REPORT. THE PARTICIPATING HOSPITALS WERE: COMMUNITY REGIONAL MEDICAL CENTER, CLOVIS COMMUNITY MEDICAL CENTER, FRESNO HEART AND SURGICAL HOSPITAL, KAWEAH HEALTH MEDICAL CENTER, SAINT AGNES MEDICAL CENTER, SIERRA VIEW MEDICAL CENTER, AND VALLEY CHILDREN'S HEALTHCARE.
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6B:	- BEST BUDDIES- BLACK WELLNESS AND PROSPERITY CENTER- CALIFORNIA STATE UNIVERSITY, FRESNO - FIRST-GENERATION AFFINITY GROUP- CENTRAL VALLEY COMMUNITY FOUNDATION- CULTIVA LA SALUD- DOWNTOWN FRESNO PARTNERSHIP- FIRST 5 FRESNO COUNTY- FRESNO AMERICAN INDIAN HEALTH PROJECT- FRESNO AREA HISPANIC FOUNDATION- FRESNO HOUSING AUTHORITY- FRESNO INTERDENOMINATIONAL REFUGEE MINISTRIES- FRESNO MISSION- FRESNO RAINBOW PRIDE- HALL MANAGEMENT- HOPE NOW- JAKARA MOVEMENT- READING AND BEYOND- ST. REST BAPTIST CHURCH- THE FRESNO CENTER- YOUTH LEADERSHIP INSTITUTE- FIRST 5 KINGS COUNTY- THE SOURCE- UNITED CEREBRAL PALSY- CENTRAL VALLEY OPPORTUNITY CENTER- FIRST 5 MADERA COUNTY- HOPE HOUSE OAKHURST- MADERA COUNTY DEPARTMENT OF PUBLIC HEALTH- NAACP BRANCH 1084- NORTH FORK ELEMENTARY- CENTRAL VALLEY EMPOWERMENT ALLIANCE- DINUBA/VISALIA PARENTING NETWORK- KAWEAH HEALTH SUPPORT GROUPS- LINDSAY FAMILY RESOURCE CENTER- SELF-HELP ENTERPRISES- THE WAREHOUSE- UNIDAD POPULAR BENITO JUAREZ
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 11:	CRMC AND CCMC COMPLETED A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN FY25 AS REQUIRED BY STATE AND FEDERAL LAW. THE CHNA IS THE PRIMARY TOOL USED BY HOSPITAL FACILITIES TO DETERMINE THEIR COMMUNITY BENEFIT PLANS, WHICH OUTLINE HOW THEY WILL GIVE BACK TO THE COMMUNITY IN THE FORM OF HEALTHCARE AND OTHER COMMUNITY SERVICES TO ADDRESS UNMET COMMUNITY HEALTH NEEDS. THE ASSESSMENT INCORPORATED COMPONENTS OF PRIMARY DATA COLLECTION AND SECONDARY DATA ANALYSIS THAT FOCUSED ON THE HEALTH AND SOCIAL NEEDS OF THE SERVICE AREA. TARGETED INTERVIEWS, LISTENING SESSIONS, FOCUS GROUPS AND A COMMUNITY SURVEY WERE USED TO GATHER INFORMATION AND OPINIONS FROM PEOPLE WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITALS. BETWEEN OCTOBER AND NOVEMBER 2024, A TOTAL OF 40 FOCUS GROUPS WERE HELD ACROSS FRESNO, KINGS, MADERA AND TULARE COUNTIES. THESE INCLUDED 23 ENGLISH-LANGUAGE GROUPS, 12 SPANISH-LANGUAGE GROUPS, ONE BILINGUAL (ENGLISH/SPANISH) GROUP, THREE PUNJABI-LANGUAGE GROUPS, AND ONE GROUP CONDUCTED WITH AFGHAN COMMUNITY MEMBERS. SESSIONS WERE HELD BOTH IN-PERSON AND VIRTUALLY TO ACCOMMODATE PARTICIPANTS FROM ALL FOUR COUNTIES. IN TOTAL, 323 INDIVIDUALS PARTICIPATED IN THE FOCUS GROUPS. COMMUNITY INPUT WAS COLLECTED THROUGH AN ONLINE SURVEY AVAILABLE IN ENGLISH, SPANISH, HMONG AND PUNJABI FROM AUGUST 19, 2024, THROUGH OCTOBER 18, 2024. A TOTAL OF 1,227 RESPONSES WERE COLLECTED. AN ONLINE SURVEY TARGETING KEY COMMUNITY STAKEHOLDERS WAS USED TO GATHER QUANTITATIVE DATA ON HEALTH-RELATED FACTORS IN FRESNO, KINGS, MADERA AND TULARE COUNTIES. FOLLOWING THE SURVEY, A VIRTUAL LISTENING SESSION WAS FACILITATED TO COLLECT QUALITATIVE INSIGHTS AND OBTAIN FEEDBACK FROM PARTICIPANTS. A TOTAL OF 50 PARTNERS PARTICIPATED IN THE VIRTUAL SESSION. PARTICIPANTS REPRESENTED A BROAD RANGE OF SECTORS, INCLUDING EDUCATION, NONPROFIT ORGANIZATIONS, PHILANTHROPY, STATE AND LOCAL GOVERNMENT, FOR-PROFIT BUSINESSES, HEALTHCARE AND JUSTICE/LAW ENFORCEMENT.SIGNIFICANT HEALTH NEEDS SECONDARY DATA COLLECTION RESULTED IN IDENTIFYING COMMUNITY HEALTH NEEDS TO FURTHER ASSESS IN PRIMARY DATA COLLECTION - KEY INFORMANT INTERVIEWS, FOCUS GROUPS, LISTENING SESSIONS AND A COMMUNITY-WIDE SURVEY. THE IDENTIFIED SIGNIFICANT NEEDS INCLUDED (IN ALPHABETICAL ORDER): - ACCESS TO AFFORDABLE HEALTHCARE - CHRONIC DISEASES (INCLUDING DIABETES AND HYPERTENSION) - ECONOMY - ENVIRONMENTAL HEALTH (INCLUDING WATER AND AIR QUALITY) - FOOD INSECURITY/ACCESS TO HEALTHY FOODS - LACK OF AFFORDABLE HOUSING - MENTAL HEALTH AND MENTAL DISORDERS - SUBSTANCE MISUSE - TRANSPORTATION - WEIGHT STATUS COMMUNITY RESPONDENTS WERE ASKED TO RANK THE HEALTH OUTCOMES AND SOCIAL DETERMINANTS OF HEALTH THAT CONTRIBUTE TO DISEASE IN THE REGION. THE RESULTS OF THE RESPONSES FROM THE PRIORITY RANKING WERE COMPARED TO THE SECONDARY DATA COLLECTED FOR EACH HEALTH NEED AND THE PRIMARY DATA COLLECTED. AS A RESULT, THE PRIORITIZED HEALTH NEEDS WERE IDENTIFIED: 1. ACCESS TO HEALTHCARE 2. CHRONIC DISEASES 3. MENTAL HEALTH AND MENTAL DISORDERS 4. SUBSTANCE MISUSE 5. WEIGHT STATUS 6. ECONOMY 7. FOOD INSECURITY/ACCESS TO HEALTHY FOODS 8. LACK OF AFFORDABLE HOUSING 9. TRANSPORTATION 10. ENVIRONMENTAL HEALTH ADDRESSING PRIORITY HEALTH NEEDS IN FY25, CRMC AND CCMC ENGAGED IN ACTIVITIES AND PROGRAMS THAT ADDRESSED THE PRIORITY HEALTH NEEDS IDENTIFIED IN THE FY23-FY25 IMPLEMENTATION STRATEGY. CRMC AND CCMC COMMITTED TO COMMUNITY BENEFIT EFFORTS THAT ADDRESSED ACCESS TO HEALTHCARE, CHRONIC DISEASES, ECONOMIC STABILITY, MATERNAL AND CHILD HEALTH AND MENTAL HEALTH. ACTIVITIES AND PROGRAMS THAT HIGHLIGHT CRMC'S COMMITMENT TO THE COMMUNITY ARE DETAILED BELOW. ACCESS TO HEALTHCARE RESPONSE TO NEED ASSISTANCE WITH INSURANCE COVERAGE IN PARTNERSHIP WITH FRESNO'S COUNTY DEPARTMENT OF SOCIAL SERVICES, CRMC PROVIDED ENROLLMENT FOR 526 UNINSURED PEOPLE WHO PRESUMPTIVELY QUALIFIED FOR MEDI-CAL. IN PARTNERSHIP WITH FRESNO COUNTY'S DEPARTMENT OF SOCIAL SERVICES, CCMC PROVIDED ENROLLMENT FOR 522 UNINSURED PEOPLE WHO PRESUMPTIVELY QUALIFIED FOR MEDI-CAL.COMMUNITY SUPPORT CASH DONATIONS WERE PROVIDED TO COMMUNITY ORGANIZATIONS TO INCREASE ACCESS TO HEALTHCARE AND PROVIDE PREVENTIVE CARE SERVICES. - SUPPORT WAS PROVIDED TO CALIFORNIA CAREFORCE'S SAN JOAQUIN VALLEY CLINIC, A TEMPORARY, FREE MEDICAL, DENTAL AND VISION CLINIC HOSTED AT THE FRESNO FAIRGROUNDS.- THE HOSPITAL CONTRIBUTED TO THE FRESNO COUNTY OFFICE OF EDUCATION'S HEALTH YOUTH CORPS CONFERENCE, HOSTED BY THE FRESNO COUNTY SUPERINTENDENT OF SCHOOLS - HEALTH SERVICES DEPARTMENT. THE CONFERENCE FOCUSED ON EMPOWERING STUDENTS FROM THE CENTRAL VALLEY TO PLAY AN ACTIVE ROLE IN PROMOTING COMMUNITY HEALTH, BOTH NOW AND AS FUTURE LEADERS. THIS EVENT WELCOMED STUDENTS FROM FRESNO, MADERA, MARIPOSA AND TULARE COUNTIES, GIVING THEM A PLATFORM TO EXPLORE HOW THEY CAN INFLUENCE THE REGION'S HEALTH OUTCOMES AND DEEPEN THEIR UNDERSTANDING OF HEALTH EQUITY.- THE HOSPITAL SUPPORTED THE HEALTH OUTREACH INITIATIVES OF READING AND BEYOND, WHICH PROVIDES SERVICES FOR LOW-INCOME CHILDREN AND FAMILIES IN FRESNO.FINANCIAL ASSISTANCE CRMC AND CCMC PROVIDED FINANCIAL ASSISTANCE THROUGH FREE AND DISCOUNTED CARE FOR HEALTHCARE SERVICES, CONSISTENT WITH CHS'S FINANCIAL ASSISTANCE POLICY. FRESNO MEDICAL RESPITE CENTER CRMC IS A FOUNDING HOSPITAL PARTNER IN THE FRESNO MEDICAL RESPITE CENTER, ALLOWING FOR SAFE DISCHARGE FOR PERSONS EXPERIENCING HOMELESSNESS TO CONTINUE THEIR RECOVERY. THE CENTER PROVIDES EIGHT BEDS FOR MEN AND FOUR BEDS FOR WOMEN AT THE FRESNO RESCUE MISSION IN DOWNTOWN FRESNO.RYAN WHITE HIV/AIDS PROGRAM CHS PROVIDES VITAL AND TIMELY HEALTHCARE AND CASE MANAGEMENT FOR PATIENTS WITH HIV/AIDS AND THEIR FAMILIES THROUGH THE CAMPUS'S SPECIAL SERVICES CLINIC UNDER THE FEDERAL RYAN WHITE GRANT. SEXUAL ASSAULT FORENSIC EXAM PROGRAM (SAFE) CRMC'S EMERGENCY DEPARTMENT PROVIDED FRESNO COUNTY'S ONLY IN-HOSPITAL TESTING AND EXAMINATION FOR SEXUAL ASSAULT AND RAPE VICTIMS. SPECIALLY TRAINED NURSES COLLECTED, PRESERVED AND SECURELY STORED EVIDENCE COLLECTED FROM ADULT AND CHILD VICTIMS, AND FROM SUSPECTS UNDER POLICE CUSTODY. PROGRAM NURSES HELPED GATHER EVIDENCE OF SEXUAL VIOLENCE AND ENSURED PATIENTS WERE SAFELY DISCHARGED. NURSES ALSO PROVIDED FOLLOW-UP EVALUATIONS FOR CHILD VICTIMS OF SEXUAL ABUSE AND HELPED CONNECT VICTIMS AND THEIR