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COMMUNITY HOSPITAL OF CENTRAL CALIFORNIA FOUNDATION: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY HOSPITAL OF CENTRAL CALIFORNIA FOUNDATION (EIN 77-0191730)
Tax period
2021-09-01 to 2022-08-31
Filed
2023-07-13
IRS object ID
202341949349301374
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-07-13T21:59:20-05:00ReturnTs
Tax Period End2022-08-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN910189318PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MOSS ADAMS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13121 W MARCH LN STE 200AddressLine1Txt
CitySTOCKTONCityNm
State AbbreviationCAStateAbbreviationCd
ZIP952192367ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-09-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN770191730EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HOSPITALS OF CENTRALBusinessNameLine1Txt
Business Name Line2CALIFORNIA FOUNDATIONBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlCOMMBusinessNameControlTxt
Phone5594596000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11560 E SHAW AVENUEAddressLine1Txt
CityFRESNOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93710ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDEBORAH MOFFETTPersonNm
Person TitleVICE FINANCIAL OFFICERPersonTitleTxt
Phone5594596000PhoneNum
Signature2023-07-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDEBORAHPersonFirstNm
Person LastMOFFETTPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTRACY S PAGLIAPreparerPersonNm
PTINP00366884PTIN
Phone2099556100PhoneNum
Preparation2023-07-10PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCRAIG S CASTROPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11560 E SHAW AVENUEAddressLine1Txt
CityFRESNOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93710ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$11,188,563GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.COMMUNITYMEDICAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1986FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionIMPROVE THE HEALTH STATUS OF THE COMMUNITY AND PROMOTE MEDICAL EDUCATION.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee21TotalEmployeeCnt
Total Volunteers82TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$7,939,192PYContributionsGrantsAmt
CY Contributions Grants$10,544,224CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$26,605PYInvestmentIncomeAmt
CY Investment Income$35,449CYInvestmentIncomeAmt
PY Other Revenue$27,135PYOtherRevenueAmt
CY Other Revenue$133,246CYOtherRevenueAmt
PY Total Revenue$7,992,932PYTotalRevenueAmt
CY Total Revenue$10,712,919CYTotalRevenueAmt
PY Grants And Similar Paid$3,165,934PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$5,308,290CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,971,000PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,736,000CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$2,976,204CYTotalFundraisingExpenseAmt
PY Other Expenses$3,015,777PYOtherExpensesAmt
CY Other Expenses$1,180,379CYOtherExpensesAmt
PY Total Expenses$9,152,711PYTotalExpensesAmt
CY Total Expenses$9,224,669CYTotalExpensesAmt
PY Revenues Less Expenses-$1,159,779PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,488,250CYRevenuesLessExpensesAmt
Total Assets BOY$33,894,794TotalAssetsBOYAmt
Total Assets EOY$39,166,436TotalAssetsEOYAmt
Total Liabilities BOY$14,491,673TotalLiabilitiesBOYAmt
Total Liabilities EOY$18,302,868TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$19,403,121NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$20,863,568NetAssetsOrFundBalancesEOYAmt
MissionCHCC FOUNDATION'S MISSION IS TO SUPPORT COMMUNITY HEALTH SYSTEM'S (CHS) OTHER AFFILIATED, NOT-FOR-PROFIT COMPANIES, THEREBY, IMPROVING THE HEALTH STATUS OF THE COMMUNITY AND PROMOTING MEDICAL EDUCATION.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$6,141,103ExpenseAmt
Grant$5,308,290GrantAmt
Revenue$0RevenueAmt