FAMILIES TO COUNSELING SERVICES. IN FY25, 115 PEOPLE WERE SERVED. TRAUMA PREVENTION PROGRAM CRMC PROVIDES THE ONLY LEVEL I TRAUMA CENTER AND COMPREHENSIVE BURN CENTER IN THE AREA. AN INJURY PREVENTION SPECIALIST PROVIDED EXTENSIVE INJURY PREVENTION OUTREACH IN SCHOOLS AND OTHER COMMUNITY-BASED VENUES, INCLUDING CAR SEAT SAFETY CHECKS AND EDUCATION ON TOPICS LIKE GUN SAFETY, FALL PREVENTION, BICYCLE AND PEDESTRIAN SAFETY, THE DANGERS OF DISTRACTED DRIVING FOR TEENS, AND SMARTER DRIVING TIPS FOR OLDER ADULTS.CHRONIC DISEASES RESPONSE TO NEED COMMUNITY CANCER INSTITUTE COMMUNITY CANCER INSTITUTE (CCI) HOSTED SUPPORT GROUPS AND CLASSES FOR 605 CANCER SURVIVORS AND THEIR FAMILIES. THE SUPPORT GROUPS, HELD IN ENGLISH AND SPANISH, WERE OPEN TO ALL PERSONS TOUCHED BY CANCER, REGARDLESS OF WHERE THEY RECEIVED CANCER CARE. THE SUPPORT GROUPS INCLUDED: BREAST CANCER, GYNECOLOGY CANCER, HEAD AND NECK CANCERS, NUTRITION, OSTOMY AND HOPE MATTERS.COMMUNITY SUPPORT CASH DONATIONS WERE PROVIDED TO THE FOLLOWING COMMUNITY ORGANIZATIONS TO IMPROVE CHRONIC DISEASE MANAGEMENT: - POVERELLO HOUSE TO PROVIDE MEDICALLY TAILORED MEALS TO VULNERABLE RESIDENTS WITH CHRONIC DISEASES. - THE WEST FRESNO HEALTHCARE COALITION'S PROJECT FOOD BOX, PROVIDING DIABETES EDUCATION, NUTRITION CLASSES AND FOOD RESOURCES TO THOSE WITH A CHRONIC DISEASE DIAGNOSIS. - THE FRESNO CENTER'S CHRONIC DISEASE OUTREACH AND EDUCATION SERIES. - AMERICAN HEART ASSOCIATION TO PURCHASE AND DISTRIBUTE CPR KITS TO SCHOOLS. DIABETES CARE CENTER THE DIABETES CARE CENTER PROVIDED A DIABETES SELF-MANAGEMENT EDUCATION AND SUPPORT PROGRAM IN ENGLISH AND SPANISH. DIALYSIS CRMC HAS AN OUTPATIENT DIALYSIS UNIT WITH 41 DIALYSIS STATIONS FOR THREE SHIFTS OF ADULT PATIENTS, SIX DAYS A WEEK. THE HOSPITAL OFFERED A PERITONEAL DIALYSIS HOME TRAINING PROGRAM FOR PATIENTS WHO CAN DO HOME TREATMENT. THE OUTPATIENT DIALYSIS UNIT HAS ON-SITE DIETITIANS AND SOCIAL WORKERS.MEDWATCH TODAY IN PARTNERSHIP WITH NEXSTAR MEDIA GROUP, COMMUNITY PRODUCES A WEEKLY TELEVISION SHOW, MEDWATCH TODAY, WHICH PROVIDES 22 MINUTES OF QUALITY, HEALTH-FOCUSED VIDEO CONTENT TO THE PUBLIC ON LOCAL CBS AND NBC CHANNELS. IN FY25, TOPICS INCLUDED CANCER PREVENTION, SUBSTANCE USE DISORDER, NUTRITION, ART THERAPY AND CARDIAC CARE.
PART V, SECTION B, LINE 11 (CONTINUED):	HEALTH QUEST SEMINARS - IN-PERSON EDUCATION SEMINARS FEATURED HEALTH PROFESSIONALS DISCUSSING TOPICS RELATED TO IDENTIFIED HEALTH NEEDS INCLUDING SEXUAL HEALTH AND HIV PREVENTION, STROKE, PARKINSON'S DISEASE, COLORECTAL CANCER, HEART HEALTH AND HEALTHY HABITS. THESE SEMINARS REACHED 531 COMMUNITY MEMBERS. ECONOMIC STABILITY RESPONSE TO NEED COMMUNITY SUPPORT CASH DONATIONS WERE PROVIDED TO THE FOLLOWING COMMUNITY ORGANIZATIONS TO SUPPORT ECONOMIC STABILITY: - FRESNO MISSION TO SUPPORT THE COMMUNITY CARE PROGRAM. COMMUNITY CARE CONNECTS INDIVIDUALS IN CRISIS TO ESSENTIAL RESOURCES AND SUPPORT INCLUDING A WARM BED AT NIGHT, CASE MANAGEMENT TO HELP GUIDE THEM TO PERSONAL GOALS AND HOUSING NAVIGATION. - CENTRAL CALIFORNIA WOMEN'S CONFERENCE FOOD INSECURITY GRANTS INITIATIVE. - HOUSING SUPPLIES FOR UNHOUSED YOUNG ADULTS, INCLUDING MANY EXITING THE FOSTER CARE SYSTEM. - ASSEMBLYMEMBER SORIA'S BACKPACK GIVEAWAY AND HEALTH FAIR, AND COUNCILMAN ESPARZA'S BEAT THE HEAT COMMUNITY EVENT. - CENTRAL CALIFORNIA FOOD BANK'S BACKPACK PROGRAM AT YOKOMI ELEMENTARY IN DOWNTOWN FRESNO. - THE KINGS PARTNERSHIP FOR PREVENTION TO PROVIDE KINGS COUNTY RESIDENTS WITH DOMESTIC AND SEXUAL VIOLENCE EDUCATION AND RESOURCES. - BLACK AND ASIAN HIGH SCHOOL STUDENTS RECEIVED SCHOLARSHIPS TO FURTHER THEIR EDUCATION THROUGH PARTNERSHIPS WITH DELTA SIGMA THETA AND THE CENTRAL CA ASIAN PACIFIC WOMEN ORGANIZATIONS. TRANSPORTATION SERVICES TRANSPORTATION VOUCHERS WERE MADE AVAILABLE TO PATIENTS AND FAMILIES HAVING DIFFICULTY ACCESSING CARE BECAUSE OF TRANSPORTATION CHALLENGES.MATERNAL AND CHILD HEALTH RESPONSE TO NEED COMMUNITY SUPPORT CASH DONATIONS WERE PROVIDED TO THE FOLLOWING COMMUNITY ORGANIZATIONS TO SUPPORT MATERNAL AND CHILD HEALTH: - THE BLACK WELLNESS AND PROSPERITY CENTER TO SUPPORT MATERNAL AND CHILD HEALTH AND ESTABLISH PREGNANCY AND POSTPARTUM SUPPORT GROUPS, WHICH STRIVE TO IMPROVE MATERNAL OUTCOMES FOR BLACK AND MINORITY MOTHERS AND THEIR BABIES. - LIGHTHOUSE FOR CHILDREN TO DISTRIBUTE SAFE SLEEP CRIBETTES. - FRESNO COUNCIL ON CHILD ABUSE PREVENTION FOR TRAINING MATERIALS ABOUT THE IMPACT OF PARENTAL SUBSTANCE USE ON CHILDREN, ESPECIALLY DURING PREGNANCY AND POSTPARTUM. MOTHER'S RESOURCE CENTER THE MOTHER'S RESOURCE CENTER OFFERED A VARIETY OF BREASTFEEDING AND PARENT EDUCATION CLASSES TO NEW PARENTS, REGARDLESS OF WHERE THEY DELIVERED THEIR BABIES. CLASSES INCLUDED PREPARATION FOR CHILDBIRTH, BREASTFEEDING SUPPORT AND MOMMIES MAKING MILK, A POSTPARTUM RESOURCE AND SUPPORT NETWORK FOR ALL BREASTFEEDING MOMS. CLASSES WERE OFFERED IN ENGLISH AND SPANISH.MENTAL HEALTH RESPONSE TO NEED BRIDGE PROGRAM CRMC AND CCMC PROVIDED MEDICATIONS TO INDIVIDUALS TO SUPPRESS CRAVINGS AND WITHDRAWAL SYMPTOMS FROM OPIOID USE. THE TREATMENT PROVIDED PATIENTS WITH IMMEDIATE ATTENTION IN THE HOSPITAL SETTING, RATHER THAN BEING REFERRED TO A REHABILITATION CENTER, WHICH MAY TAKE WEEKS OR MONTHS. ADDITIONALLY, THE BRIDGE PROGRAM PROVIDED EDUCATIONAL INFORMATION TO THE GREATER COMMUNITY ABOUT SUBSTANCE USE. COMMUNITY BEHAVIORAL HEALTH CENTER CBHC IS THE LARGEST PSYCHIATRIC CARE FACILITY IN FRESNO COUNTY, PROVIDING 24-HOUR ADULT, INPATIENT PSYCHIATRIC CARE. THERE ARE FOUR SEPARATE UNITS WITH LEVELS OF CARE APPROPRIATE TO THE FUNCTIONAL LEVELS OF THE PATIENTS. THE SERVICES PROVIDED INCLUDE PSYCHIATRIC ASSESSMENTS, FORENSIC (CUSTODY) SERVICES, RECREATION THERAPY, GROUP AND INDIVIDUAL THERAPY, ADULT CARE, MEDICATION MANAGEMENT, MILIEU MANAGEMENT AND OTHER TREATMENT MODALITIES. COMMUNITY SUPPORT CASH DONATIONS WERE PROVIDED TO THE FOLLOWING COMMUNITY ORGANIZATIONS TO SUPPORT MENTAL HEALTH CARE SERVICES: - MARJAREE MASON CENTER TO SUPPORT THEIR COUNSELING SUPPORT PROGRAM. - THE FOUNDATION FOR FRESNO UNIFIED SCHOOLS TO SUPPORT PEER-LED SUPPORT GROUPS. - VISION Y COMPROMISO TO DEVELOP A MENTAL HEALTH PROGRAM FOR PROMOTORAS IN THE CENTRAL VALLEY. - CLOVIS UNIFIED SCHOOL DISTRICT TO SUPPORT ACCESS TO MENTAL HEALTH AND SUICIDE PREVENTION SERVICES.HEALTH QUEST SEMINAR HEALTH QUEST OFFERED A SPECIAL IN-PERSON SEMINAR DISCUSSING PEDIATRIC MENTAL HEALTH THAT REACHED 45 COMMUNITY RESIDENTS.OTHER COMMUNITY BENEFIT SERVICES - CRMC CRMC PROVIDED ADDITIONAL COMMUNITY BENEFIT SERVICES TO PROGRAMS THAT FOCUSED ON ADDRESSING PRIORITY HEALTH NEEDS. HEALTH PROFESSIONAL EDUCATION DEFINITION: EDUCATION PROGRAMS FOR PHYSICIANS, NURSES, NURSING STUDENTS AND OTHER HEALTH PROFESSIONALS.GRADUATE MEDICAL EDUCATION CRMC TRAINED OVER 320 RESIDENTS AND FELLOWS IN PARTNERSHIP WITH UNIVERSITY OF CALIFORNIA, SAN FRANCISCO (UCSF) FRESNO, INCLUDING EMERGENCY MEDICINE AND ORTHOPEDIC SURGERY PHYSICIAN ASSISTANT RESIDENTS. IN ADDITION, THIRD- AND FOURTH-YEAR MEDICAL STUDENTS WERE TRAINED ON A ROTATING BASIS. ROTATING MEDICAL STUDENTS INCLUDED THOSE IN UCSF'S SAN JOAQUIN VALLEY PROGRAM IN MEDICAL EDUCATION (SJV PRIME), WHICH TRAINS LOCAL STUDENTS TO PROVIDE CULTURALLY COMPETENT, ACCESSIBLE CARE IN THE SAN JOAQUIN VALLEY. 40% OF UCSF FRESNO'S GRADUATING RESIDENTS STAY IN THE CENTRAL VALLEY TO PRACTICE MEDICINE, MAKING THIS PROGRAM CRITICAL TO ADDRESSING THE REGION'S LACK OF ACCESS TO CARE. THROUGH AN AGREEMENT WITH CALIFORNIA HEALTH SCIENCES UNIVERSITY (CHSU), A PRIVATE INSTITUTION OFFERING DOCTORAL DEGREES THROUGH ITS COLLEGE OF OSTEOPATHIC MEDICINE, OVER 180 CHSU MEDICAL STUDENTS ROTATED THROUGH COMMUNITY'S CLINICS AS PART OF THEIR TRAINING. FHSH SUPPORTED THE TRAINING OF 3 FELLOWS AS PART OF THE ADVANCED GI MIS/BARIATRICS FELLOWSHIP PROGRAM, IN PARTNERSHIP WITH ADVANCED LAPAROSCOPIC SURGICAL ASSOCIATES. NURSING CRMC HAD 1,527 NURSING STUDENTS PARTICIPATE IN PRECEPTED HOSPITAL CLINICAL ROTATIONS.OTHER HEALTH PROFESSIONAL EDUCATION CLINICAL PASTORAL EDUCATION OF COMMUNITY HEALTH SYSTEM THE CLINICAL PASTORAL EDUCATION (CPE) PROGRAM AT CRMC PROVIDED PROFESSIONAL TRAINING FOR SPIRITUAL CARE PROVIDERS. THE CPE PROGRAM IS A MULTI-FAITH AND INTER-FAITH ENVIRONMENT THAT RESPECTS DIVERSITY. THE PROGRAM IS FULLY ACCREDITED BY THE ASSOCIATION OF CLINICAL PASTORAL EDUCATION AND IN FY25, TRAINED FOUR CHAPLAINS AND THREE SUMMER INTERNS TO WORK WITH UNDERSERVED, RURAL POPULATIONS - INCLUDING FARMWORKERS - PROVIDING SPIRITUAL AND EMOTIONAL SUPPORT. PHARMACY RESIDENCY PROGRAM THE POST GRADUATE YEAR 1 (PGY1) PHARMACY RESIDENCY PROGRAM WAS ESTABLISHED IN 2002 AT CRMC. THE PROGRAM IS ACCREDITED THROUGH THE AMERICAN SOCIETY OF HEALTH-SYSTEM PHARMACISTS (ASHP). IN FY25, CRMC FILLED THREE PHARMACY RESIDENCY POSITIONS. SONOGRAPHY PROGRAMS TWO SONOGRAPHY PROGRAMS WERE OFFERED AT CRMC TO HELP ADDRESS THE HEALTHCARE PROVIDER SHORTAGE THROUGHOUT THE REGION: THE DIAGNOSTIC MEDICAL SONOGRAPHY PROGRAM AND THE ADVANCED CARDIAC SONOGRAPHY PROGRAM. THE 18-MONTH DIAGNOSTIC MEDICAL SONOGRAPHY PROGRAM IS ONE OF CALIFORNIA'S FEW HOSPITAL-BASED SONOGRAPHY PROGRAMS AND IS THE CENTRAL VALLEY'S ONLY MULTIDISCIPLINARY COMMISSION ON ACCREDITATION OF ALLIED HEALTH EDUCATION PROGRAMS (CAAHEP) ACCREDITED SONOGRAPHY PROGRAM. THE ADVANCED CARDIAC SONOGRAPHY PROGRAM IS AN 18-MONTH HYBRID PROGRAM DESIGNED TO CREATE A CAREER TRACK FOR SONOGRAPHERS PRACTICING AT AN ADVANCED LEVEL IN THE ECHOCARDIOGRAPHY LABORATORY BY PROVIDING A CAAHEP-ACCREDITED EDUCATIONAL PATHWAY FOR CLINICAL AND ADMINISTRATIVE ADVANCEMENT. IN FY25, 25 STUDENTS PARTICIPATED IN THE PROGRAM.CASH DONATIONS DEFINITION: FUNDS AND IN-KIND SERVICES DONATED TO COMMUNITY GROUPS AND NONPROFIT ORGANIZATIONS. FUNDS WERE DONATED TO NONPROFIT COMMUNITY GROUPS AND LOCAL ORGANIZATIONS. THE SUPPORT OF THESE ORGANIZATIONS FURTHERED THE HEALTH SYSTEM'S MISSION AND ADDRESSED THE COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH THE CHNA. COMMUNITY BENEFIT OPERATIONS DEFINITION: DIRECT AND INDIRECT COSTS ASSOCIATED WITH ASSIGNED STAFF, COMMUNITY HEALTH NEEDS ASSESSMENTS, COMMUNITY BENEFIT PLANNING, TRACKING, REPORTING, EVALUATING AND OPERATIONS. COMMUNITY BENEFIT OPERATIONS INCLUDED COMMUNITY BENEFIT STAFF SALARY, BENEFITS AND EXPENSES, ADMINISTRATIVE SUPPORT FOR COMMUNITY BENEFIT, COMMUNITY BENEFIT CONSULTANTS, COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY (CBISA) SOFTWARE SUBSCRIPTION FEES, AND THE COMMUNITY HEALTH NEEDS ASSESSMENT.
PART V, SECTION B, LINE 11 (CONTINUED):	COMMUNITY BUILDING ACTIVITIES DEFINITION: ACTIVITIES THAT SUPPORT COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND RESOURCES OF THE HOSPITAL ORGANIZATION. THESE ACTIVITIES MAY ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS OR THE DETERMINANTS OF HEALTH, SUCH AS EDUCATION, HOMELESSNESS, POVERTY AND THE ENVIRONMENT. WORKFORCE DEVELOPMENT - PROJECT SEARCH IS A DEDICATED PROGRAM FOCUSED ON PROVIDING EDUCATION AND TRAINING TO YOUNG ADULTS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES. SINCE 2017, CRMC HAS SERVED AS A VOCATIONAL TRAINING SITE FOR ADULTS THROUGH PROJECT SEARCH. PARTICIPANTS RECEIVE EXPERIENCE NECESSARY TO FIND AND MAINTAIN EMPLOYMENT. IN FY25, 12 STUDENTS WORKED ALONGSIDE HOSPITAL STAFF IN CLINICAL AND NONCLINICAL AREAS INCLUDING NICU, ANTEPARTUM, POSTPARTUM, ENVIRONMENTAL SERVICES, MATERIALS MANAGEMENT, KITCHEN AND PLANT OPERATIONS AT CRMC AND CCMC. - HOSPITAL TOURS WERE PROVIDED FOR 30 LOW-INCOME HIGH SCHOOL STUDENTS IN THE MEDICAL PATHWAYS PROGRAM. - THE HOSPITAL PROVIDED SUPPORT FOR THE BIRNEY ELEMENTARY SCHOOL FUTURE HEALTHCARE LEADERS EVENT. OTHER COMMUNITY BENEFIT SERVICES - CCMC CCMC PROVIDED ADDITIONAL COMMUNITY BENEFIT SERVICES TO PROGRAMS THAT FOCUSED ON ADDRESSING PRIORITY HEALTH NEEDS. HEALTH PROFESSIONAL EDUCATION DEFINITION: EDUCATION PROGRAMS FOR PHYSICIANS, NURSES, NURSING STUDENTS AND OTHER HEALTH PROFESSIONALS.GRADUATE MEDICAL EDUCATION THROUGH AN AGREEMENT WITH CALIFORNIA HEALTH SCIENCES UNIVERSITY (CHSU), A PRIVATE INSTITUTION OFFERING DOCTORAL DEGREES THROUGH ITS COLLEGE OF OSTEOPATHIC MEDICINE, OVER 180 CHSU MEDICAL STUDENTS ROTATED THROUGH COMMUNITY'S CLINICS AS PART OF THEIR TRAINING. NURSING CCMC HAD 583 NURSING STUDENTS PARTICIPATE IN PRECEPTED HOSPITAL CLINICAL ROTATIONS. THROUGH A PARTNERSHIP WITH THE EMERGENCY NURSES ASSOCIATION, CCMC'S EMERGENCY NURSE RESIDENCY PROGRAM PROVIDED NEWLY GRADUATED AND LICENSED REGISTERED NURSES WITH HANDS-ON TRAINING TO BEST CARE FOR PATIENTS IN THE EMERGENCY DEPARTMENT. IN FY25, 22 RESIDENTS PARTICIPATED IN THE PROGRAM. OTHER HEALTH PROFESSIONAL EDUCATION THE POST GRADUATE YEAR 1 (PGY1) PHARMACY RESIDENCY PROGRAM WAS ESTABLISHED IN 2016 AT CCMC. THE PROGRAM IS ACCREDITED THROUGH THE AMERICAN SOCIETY OF HEALTH-SYSTEM PHARMACISTS (ASHP). IN FY25, CCMC FILLED ONE PHARMACY RESIDENCY POSITION.CASH DONATIONS DEFINITION: FUNDS AND IN-KIND SERVICES DONATED TO COMMUNITY GROUPS AND NONPROFIT ORGANIZATIONS. FUNDS WERE DONATED TO NONPROFIT COMMUNITY GROUPS AND LOCAL ORGANIZATIONS. THE SUPPORT OF THESE ORGANIZATIONS FURTHERED THE HEALTH SYSTEM'S MISSION AND ADDRESSED THE COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH THE CHNA. COMMUNITY BENEFIT OPERATIONS DEFINITION: DIRECT AND INDIRECT COSTS ASSOCIATED WITH ASSIGNED STAFF, COMMUNITY HEALTH NEEDS ASSESSMENTS, COMMUNITY BENEFIT PLANNING, TRACKING, REPORTING, EVALUATING AND OPERATIONS. COMMUNITY BENEFIT OPERATIONS INCLUDED COMMUNITY BENEFIT STAFF SALARY, BENEFITS AND EXPENSES, ADMINISTRATIVE SUPPORT FOR COMMUNITY BENEFIT, COMMUNITY BENEFIT CONSULTANTS, COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY (CBISA) SOFTWARE SUBSCRIPTION FEES AND THE COMMUNITY HEALTH NEEDS ASSESSMENT. COMMUNITY BUILDING ACTIVITIES DEFINITION: ACTIVITIES THAT SUPPORT COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND RESOURCES OF THE HOSPITAL ORGANIZATION. THESE ACTIVITIES MAY ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS OR THE DETERMINANTS OF HEALTH, SUCH AS EDUCATION, HOMELESSNESS, POVERTY AND THE ENVIRONMENT. WORKFORCE DEVELOPMENT - PROJECT SEARCH IS A DEDICATED PROGRAM FOCUSED ON PROVIDING EDUCATION AND TRAINING TO YOUNG ADULTS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES. SINCE 2017, CCMC HAS SERVED AS A VOCATIONAL TRAINING SITE FOR ADULTS THROUGH PROJECT SEARCH. PARTICIPANTS RECEIVE EXPERIENCE NECESSARY TO FIND AND MAINTAIN EMPLOYMENT. IN FY25, 12 STUDENTS WORKED ALONGSIDE HOSPITAL STAFF IN CLINICAL AND NONCLINICAL AREAS INCLUDING NICU, ANTEPARTUM, POSTPARTUM, ENVIRONMENTAL SERVICES, MATERIALS MANAGEMENT, KITCHEN AND PLANT OPERATIONS AT CRMC AND CCMC.OTHER HEALTH NEEDS IDENTIFIED IN THE CHNA NOT PRIMARILY ADDRESSEDCRMC AND CCMC ARE DEDICATED TO ENSURING THE REGION'S IDENTIFIED HEALTH NEEDS ARE ADDRESSED WHENEVER POSSIBLE. TAKING INTO CONSIDERATION OUR EXISTING HEALTH SYSTEM AND COMMUNITY RESOURCES, THE HOSPITALS WILL NOT PRIMARILY ADDRESS THE OTHER SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE CHNA INCLUDING THE ECONOMY, ENVIRONMENTAL HEALTH AND TRANSPORTATION. THE HOSPITALS WILL STRIVE TO IMPACT THE OTHER IDENTIFIED HEALTH NEEDS AS THEY FALL WITHIN OUR AREAS OF FOCUS AND EXPERTISE AND AS RESOURCES ALLOW. WE WILL CONTINUE TO LOOK FOR OPPORTUNITIES TO PARTNER WITH OTHER ORGANIZATIONS THAT ARE ADDRESSING THESE NEEDS WHERE WE CAN MAKE A MEANINGFUL CONTRIBUTION.
PART V, SECTION B, LINE 7A:	THE HOSPITAL FACILITY'S WEBSITE WHERE THE CHNA REPORT IS AVAILABLE:HTTPS://WWW.COMMUNITYMEDICAL.ORG/ABOUT-US/OUR-IMPACT
PART V, SECTION B, LINE 10:	THE HOSPITAL'S MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY:HTTPS://WWW.COMMUNITYMEDICAL.ORG/ABOUT-US/OUR-IMPACT
PART V, SECTION B, LINE 13B:	THE PATIENT'S, OR THE PATIENT'S FAMILY'S MEDICAL EXPENSES FOR COVERED SERVICES (INCURRED AT CHS OR OTHER PROVIDERS IN THE PAST TWELVE (12) MONTHS) EXCEEDS THE LESSER OF 10% OF THE PATIENT'S CURRENT FAMILY INCOME OR PATIENT'S FAMILY INCOME IN THE LAST 12 MONTHS.
SCHEDULE H, PART V, SECTION B. FACILITY REPORTING GROUP A:	PART V, LINE 16A, FAP WEBSITE:HTTPS://WWW.COMMUNITYMEDICAL.ORG/FOR-PATIENTS-FAMILIES/BILLING-AND-INSURANCE/DISCOUNTS-CHARITY-CAREPART V, LINE 16B, FAP APPLICATION WEBSITE:HTTPS://WWW.COMMUNITYMEDICAL.ORG/FOR-PATIENTS-FAMILIES/BILLING-AND-INSURANCE/DISCOUNTS-CHARITY-CAREPART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE:HTTPS://WWW.COMMUNITYMEDICAL.ORG/FOR-PATIENTS-FAMILIES/BILLING-AND-INSURANCE/DISCOUNTS-CHARITY-CARE
PART V, SECTION B, LINE 16J:	HCAI HAS CREATED A WEB-BASED SYSTEM THAT WILL ALLOW USERS TO SEARCH, COMPARE, AND VIEW EACH HOSPITAL'S SUBMITTED CHARITY CARE POLICY, DISCOUNT PAYMENT POLICY, ELIGIBILITY PROCEDURES, REVIEWPROCESS, AND APPLICATION FORM. ACCESS HCAI'S HOSPITAL FAIR PRICING SEARCH SYSTEM AT: HTTPS://SYFPHR.HCAI.CA.GOV/#FRESNO-COUNTY
PART V, SECTION B, LINE 22D:	UNDER CALIFORNIA LAW (AB 774), THE MAXIMUM THAT A FAP-ELIGIBLE PATIENT MAY BE CHARGED IS THE REIMBURSEMENT RATE OF ANY GOVERNMENT-SPONSORED HEALTH PROGRAMS IN WHICH THE HOSPITAL PARTICIPATES.

Field	Value	IRS element (for citing)
Facility	5	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - COMMUNITY CANCER INSTITUTE
785 NORTH MEDICAL CENTER DRIVE W	CLOVIS	CA	93611	OUTPATIENT CANCER CENTER INCLUDED IN CCMC HOSPITAL LICENSE
2 - DERAN KOLIGIAN AMBULATORY CARE CENTER
290 N WAYTE LANE	FRESNO	CA	93701	CLINICS: OMFS SURGERY, HIV/AIDS INCLUDED IN CRMC HOSPITAL LICENSE
3 - COMMUNITY BEHAVIORAL HEALTH CENTER
7171 N CEDAR AVENUE	FRESNO	CA	93720	PSYCHIATRIC CARE FACILITY INCLUDED IN CRMC HOSPITAL LICENSE
4 - COMMUNITY SUBACUTE TRANSITIONAL CARE CEN
3003 N MARIPOSA STREET	FRESNO	CA	93703	TRANSITIONAL CARE INCLUDED IN CRMC HOSPITAL LICENSE
5 - FRESNO HEART AND SURGICAL HOSPITAL
15 E AUDUBON	FRESNO	CA	93720	SPECIALTY SURGERY SERVICES INCLUDED IN CRMC HOSPITAL LICENSE

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 6A:	THE COMMUNITY BENEFIT REPORT IS ISSUED BY COMMUNITY HEALTH SYSTEM (CHS), A DBA USED BY THE TWO HOSPITALS THAT COMPRISE THE ORGANIZATION.
PART I, LINE 7:	COSTING METHODOLOGY: CHARITY CARE IS ESTIMATED BY CALCULATING THE RATIO OF COST PER ADJUSTED PATIENT DAY (EXCLUDING BAD DEBTS) AND THEN MULTIPLYING THAT RATIO BY THE ADJUSTED PATIENT DAYS ASSOCIATED WITH CHARITY CARE PATIENTS. CHS DOES NOT UTILIZE A COST ACCOUNTING SYSTEM TO ESTIMATE THE COST OF CHARITY CARE.
PART I, LINE 7, COLUMN (F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 729,837.
PART II, COMMUNITY BUILDING ACTIVITIES:	SEE PART V, SECTION B, LINE 11 FOR COMMUNITY BUILDING ACTIVITIES DESCRIPTIONS FOR WORKFORCE DEVELOPMENT.
PART III, LINE 2:	ADJUSTMENT DUE TO THE PATIENT'S ABILITY TO PAY DUE TO A BANKRUPTCY ARE RECORDED AS BAD DEBT EXPENSE.
PART III, LINE 3:	CHS DOES NOT RECOGNIZE ANY PORTION OF ITS BAD DEBT EXPENSE AS A COMMUNITY BENEFIT.
PART III, LINE 4:	FOOTNOTE FOR BAD DEBT EXPENSE: SEE AUDITED FINANCIAL STATEMENTS NOTE 3, PAGE 18.FOOTNOTE FOR ACCOUNTS RECEIVABLE: SEE AUDITED FINANCIAL STATEMENTS NOTE 2, PAGE 12.
PART III, LINE 8:	MEDICARE SHORTFALL: THE MEDICARE SHORTFALL IS TREATED AS COMMUNITY BENEFIT BECAUSE: (1) NONNEGOTIABLE MEDICARE RATES ARE SOMETIMES OUT-OF-LINE WITH THE TRUE COSTS OF TREATING MEDICARE PATIENTS; AND (2) BY CONTINUING TO TREAT PATIENTS ELIGIBLE FOR MEDICARE, HOSPITALS ALLEVIATE THE FEDERAL GOVERNMENT'S BURDEN FOR DIRECTLY PROVIDING MEDICAL SERVICES.COSTING METHODOLOGY: INPATIENT CARE SERVICES, SKILLED NURSING SERVICES, REHABILITATION SERVICES, AND CERTAIN OUTPATIENT SERVICES RENDERED TO MEDICARE PROGRAM BENEFICIARIES ARE PAID AT PROSPECTIVELY DETERMINED RATES PER DIAGNOSIS. THESE RATES VARY ACCORDING TO A PATIENT CLASSIFICATION SYSTEM THAT IS BASED ON CLINICAL, DIAGNOSTIC, AND OTHER FACTORS. CERTAIN INPATIENT NONACUTE SERVICES AND MEDICAL EDUCATION COSTS RELATED TO MEDICARE BENEFICIARIES ARE PAID BASED ON A COST-BASED REIMBURSEMENT METHODOLOGY. PROFESSIONAL SERVICES ARE REIMBURSED BASED ON A FEE SCHEDULE.
PART III, LINE 9B:	THOSE PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE ARE GENERALLY SUBJECT TO THE NORMAL COLLECTION PROCEDURES FOR ALL PATIENTS. COMMUNITY HEALTH SYSTEM (CHS) MAY EMPLOY REASONABLE COLLECTION EFFORTS TO OBTAIN PAYMENT FROM PATIENTS. GENERAL COLLECTION ACTIVITIES MAY INCLUDE ISSUING PATIENT STATEMENTS, PHONE CALLS, AND FOLLOW UP LETTERS SENT TO THE PATIENT OR GUARANTOR. CHS SHALL NOT PURSUE COLLECTIONS AND EXTRAORDINARY COLLECTION ACTIONS WHEN: THE PATIENT IS A RYAN WHITE PATIENT, THE PATIENT IS HOMELESS, THE PATIENT HAS SUBMITTED AN APPLICATION FOR FINANCIAL ASSISTANCE AND/OR GOVERNMENT SPONSORED COVERAGE AND THE APPLICATION IS PENDING, CHS IS AWARE THAT THE PATIENT IS ALREADY APPROVED FOR FINANCIAL ASSISTANCE, AND THE PATIENT IS REASONABLY COOPERATING WITH CHS IN AN EFFORT TO SETTLE AN OUTSTANDING BILL.CHS WILL MAKE REASONABLE EFFORTS TO NOTIFY THE PATIENT PRIOR TO ENGAGING IN ANY EXTRAORDINARY COLLECTION ACTIONS. THESE ACTIONS WILL ONLY TAKE PLACE AFTER 180 DAYS FROM THE INITIAL PATIENT STATEMENT. ALL PATIENT STATEMENTS SHALL INCLUDE THE NOTICE OF RIGHTS, WHICH INCLUDES A SUMMARY OF FINANCIAL ASSISTANCE THAT IS AVAILABLE TO ELIGIBLE PATIENTS. ALL PATIENTS MAY REQUEST AN ITEMIZED STATEMENT FOR THEIR ACCOUNT AT ANY TIME.
PART VI, LINE 2:	AS PART OF THE AFFORDABLE CARE ACT, COMMUNITY HEALTH SYSTEM PARTNERED WITH THE HOSPITAL COUNCIL OF NORTHERN AND CENTRAL CALIFORNIA, SEVEN REGIONAL HOSPITAL AND PUBLIC HEALTH DEPARTMENT PARTNERS, RESIDENTS, CHURCH AND CIVIC LEADERS, EDUCATORS, HEALTHCARE PROFESSIONALS AND COMMUNITY-SERVING ORGANIZATIONS WITH A DEEP UNDERSTANDING OF OUR RESIDENTS' ISSUES AND NEEDS. ADDITIONALLY, EACH OF CHS' THREE HOSPITALS DEVELOPED IMPLEMENTATION PLANS TO ADDRESS SOME OF THE KEY NEEDS IDENTIFIED IN THE REPORT.
PART VI, LINE 3:	COMMUNITY HEALTH SYSTEM ("CHS") SHALL WIDELY PUBLICIZE THE FINANCIAL ASSISTANCE POLICY IN A MANNER THAT IS REASONABLY CALCULATED TO REACH, NOTIFY AND INFORM THOSE PATIENTS IN OUR COMMUNITIES WHO ARE MOST LIKELY TO REQUIRE FINANCIAL ASSISTANCE, INCLUDING AT A MINIMUM, THE FOLLOWING WAYS: PUBLIC DISPLAYS: COMMUNITY HEALTH SYSTEM SHALL CLEARLY AND CONSPICUOUSLY POST PUBLIC DISPLAYS (OR OTHER MEASURES REASONABLY CALCULATED TO ATTRACT PATIENTS' ATTENTION) THAT NOTIFY AND INFORM PATIENTS ABOUT THIS POLICY IN PUBLIC LOCATIONS AT CHS INCLUDING, AT A MINIMUM, THE EMERGENCY DEPARTMENT, BILLING OFFICE, ADMISSIONS OFFICE, AND OUTPATIENT SETTINGS, INCLUDING OBSERVATION UNITS. THESE SHALL BE POSTED IN ENGLISH, SPANISH, AND HMONG. WEBSITE: THE FINANCIAL ASSISTANCE POLICY, APPLICATION FOR FINANCIAL ASSISTANCE, AND PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY SHALL BE AVAILABLE ON THE HOME PAGE AND MAIN BILLING PAGE, AS WELL AS OTHER PROMINENT PLACES ON CHS' WEBSITE, HTTPS://WWW.COMMUNITYMEDICAL.ORG/FOR-PATIENTS-FAMILIES/BILLING-INSURANCE/FINANCIAL-ASSISTANCE. PERSONS SEEKING INFORMATION ABOUT FINANCIAL ASSISTANCE SHALL NOT BE REQUIRED TO CREATE AN ACCOUNT OR PROVIDE ANY PERSONAL INFORMATION BEFORE RECEIVING INFORMATION ABOUT FINANCIAL ASSISTANCE. MAIL: PATIENTS MAY REQUEST A FREE COPY OF THE FINANCIAL ASSISTANCE POLICY, APPLICATION FOR FINANCIAL ASSISTANCE AND PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY BE SENT BY MAIL.OTHER EFFORTS: CHS WILL PROVIDE A DIGITAL KIT TO RELEVANT COMMUNITY ORGANIZATIONS WHO WILL WIDELY PUBLICIZE THE AVAILABILITY OF THIS POLICY TO AFFECTED PATIENTS IN THE COMMUNITY. CHS OR AN AUTHORIZED REPRESENTATIVE SHALL PROVIDE ALL PATIENTS WITH A COPY OF A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY WHICH ADVISES THE PATIENT OF THE MAXIMUM GROSS MONTHLY HOUSEHOLD INCOME PER FAMILY SIZE TO QUALIFY FOR FINANCIAL ASSISTANCE AS FOLLOWS: - AT REGISTRATION: DURING REGISTRATION (OR AS SOON THEREAFTER AS PRACTICABLE). - EMERGENCY SERVICES: IN THE CASE OF EMERGENCY SERVICES, AS SOON AS PRACTICABLE AFTER STABILIZATION OF THE PATIENT'S EMERGENCY MEDICAL CONDITION OR UPON DISCHARGE. - OUTPATIENT SERVICES: AT THE OUTPATIENT APPOINTMENT BEFORE THE PROCEDURE TAKES PLACE. - AT DISCHARGE: AT THE TIME OF DISCHARGE, WHEN CHS OR AN AUTHORIZED REPRESENTATIVE OF CHS SHALL ALSO PROVIDE OR OFFER TO PROVIDE ALL UNINSURED PATIENTS APPLICATIONS FOR MEDI-CAL, CALIFORNIA CHILDREN'S SERVICES OR ANY OTHER POTENTIALLY APPLICABLE GOVERNMENT PROGRAM. FOR NOTICES PROVIDED PURSUANT TO SECTION IV.G.2.A.2 AND A.3, THE PLAIN LANGUAGE SUMMARY WILL BE PROVIDED TO PATIENTS WHO ARE CONSCIOUS. IF THE PATIENT IS UNCONSCIOUS OR NOT ABLE TO RECEIVE THE PLAIN LANGUAGE SUMMARY, THEN THE NOTICE MUST BE PROVIDED AT DISCHARGE. FOR PATIENTS NOT ADMITTED TO CHS, THE PLAIN LANGUAGE SUMMARY WILL BE PROVIDED WHEN THE PATIENT IS LEAVING THE FACILITY. IF A PATIENT LEAVES CHS WITHOUT RECEIVING THE PLAIN LANGUAGE SUMMARY, CHS WILL MAIL THE NOTICE TO THE PATIENT WITHIN SEVENTY-TWO (72) HOURS OF PROVIDING THE SERVICES.
PART VI, LINE 4:	COMMUNITY HEALTH SYSTEM ("CHS") IS A LOCALLY OWNED, NOT-FOR-PROFIT HEALTHCARE SYSTEM BASED IN FRESNO, CALIFORNIA. ESTABLISHED IN 1897, CHS IS THE REGION'S LARGEST HEALTHCARE PROVIDER AND PRIVATE EMPLOYER. WITH OVER 11,000 EMPLOYEES, ALMOST 1000 VOLUNTEERS, AND 2,500 AFFILIATED PHYSICIANS, CHS SERVES A 15,000 SQUARE-MILE AREA THAT INCLUDES FRESNO, KINGS, MADERA AND TULARE COUNTIES IN CALIFORNIA'S CENTRAL VALLEY, A DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREA (HPSA). CHS IS MADE UP OF COMMUNITY MEDICAL CENTERS (HOSPITALS AND OUTPATIENT CENTERS), COMMUNITY PROVIDER NETWORK (OUR AFFILIATED PHYSICIANS) AND COMMUNITY CARE HEALTH (OUR HEALTH PLAN). FOR OVER 125 YEARS, COMMUNITY HEALTH SYSTEM HAS BEEN INVESTING IN THIS REGION GROWING A SUCCESSFUL HEALTHCARE SYSTEM THAT SUPPORTS OUR COMMUNITY AND SERVES VALLEY RESIDENTS. WE RECOGNIZE OUR OBLIGATION TO PROVIDE SERVICE ABOVE AND BEYOND OUR ROLE AS A SYSTEM OF HEALING FACILITIES. COMMUNITY'S HOSPITALS PROVIDE FINANCIAL ASSISTANCE TO THOSE IN THE COMMUNITY WHO CANNOT AFFORD SERVICES, OR WHOSE HEALTH INSURANCE DOES NOT COVER ALL SERVICES PROVIDED, AND WE INVEST IN THE COMMUNITY TO INCREASE ACCESS TO HEALTHCARE SERVICES AND IMPROVE HEALTH.COMMITMENT TO THE COMMUNITY WE RECOGNIZE OUR RESPONSIBILITIES GO BEYOND SIMPLY PROVIDING FACILITIES WHERE PEOPLE CAN HEAL. COMMUNITY'S HOSPITALS PROVIDE FINANCIAL ASSISTANCE TO THOSE IN THE COMMUNITY WHO CANNOT AFFORD SERVICES, OR WHOSE HEALTH INSURANCE DOES NOT COVER ALL SERVICES PROVIDED. WE ALSO INVEST IN THE COMMUNITY IN OTHER WAYS TO INCREASE ACCESS TO HEALTHCARE SERVICES AND IMPROVE HEALTH. THIS REPORT DEMONSTRATES TANGIBLE WAYS WE FULFILL OUR MISSION TO BETTER THE LIVES OF ALL THOSE WE SERVE THROUGH HUMANITY AND INGENUITY. SERVICE AREA OUR HOSPITAL FACILITIES ARE IN THE HEART OF CALIFORNIA'S SAN JOAQUIN VALLEY NEAR MAJOR HIGHWAYS AND THREE POPULAR NATIONAL PARKS. THE HOSPITALS SHARE A PRIMARY SERVICE AREA OF FRESNO, KINGS, MADERA AND TULARE COUNTIES. - COMMUNITY REGIONAL MEDICAL CENTER IS LOCATED AT 2823 FRESNO ST., FRESNO, CA 93721 - CLOVIS COMMUNITY MEDICAL CENTER IS LOCATED AT 2755 HERNDON AVE., CLOVIS, CA 93611 - FRESNO HEART & SURGICAL HOSPITAL IS LOCATED AT 15 E. AUDUBON DR., FRESNO, CA 93720 - COMMUNITY BEHAVIORAL HEALTH CENTER IS LOCATED AT 7171 N. CEDAR AVE., FRESNO, CA 93720 COMMUNITY HEALTH SYSTEM'S SERVICE AREA (BASED ON THE FY25 COMMUNITY HEALTH NEEDS ASSESSMENT)POPULATION COMMUNITY HEALTH SYSTEM'S HOSPITALS PRIMARILY SERVE FRESNO, KINGS, MADERA AND TULARE COUNTIES. FRESNO COUNTY IS THE MOST POPULOUS, WITH 1,022,707 RESIDENTS, WHILE KINGS COUNTY IS THE LEAST POPULOUS, WITH 153,158. MADERA COUNTY HAS 160,140 RESIDENTS, AND TULARE COUNTY HAS 480,702.AGE AND SEX IN FRESNO, KINGS, MADERA AND TULARE COUNTIES, MOST RESIDENTS ARE BETWEEN 25 AND 64 YEARS OLD. THE OVERALL SEX DISTRIBUTION FOR ALL FOUR COUNTIES REFLECTS A SLIGHT MALE MAJORITY, LARGELY INFLUENCED BY THE HIGHER MALE PERCENTAGE IN KINGS COUNTY. RACE AND ETHNICITY ALL FOUR COUNTIES HAVE A SIGNIFICANTLY HIGHER PERCENTAGE OF RESIDENTS WHO IDENTIFY AS HISPANIC OR LATINO COMPARED TO BOTH THE STATE (40.9%) AND THE NATION (18.4%): FRESNO AT 55.9%, KINGS AT 60%, MADERA AT 62.3% AND TULARE AT 68.5%. LANGUAGES MORE THAN A THIRD OF RESIDENTS IN FRESNO COUNTY (34.8%), KINGS COUNTY (37.1%) AND MADERA COUNTY (42%) SPEAK SPANISH AT HOME, WITH NEARLY HALF OF TULARE COUNTY RESIDENTS (47.2%) DOING THE SAME. ALL FOUR COUNTIES HAVE A HIGHER PERCENTAGE OF SPANISH SPEAKERS AT HOME COMPARED TO CALIFORNIA (28.6%) AND THE NATION (13.2%).VULNERABLE POPULATIONS POVERTY OVERALL, 19.5% OF FAMILIES IN FRESNO COUNTY, 16.2% IN KINGS COUNTY, 20.1% IN MADERA COUNTY AND 18.5% IN TULARE COUNTY LIVE BELOW THE POVERTY LEVEL. THESE RATES ARE HIGHER THAN BOTH THE STATE AVERAGE OF 12.1% AND THE NATIONAL AVERAGE OF 12.6%. HOMELESSNESS - IN FRESNO, MADERA AND TULARE COUNTIES, 25% OR MORE OF THE POPULATION HAS SEVERE HOUSING PROBLEMS, INDICATING AT LEAST ONE OF THE FOLLOWING PROBLEMS: OVERCROWDING, HIGH HOUSING COSTS, LACK OF KITCHEN OR PLUMBING FACILITIES. - IN KINGS COUNTY, 20% OF THE POPULATION HAS SEVERE HOUSING PROBLEMS, WHICH IS LOWER THAN THE STATE OF CALIFORNIA AT 25.7%. - A CLOSER LOOK AT HOUSING IN THE CENTRAL VALLEY REVEALS THAT FRESNO COUNTY HAS BOTH THE HIGHEST PERCENTAGE OF SEVERE HOUSING PROBLEMS AND THE GREATEST NUMBER OF HOUSEHOLDS SPENDING 30% OR MORE OF THEIR INCOME ON RENT, COMPARED TO OTHER COUNTIES AND THE STATE OVERALL. - ACCORDING TO THE U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT, CALIFORNIA HAD A TOTAL OF 187,084 UNHOUSED INDIVIDUALS IN 2024. OF THESE, 40,547 WERE IN EMERGENCY SHELTERS, 7,755 IN TRANSITIONAL HOUSING, AND 112,482 WERE UNSHELTERED. MORE THAN 25,000 HOMELESS FAMILIES INCLUDE CHILDREN. THE UNHOUSED POPULATION INCLUDES 59,703 INDIVIDUALS WHO IDENTIFY AS WHITE, 43,203 AS HISPANIC/LATINO AND 41,696 AS BLACK OR AFRICAN AMERICAN. LACK OF HEALTH INSURANCE THE PERCENTAGE OF ADULTS WITHOUT HEALTH INSURANCE EXCEEDS THE NATIONAL AVERAGE (10.8%) IN ALL FOUR COUNTIES: - FRESNO COUNTY: 12.0% - KINGS COUNTY: 15.9% - MADERA COUNTY: 17.8% - TULARE COUNTY: 19.3% HEALTHY PLACES INDEX THE CALIFORNIA HEALTHY PLACES INDEX (HPI) IS A MEASURE OF SOCIOECONOMIC NEED CORRELATED WITH POOR HEALTH OUTCOMES. FOR COMMUNITY BENEFIT PURPOSES, CALIFORNIA DEFINES VULNERABLE POPULATIONS LIVING IN AREAS WITH INADEQUATE ACCESS TO CLEAN AIR AND SAFE DRINKING WATER, AS DEFINED BY AN ENVIRONMENTAL HPI SCORE OF 50% OR LOWER. THE SERVICE AREA COUNTIES HAVE AN HPI SCORE FOR CLEAN ENVIRONMENT BELOW THE 50% MEASURE: - FRESNO: 3.6% - KINGS: 8.9% - MADERA: 12.5% - TULARE: 1.8%
PART VI, LINE 5:	COMMUNITY HEALTH SYSTEM'S ("CHS") COMMITMENT TO OUR COMMUNITY IS DEMONSTRATED AT EVERY LEVEL OF THE ORGANIZATION. EVIDENCE OF OUR MISSION IS THE CONTINUAL INVESTMENT IN IMPROVING THE HEALTH OF THOSE WE SERVE AND IN OUR WORKFORCE OF MORE THAN 14,000 EMPLOYEES, PHYSICIANS, AND VOLUNTEERS. AN INTEGRAL PART OF OUR MISSION IS OUR PATIENT POPULATION THAT INCLUDES MORE THAN 64,000 ADMISSIONS, ALMOST 228,000 OUTPATIENT VISITS AND MORE THAN 220,000 EMERGENCY DEPARTMENT VISITS EQUALING MORE THAN 513,000 PATIENTS TO WHOM WE PROVIDED QUALITY MEDICAL CARE.CHS STRIVES TO BRING PEOPLE AND ORGANIZATIONS TOGETHER TO IMPROVE COMMUNITY WELLNESS. THE COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") PROCESS IS ONE WAY WE CAN LIVE OUT OUR MISSION. TO FULFILL THIS MISSION, WE MUST BE INTENTIONAL ABOUT UNDERSTANDING THE HEALTH ISSUES THAT IMPACT RESIDENTS AND WORK TOGETHER TO CREATE A HEALTHY COMMUNITY.A PRIMARY COMPONENT OF CREATING A HEALTHY COMMUNITY IS ASSESSING THE NEEDS AND PRIORITIZING THOSE NEEDS FOR IMPACT. IN 2025, CHS CONDUCTED A COMPREHENSIVE CHNA TO IDENTIFY PRIMARY HEALTH ISSUES, CURRENT HEALTH STATUS AND OTHER HEALTH NEEDS. THE RESULTS FROM THE ASSESSMENT PROVIDE CRITICAL INFORMATION TO GUIDE US IN MAKING A POSITIVE IMPACT ON THE HEALTH OF THE REGION'S RESIDENTS. THE RESULTS ALSO ENABLE CHS TO MEASURE IMPACT AND STRATEGICALLY ESTABLISH PRIORITIES TO DEVELOP INTERVENTIONS AND ALIGN RESOURCES. A CHNA IS A TOOL THAT IS USED TO GUIDE COMMUNITY BENEFIT ACTIVITIES AND SEVERAL OTHER PURPOSES. FOR HOSPITALS, IT IS USED TO IDENTIFY AND ADDRESS KEY HEALTH NEEDS AND SUPPORTS THE DEVELOPMENT OF COMMUNITY BENEFIT PLANS MANDATED BY THE STATE OF CALIFORNIA AND THE FEDERAL GOVERNMENT. THE DATA FROM A CHNA IS FURTHERMORE USED TO INFORM COMMUNITY DECISION-MAKING, THE PRIORITIZATION OF HEALTH NEEDS AND THE DEVELOPMENT, IMPLEMENTATION AND EVALUATION OF AN IMPLEMENTATION PLAN OR COMMUNITY HEALTH IMPROVEMENT PLAN ("CHIP").THE CHNA IS AN IMPORTANT PIECE IN THE DEVELOPMENT OF AN IMPLEMENTATION STRATEGY/CHIP BECAUSE IT HELPS THE COMMUNITY TO UNDERSTAND THE HEALTH-RELATED ISSUES THAT NEED TO BE ADDRESSED. TO IDENTIFY AND ADDRESS THE CRITICAL HEALTH NEEDS OF THE REGION, CHS UTILIZED THE MOST CURRENT AND RELIABLE INFORMATION FROM EXISTING SOURCES AND THEN COLLECTED NEW DATA THROUGH INTERVIEWS, FOCUS GROUPS AND SURVEYS WITH COMMUNITY RESIDENTS AND LEADERS. CHS IS GOVERNED BY A VOLUNTEER BOARD OF TRUSTEES COMPRISED OF CIVIC LEADERS AND PHYSICIANS. THE TRUSTEES SET THE VISION AND POLICY DIRECTION FOR THE ORGANIZATION AND APPROVE THE ORGANIZATION'S STRATEGIC, BUSINESS AND FINANCIAL PLANS. THE BOARD OF TRUSTEES REVIEWS AND ADOPTS THE CHNAS, THE ANNUAL COMMUNITY BENEFIT REPORTS AND OUR IMPACT ON THE AREAS OF GREATEST NEED. SENIOR MANAGEMENT ENCOURAGES INITIATIVES TO EXPAND ACCESS TO HEALTHCARE SERVICES IN OUR COMMUNITY AND IS COMMITTED TO INVESTING IN AND PARTNERING WITH LOCAL, NONPROFIT ORGANIZATIONS WORKING IN SOCIOECONOMICALLY DISADVANTAGED NEIGHBORHOODS AND RURAL POPULATIONS. A MULTISTAKEHOLDER COMMITTEE ENSURES BOARD AND SENIOR MANAGEMENT DIRECTIVES ARE FULFILLED AND APPROVES FINANCIAL ALLOCATIONS TO COMMUNITY BENEFIT PROGRAMS, OUTREACH AND EDUCATION. COMMUNITY BENEFIT AND COMMUNITY SERVICE ARE AT THE HEART OF OUR HEALTHCARE SYSTEM.
PART VI, LINE 6:	COMMUNITY HEALTH SYSTEM (CHS) OPERATES ITS FACILITIES UNDER TWO HOSPITAL LICENSES: COMMUNITY REGIONAL MEDICAL CENTER (CRMC) AND CLOVIS COMMUNITY MEDICAL CENTER (CCMC). FRESNO HEART & SURGICAL HOSPITAL (FHSH), COMMUNITY BEHAVIORAL HEALTH CENTER (CBHC) AND COMMUNITY SUBACUTE & TRANSITIONAL CARE CENTER (CSTCC) OPERATE UNDER THE CRMC LICENSE. CMC ALSO OPERATES A CANCER INSTITUTE AND SEVERAL OUTPATIENT AND OTHER HEALTHCARE FACILITIES.WHILE CHS' SYSTEM OF CARE WORKS COLLABORATIVELY TO ADDRESS THE REGION'S HEALTHCARE NEEDS, CRMC AND CCMC ACTIVITIES AND FINANCIAL CONTRIBUTIONS FOR COMMUNITY BENEFIT ARE REPORTED SEPARATELY IN THIS REPORT.CRMC HAS 685 LICENSED BEDS AND OFFERS CENTRAL CALIFORNIA'S HIGHEST LEVEL OF MEDICAL CARE. CRMC IS A LEADER IN COMPREHENSIVE NEUROSCIENCE SERVICES, HAS A LEVEL 3 NICU (NEONATAL INTENSIVE CARE UNIT) AND A FULL-SERVICE 58,000 SQUARE-FOOT EMERGENCY DEPARTMENT (ED). CRMC IS HOME TO THE ONLY LEVEL I TRAUMA CENTER AND COMPREHENSIVE BURN CENTER BETWEEN LOS ANGELES AND SACRAMENTO AND SERVES AS THE AREA'S "SAFETY NET" PROVIDER, CARING FOR OUR REGION'S MOST VULNERABLE POPULATIONS.FHSH IS A SPECIALTY HOSPITAL IN CENTRAL CALIFORNIA WITH 57-LICENSED BEDS. FHSH IS KNOWN FOR ITS EXCELLENT PATIENT EXPERIENCE AND EXEMPLARY BARIATRIC, CARDIAC, ENDOCRINE, NEURO AND VASCULAR SURGERY SERVICES. FHSH OPERATES UNDER THE CRMC LICENSE.CBHC OPERATES 73 BEDS UNDER THE CRMC LICENSE AND IS THE ONLY INPATIENT MENTAL HEALTH FACILITY IN FRESNO COUNTY FOR THOSE IN NEED OF ACUTE PSYCHIATRIC CARE. CBHC PROVIDES 24-HOUR CARE TO PATIENTS BASED ON THEIR LEVEL OF NEED. THE CENTER ACCEPTS VOLUNTARY ADMITTANCE AND NON-AMBULATORY PATIENTS CAPABLE OF TRANSFERRING THEMSELVES.CSTCC IS A 106-BED FACILITY PROVIDING INPATIENT CARE FOR CHRONIC, SUBACUTE CONDITIONS AND COMPLEX ILLNESSES THAT REQUIRE 24-HOUR MEDICAL SUPERVISION. CSTCC PROVIDES PATIENTS WITH TREATMENT THAT IS CONSISTENT WITH AN ACUTE CARE CENTER'S EFFECTIVENESS WHILE IN A COMFORTABLE LONG-TERM SETTING.CCMC HAS 352 LICENSED BEDS. IT INCLUDES AN EMERGENCY DEPARTMENT (ED) AND PROVIDES SPECIALTY CARE FOR PATIENTS, INCLUDING COMPREHENSIVE HEART AND LUNG CARE, WOMEN'S SERVICES AND LABOR AND DELIVERY. CCMC IS HOME TO THE COMMUNITY CANCER INSTITUTE (CCI) AND THE MARJORIE E. RADIN BREAST CARE CENTER, PART OF CENTRAL CALIFORNIA'S PREMIER COMPREHENSIVE CANCER CARE PROGRAM, WHICH OFFERS MULTIDISCIPLINARY CARE TEAMS, A CLINIC, SCREENINGS AND DIAGNOSTICS, AS WELL AS CANCER TREATMENTS USING THE MOST ADVANCED TECHNOLOGY.
PART VI, LINE 7, REPORTS FILED WITH STATES	CA

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	0	GrantRecordsMaintainedInd

Recipient Table RecipientTable (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
FRESNO UNIFIED SCHOOL DISTRICT
2309 TULARE STREET	FRESNO	CA	93721	946002206	501(C)(3)	$15,869	$0	SUPPLIES AND INCENTIVES FOR BIRNEY ELEMENTARY SCHOOL STUDENTS
MARJAREE MASON CENTER
1600 M STREET	FRESNO	CA	93721	941156639	501(C)(3)	$12,500	$0	TO SUPPORT DOMESTIC VIOLENCE INTERVENTION AND PREVENTION
ADVANCED ARMENIA FOUNDATION
2753 QUINCY AVENUE	CLOVIS	CA	93619	843093464	501(C)(3)	$100,000	$0	SUPPORT MEDICAL MISSION TO ARMENIA
CENTRAL CALIFORNIA FOOD BANK
4010 E AMENDOLA DRIVE	FRESNO	CA	93725	946024540	501(C)(3)	$19,584	$0	SUPPORT SCHOOL BACKPACK PROGRAM AT YOKOMI ELEMENTARY SCHOOL
CENTRAL CALIFORNIA WOMEN'S CONFERENCE
PO BOX 25611	FRESNO	CA	93729	770178140	501(C)(3)	$10,000	$0	GRANT
FRESNO RESCUE MISSION
PO BOX 1422	FRESNO	CA	93716	941279785	501(C)(3)	$89,020	$0	TO SUPPORT FOOD SERVICE FOR THE COMMUNITY CARE AND FAMILY CENTER

Field	Value	IRS element (for citing)
Total501c3 Org	6	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION DOES NOT HAVE A GRANT PROCEDURE FOR MONITORING THE USE OF FUNDS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CRAIG S CASTRO - PRES CEO
(THRU 02/25)/CONSULTANT(AS OF 02/25)	$0	$1,915,047	$0	$150,000	$0	$210,840	$0	$813,432	$0	$26,388	$0	$3,115,707	$0	$0
CRAIG WAGONER
PRESIDENT & CEO (AS OF 02/25)	$0	$1,097,311	$0	$501,220	$0	$126,622	$0	$24,150	$0	$18,318	$0	$1,767,621	$0	$0
CHRISTOPHER NEUMAN
SVP, CHIEF FINANCIAL OFFICER	$0	$806,582	$0	$454,433	$0	$56,227	$0	$20,700	$0	$15,999	$0	$1,353,941	$0	$0
THOMAS UTECHT
SVP, CHIEF MEDICAL OFFICER	$805,897	$0	$409,249	$0	$66,720	$0	$27,600	$0	$25,620	$0	$1,335,086	$0	$0	$0
BRIANNE L MARRIOTT
SVP, CHIEF LEGAL OFFICER	$0	$666,261	$0	$279,793	$0	$70,272	$0	$20,700	$0	$23,712	$0	$1,060,738	$0	$0
ALDO DE LA TORRE - DIVISION
PRESIDENT, INS SVCS & MANAGED CARE	$0	$602,831	$0	$259,711	$0	$58,960	$0	$17,250	$0	$21,806	$0	$960,558	$0	$0
CARLA MILTON
SVP, CHIEF HUMAN RESOURCES OFFICER	$0	$560,616	$0	$245,680	$0	$76,966	$0	$24,150	$0	$24,704	$0	$932,116	$0	$0
DANIEL DAVIS
DIVISION PRESIDENT, HOSPITALS	$637,476	$0	$237,349	$0	$12,231	$0	$17,250	$0	$20,357	$0	$924,663	$0	$0	$0
TRACY KIRITANI
VP, HOSPITAL FINANCIAL OPERATIONS	$530,474	$0	$211,909	$0	$60,932	$0	$27,600	$0	$13,697	$0	$844,612	$0	$0	$0
JEFFREY THOMAS - VP
CHIEF MEDICAL & QUALITY OFFICER CRMC	$533,355	$0	$155,541	$0	$21,220	$0	$20,700	$0	$28,019	$0	$758,835	$0	$0	$0
DEBORAH MOFFETT - VICE
FINANCIAL OFFICER/VP, FINANCE	$0	$408,152	$0	$131,521	$0	$7,882	$0	$27,600	$0	$9,304	$0	$584,459	$0	$0
ALAN CHRISTIANSON
VP, CHIEF OPERATING OFFICER CCMC	$369,199	$0	$108,801	$0	$32,723	$0	$20,700	$0	$34,780	$0	$566,203	$0	$0	$0
ISABEL MARTINEZ - FIRST VS
DIRECTOR CORP GOVERNANCE	$0	$117,586	$0	$41,588	$0	$11,607	$0	$10,588	$0	$29,468	$0	$210,837	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	BUSINESS CLASS TRAVEL IS PERMITTED FOR SENIOR EXECUTIVES IF THE TRAVEL IS INTERNATIONAL OR TRANSCONTINENTAL OR THE EXECUTIVE PERFORMS CONFIDENTIAL WORK ON THE FLIGHT. SENIOR EXECUTIVES MAY NOT TRAVEL FIRST CLASS UNLESS THE FLIGHT DOES NOT HAVE BUSINESS CLASS OR BUSINESS CLASS TICKETS ARE NOT AVAILABLE. THIS IS NOT CONSIDERED TAXABLE TO THE EXECUTIVE. SOCIAL CLUB DUES ARE PAID FOR THOMAS UTECHT. THIS IS INCLUDED IN TAXABLE COMPENSATION.
PART I, LINE 4B	DURING THE YEAR, CRAIG S. CASTRO PARTICIPATED IN A SERP PLAN. A CONTRIBUTION OF $785,832 WAS MADE IN 2024. SELECT INDIVIDUALS AGREED TO PARTICIPATE IN A CAP-EX PLAN. SEE SCHEDULE L, PART V FOR A BROADER DESCRIPTION.
PART I, LINE 7	IF FUNDING IS AVAILABLE, THE CHS BOARD WILL PROVIDE THE CHS PRESIDENT & CHIEF EXECUTIVE OFFICER WITH A DISCRETIONARY BONUS POOL TO RECOGNIZE SENIOR LEADERS WHO HAVE DEMONSTRATED EXCEPTIONAL PERFORMANCE. DURING THE YEAR, THOMAS UTECHT AND DANIEL DAVIS RECEIVED A DISCRETIONARY BONUS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CALIFORNIA MUNICIPAL FINANCE AUTHORITY
A	201563466	13048TS20	2017-02-01	$429,863,267	CONSTRUCTION & REFUNDING	0	0	0
CALIFORNIA MUNICIPAL FINANCE AUTHORITY
B	201563466	13048VZJ0	2021-12-16	$350,004,938	NEW CONSTRUCTION	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$82,077,455	$430,205,457	$2,780,950	$50,342,190	$377,082,317	2018	Yes (1)	Yes (1)	Yes (1)	Yes (1)
B	$9,959,524	$350,004,938		$350,000,000	$4,938	2022	0	0	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
B	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	0	Yes (1)	0	0	0	0	Yes (1)
B	0	0	Yes (1)	0	0	0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE K, PART I, COLUMN F:	ROW A: SERIES 2017 REFUNDED THE FOLLOWING: REFUNDED A PORTION OF THE SERIES 2007 BONDS OUTSTANDING WITH A PAR AMOUNT OF $213,100,000; SERIES BONDS 2009 PAR AMOUNT $182,365,000.
SCHEDULE K, PART II, LINE 3:	COLUMN A: TOTAL PROCEEDS OF ISSUE = ISSUE PRICE + PROJECT FUND EARNINGS OF $342,190.
SCHEDULE K COMBINED SUPPLEMENTAL INFORMATION:	THE ORGANIZATION AND COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA HAVE ESTABLISHED AN OBLIGATED GROUP TO ACCESS CAPITAL MARKETS. THE OBLIGATED GROUP MEMBERS ARE JOINTLY AND SEVERALLY LIABLE FOR LONG-TERM DEBT OUTSTANDING UNDER THE OBLIGATED GROUPS MASTER TRUST INDENTURE. THE ORGANIZATION IS THE PRIMARY BENEFICIARY OF THE TAX-EXEMPT BOND PROCEEDS AND FILES SCHEDULE K FOR THE BENEFIT OF ALL MEMBERS OF THE OBLIGATED GROUP.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (6 entries)

Relationship With OrgRelationshipWithOrgTxt	Loan PurposeLoanPurposeTxt	Loan From OrganizationLoanFromOrganizationInd	Original PrincipalOriginalPrincipalAmt	Balance DueBalanceDueAmt	DefaultDefaultInd	Board Or Committee ApprovalBoardOrCommitteeApprovalInd	Written AgreementWrittenAgreementInd
CRAIG S CASTRO
OFFICER	SPLIT INTEREST INSURANCE	Yes (X)	$2,630,651	$2,929,271	0	Yes (1)	Yes (1)
CHRISTOPHER NEUMAN
OFFICER	SPLIT INTEREST INSURANCE	Yes (X)	$1,895,110	$2,025,607	0	Yes (1)	Yes (1)
CRAIG WAGONER
OFFICER	SPLIT INTEREST INSURANCE	Yes (X)	$986,225	$1,098,177	0	Yes (1)	Yes (1)
ALDO DE LA TORRE
KEY EMPLOYEE	SPLIT INTEREST INSURANCE	Yes (X)	$1,795,318	$1,978,562	0	Yes (1)	Yes (1)
CARLA MILTON
KEY EMPLOYEE	SPLIT INTEREST INSURANCE	Yes (X)	$706,907	$787,152	0	Yes (1)	Yes (1)
BRIANNE L MARRIOTT
KEY EMPLOYEE	SPLIT INTEREST INSURANCE	Yes (X)	$823,753	$867,674	0	Yes (1)	Yes (1)

Field	Value	IRS element (for citing)
Total Balance Due	$9,686,443	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	CHRIS-ANN VENUGOPAL	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	FAMILY MEMBER OF A MEMBER OF FCH&MC'S BOARD OF TRUSTEES	RelationshipDescriptionTxt
Transaction	$104,376	TransactionAmt
Transaction	SALARIES AND WAGES	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II:	FormAndLineReferenceDesc
Explanation	(C) PURPOSE OF LOAN:THE ORGANIZATION HAS ENTERED INTO COLLATERAL ASSIGNMENT SPLIT DOLLAR AGREEMENTS WITH THE PERSONS LISTED ON SCHEDULE L, PART II UNDER TREAS. REG. SECTION 1.7872-15(E)(5)(II). THE ORGANIZATION HAS INVESTED AMOUNTS LISTED IN COLUMN (E) INTO THE PLANS AND IS ENTITLED TO RECEIVE A RETURN OF THESE FUNDS, PLUS AN INTEREST RATE UPON THE DEATH OF THE NAMED PERSON.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
HEADING, BOX C:	OTHER DBAS USED: BOB SMITTCAMP FAMILY NEUROSCIENCE INSTITUTE BURNETT EXTENDED CARE CENTER CENTRAL CALIFORNIA HEART INSTITUTE CLOVIS COMMUNITY CENTER FOR WOUND HEALING CLOVIS COMMUNITY MEDICAL CENTER COMMUNITY BEHAVIORAL HEALTH CENTER COMMUNITY CANCER INSTITUTE COMMUNITY SURGICAL CENTER COMMUNITY SURGICAL CENTER HOLDINGS COMMUNITY DIAGNOSTIC SERVICES COMMUNITY DIALYSIS CENTER - FRESNO COMMUNITY EXTENDED CARE CENTER COMMUNITY HEALTH SYSTEM COMMUNITY HOME CARE COMMUNITY MEDICAL CENTERS COMMUNITY REGIONAL MEDICAL CENTER COMMUNITY SUBACUTE AND TRANSITIONAL CARE CENTER DERAN KOLIGIAN AMBULATORY CARE CENTER DIABETES CARE CENTER OF FRESNO DIAGNOSTIC AND OUTPATIENT CENTER FRESNO HEART AND SURGICAL HOSPITAL UNIVERSITY MEDICAL CENTER PHARMACY
FORM 990, PART V, LINES 1 & 2:	COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA IS THE CENTRAL PAYOR FOR ITSELF, COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA FOUNDATION, COMMUNITY HEALTH PARTNERS, AND FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER.
FORM 990, PART VI, SECTION A, LINE 6	COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA (CHCC) IS THE SOLE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7A	THE SOLE MEMBER HAS THE SOLE AND EXCLUSIVE RIGHT TO APPOINT ALL OF THE MEMBERS OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B	THE SOLE MEMBER HAS THE RIGHTS OF MEMBERS CONFERRED BY CHAPTER 3 OF THE NONPROFIT PUBLIC BENEFIT CORPORATION LAW, SECTIONS 5310-5354, WHICH INCLUDES THE RIGHTS TO APPROVE AMENDMENTS TO THE ARTICLES, BYLAWS AND SALE OF ASSETS OUTSIDE THE NORMAL COURSE OF BUSINESS. THE MOST RECENT AMENDED ARTICLES OF INCORPORATION PROVIDES THAT UPON DISSOLUTION ALL REMAINING ASSETS WILL BE DISTRIBUTED TO CHCC OR ITS SUCCESSOR.
FORM 990, PART VI, SECTION B, LINE 11B	UPON COMPLETION OF AN INITIAL REVIEW BY SENIOR MANAGEMENT, THE FORM IS REVIEWED BY THE BOARD OF TRUSTEES. THE FINALIZED FORM 990 THEN BECOMES A RECORD OF THE ORGANIZATION'S BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION B, LINE 12C	ANNUALLY, EACH DIRECTOR, PRINCIPAL OFFICER, AND MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS SIGNS A STATEMENT WHICH AFFIRMS THAT SUCH PERSON: 1) HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY; 2) HAS READ AND UNDERSTANDS THE POLICY; 3) HAS AGREED TO COMPLY WITH THE POLICY; AND 4) UNDERSTANDS THAT THE CORPORATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. EACH DIRECTOR, PRINCIPAL OFFICER, AND MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS ALSO COMPLETES A CONFLICT OF INTEREST DISCLOSURE STATEMENT PRIOR TO THE ASSIGNMENT OF THEIR DUTIES AND THEREAFTER ON AN ANNUAL BASIS. THE STATEMENT ASKS SPECIFIC QUESTIONS THAT WOULD DETERMINE IF THERE ARE CONFLICTS OF INTERESTS. FOR DIRECTORS, THE BOARD DETERMINES WHETHER A CONFLICT OF INTEREST EXISTS USING THE BOARD'S CONFLICT OF INTEREST POLICY, WHICH MAY REQUIRE RECUSAL OF THE DIRECTOR FROM ANY DISCUSSION OR VOTE. FOR EMPLOYEES, CHS'S CHIEF ETHICS & COMPLIANCE OFFICER REVIEW THE RESPONSES AND DETERMINE WHETHER THERE IS A CONFLICT BASED ON POLICY. IF A CONFLICT OF INTEREST IS IDENTIFIED, THE EMPLOYEE WILL BE REMOVED FROM DECISION MAKING AS IT PERTAINS TO THAT CONFLICT. TO ENSURE THAT THE CORPORATION OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES AND THAT IT DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS STATUS AS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX, PERIODIC REVIEWS ARE CONDUCTED. THE PERIODIC REVIEWS, AT A MINIMUM, INCLUDE THE FOLLOWING SUBJECTS: 1) WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE AND ARE THE RESULT OF ARMS-LENGTH BARGAINING; 2) WHETHER ARRANGEMENTS FOR PHYSICIAN AND OTHER PROVIDER SERVICES RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT; 3) WHETHER PARTNERSHIP AND JOINT VENTURE ARRANGEMENTS AND ARRANGEMENTS WITH MANAGEMENT SERVICE ORGANIZATIONS AND PHYSICIAN HOSPITAL ORGANIZATIONS CONFORM TO WRITTEN POLICIES, ARE PROPERLY RECORDED, REFLECT REASONABLE PAYMENTS FOR GOODS AND SERVICES, FURTHER THE CORPORATION'S CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT; AND 4) WHETHER AGREEMENTS TO PROVIDE HEALTH CARE AND AGREEMENTS WITH OTHER HEALTH CARE PROVIDERS, EMPLOYEES, AND THIRD PARTY PAYORS FURTHER THE CORPORATION'S CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT. FORM 990, PART VI, SECTION B, LINE 15A: CHCC, THE SOLE MEMBER OF FCH&MC, ESTABLISHES COMPENSATION FOR THE CEO.
FORM 990, PART VI, SECTION B, LINE 15	RESPONSIBILITY FOR OVERSIGHT OF EXECUTIVE COMPENSATION RESTS WITH THE BOARD'S EXECUTIVE COMPENSATION SUBCOMMITTEE. THE COMMITTEE WILL "CONSIDER ALL MATTERS INVOLVING COMPENSATION AND BENEFITS OF (I) CORPORATE OFFICERS WHO ARE CLASSIFIED AS "DISQUALIFIED PERSONS" PURSUANT TO INTERNAL REVENUE CODE SECTION 4958; (II) ALL OTHER CORPORATE OFFICERS WHO ARE SENIOR VICE PRESIDENTS AND EXECUTIVE VICE PRESIDENTS AND (III) THE PRESIDENT/CHIEF EXECUTIVE OFFICER." THROUGH THE EXECUTIVE COMPENSATION SUBCOMMITTEE, THE BOARD HAS ENGAGED SULLIVAN, COTTER AND ASSOCIATES, INC. TO CONDUCT A TOTAL COMPENSATION REVIEW FOR THOSE INDIVIDUALS IDENTIFIED IN THEIR SCOPE OF RESPONSIBILITY WHICH INCLUDED THE USE OF COMPARABILITY DATA AND DOCUMENTATION OF THE FINDINGS REPORTED TO THE COMMITTEE. FOR TAX YEAR 2025, THIS PROCESS WAS COMPLETED OCTOBER/NOVEMBER, 2024.
FORM 990, PART VI, SECTION C, LINE 19	FEDERAL TAX LAWS DO NOT REQUIRE THAT THE ORGANIZATION'S GOVERNING DOCUMENTS AND POLICIES RELATED TO CONFLICTS OF INTEREST BE MADE AVAILABLE FOR PUBLIC INSPECTION. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE ATTACHED TO THIS FORM 990 AND ARE PUBLICLY AVAILABLE.
FORM 990, PART IX, LINE 11G	PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 282,404,455. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 282,404,455. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 73,777,890. MANAGEMENT AND GENERAL EXPENSES 14,052,932. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 87,830,822. MEDICAL PURCHASED SERVICE: PROGRAM SERVICE EXPENSES 22,598,292. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,598,292. MD SUPERVISORY FEES: PROGRAM SERVICE EXPENSES 12,311,184. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,311,184. LINEN SERVICES: PROGRAM SERVICE EXPENSES 7,527,557. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,527,557. AMBULANCE SERVICE: PROGRAM SERVICE EXPENSES 6,714,667. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,714,667. CONSULT & MANAGEMENT FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 14,547. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,547.
FORM 990, PART XI, LINE 9:	UBI FROM PASSTHROUGH INVESTMENTS -1,420,561.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
AMI REALTY PARTNERS LP
1560 E SHAW AVENUE	FRESNO	CA	93710	203709876	INACTIVE	CA	$0	$0	FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER
COMMUNITY SURGICAL CENTER HOLDINGS LLC
789 MEDICAL CENTER DRIVE E SUITE 10	CLOVIS	CA	93611		INACTIVE	CA	$0	$0	FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER
COMMUNITY SURGICAL CENTER LLC
789 MEDICAL CENTER DRIVE E SUITE 10	CLOVIS	CA	93611		INACTIVE	CA	$0	$0	FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA
1560 E SHAW AVENUE	FRESNO	CA	93710	942864615	SUPPORTING ORGANIZATION	CA	501(C)(3)	LINE 12B, II	N/A	Yes (1)
COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA FOUNDATION
1560 E SHAW AVENUE	FRESNO	CA	93710	770191730	SUPPORTING ORGANIZATION	CA	501(C)(3)	LINE 7		Yes (1)	COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA
COMMUNITY HEALTH PARTNERS
45 RIVER PARK PLACE WEST SUITE 507	FRESNO	CA	93720	852103299	HEALTHCARE	CA	501(C)(3)	LINE 3		Yes (1)	FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	AMSURG CMC ASC VENTURES LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1A BURTON HILLS BOULEVARD SUITE 300	AddressLine1Txt
City	NASHVILLE	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	37215	ZIPCd

Field	Value	IRS element (for citing)
EIN	883433826	EIN
Primary Activities	HOLDING COMPANY	PrimaryActivitiesTxt
Legal Domicile State	TN	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	EXCLUDED	PredominantIncomeTypeTxt
Share Of Total Income	-$2,530,685	ShareOfTotalIncomeAmt
Share Of EOY Assets	$477,492	ShareOfEOYAssetsAmt
Disproportionate Allocations	0	DisproportionateAllocationsInd
General Or Managing Partner	Yes (1)	GeneralOrManagingPartnerInd
Ownership	0.51000	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd
COMMUNITY INSURANCE SERVICES COMPANY
789 N MEDICAL CENTER DRIVE EAST	CLOVIS	CA	93611	980674776	INSURANCE	CJ	FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER	C	$12,101,001	$53,345,619	1.00000	Yes (1)
COMMUNITY CARE HEALTH PLAN INC
789 N MEDICAL CENTER DRIVE EAST	CLOVIS	CA	93611	273353543	HEALTH CARE PLAN		FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER	C	$98,321,244	$26,548,457	1.00000	Yes (1)	CA
COMMUNITY HEALTH ENTERPRISES INC
789 N MEDICAL CENTER DRIVE EAST	CLOVIS	CA	93611	770175659	PHARMACY SALES			C				0	CA	N/A
COMMUNITY COLLABORATIVE CARE NETWORK
45 RIVER PARK PLACE WEST SUITE 507	FRESNO	CA	93720	332243552	HEALTH CARE		COMMUNITY HEALTH PARTNERS	C	$37,930	$37,930	1.00000	Yes (1)	CA

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA FOUNDATION
C	$20,787,902	CASH
COMMUNITY INSURANCE SERVICES COMPANY
R	$11,596,176	CASH
COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA
P	$324,934,583	COST
COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA FOUNDATION
S	$20,269,000	CASH