DescTHROUGH THE GENEROUS CONTRIBUTIONS OF THE COMMUNITY, THE ORGANIZATION FUNDED $5,308,290 OF FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER'S AND COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA'S MEDICAL AND OPERATING EQUIPMENT ACQUISITIONS, IT DEFRAYED $1,263,655 OF ITS PATIENT CARE OPERATING EXPENDITURES.Desc
Total Program Service Expenses$6,141,103TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document8IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee21EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDEBORAH MOFFETTPersonNm
Phone5594596000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11560 E SHAW AVEAddressLine1Txt
CityFRESNOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93710ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
CRAIG S CASTRO
PRESIDENT, CHIEF EXECUTIVE OFFICER0.0060.00Yes (X)$0$1,757,595$646,765
CRAIG WAGONER
EVP, CHIEF OPERATING OFFICER0.0061.90$0$1,584,241$32,862Yes (X)
TIM JOSLIN - FORMER PRESIDENT
CHIEF EXECUTIVE OFFICER THRU 07/200.000.00$0$895,869$10,393Yes (X)
BRIANNE L MARRIOTT - FIRST VS
SECOND VS/SVP, CHIEF LEGAL OFFICER0.0055.00Yes (X)$0$816,409$37,239
JOSEPH NOWICKI
SVP, CORPORATE CFO THRU 04/210.0055.00$0$795,606$34,829Yes (X)
KATHRYN ZENOVICH
SVP, DEVELOPMENT & EXTERNAL AFFAIRS55.000.00Yes (X)$757,061$0$44,807
DEBORAH MOFFETT - VICE
FINANCIAL OFFICER/VP, FINANCE0.0055.00Yes (X)$0$633,555$31,151
ROGER LARSEN
SVP, CORPORATE CFO0.0060.00Yes (X)$0$336,681$6,839
DEBORAH KLEIN - VICE
PRESIDENT, FOUNDATION THRU 07/2155.000.00$285,572$0$9,607Yes (X)
JUANITA HERNANDEZ - FIRST VS
SECOND VS/DIR CORP GOV THRU 02/220.0055.00Yes (X)$0$248,260$30,486
VONGSAVANH MOUANOUTOUA
DIRECTOR EXT RELATIONS/PROJECT DEV50.000.00$153,160$0$7,769Yes (X)
CYNTHIA HARRIS
DEVELOPMENT OFFICER 450.000.00$116,860$0$19,442Yes (X)
KELLY O'BRIEN
FOUNDATION OPERATIONS MANAGER50.000.00$133,849$0$10,114Yes (X)
ISABEL MARTINEZ - FIRST VICE
SECRETARY/MANAGER CORP GOVERNANCE0.0050.00Yes (X)$0$57,583$18,543
AMIR FATHI MD
BOARD MEMBER AS OF 11/210.301.60$0$49,400$0Yes (X)
RONALD BIERMA MD
BOARD MEMBER0.301.60$0$3,000$0Yes (X)
FARID ASSEMI
CHAIR0.301.60Yes (X)$0$0$0Yes (X)
ROGER STURDEVANT
CHAIR ELECT0.303.50Yes (X)$0$0$0Yes (X)
SUSAN ABUNDIS
SECRETARY0.301.60Yes (X)$0$0$0Yes (X)
LORI BENNETT EDD
BOARD MEMBER AS OF 05/220.301.60$0$0$0Yes (X)
KEITH BOONE MD
BOARD MEMBER0.301.60$0$0$0Yes (X)
TERRANCE BRADLEY EDD
BOARD MEMBER THRU 12/210.301.60$0$0$0Yes (X)
JERRY COOK
BOARD MEMBER0.301.60$0$0$0Yes (X)
GREG ESTEP
BOARD MEMBER0.301.60$0$0$0Yes (X)
WAGIH IBRAHIM MD
BOARD MEMBER AS OF 01/210.301.60$0$0$0Yes (X)
JOSEPH JONES PHD
BOARD MEMBER THRU 05/220.301.60$0$0$0Yes (X)
KAREN MCCAFFREY
BOARD MEMBER0.301.60$0$0$0Yes (X)
JOHN MCGREGOR
BOARD MEMBER0.301.60$0$0$0Yes (X)
JOSHUA PETERSON
BOARD MEMBER AS OF 05/220.301.60$0$0$0Yes (X)
RUTHIE QUINTO
BOARD MEMBER0.301.60$0$0$0Yes (X)
CHANDRASEKAR VENUGOPAL MD
BOARD MEMBER0.301.60$0$0$0Yes (X)
LINZIE DANIEL
PAST CHAIR0.301.60Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,446,502TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$7,178,199TotReportableCompRltdOrgAmt
Total Other Compensation$940,846TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K5IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$218,275FundraisingAmt
Government Grants$77,694GovernmentGrantsAmt
All Other Contributions$10,248,255AllOtherContributionsAmt
Noncash Contributions$832,813NoncashContributionsAmt
Total Contributions$10,544,224TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$35,449TotalRevenueColumnAmt
Exclusion$35,449ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$608,890FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$218,275ContriRptFundraisingEventAmt
Fundraising Direct Expenses$475,644FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$133,246TotalRevenueColumnAmt
Exclusion$133,246ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,712,919TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$168,695ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$5,308,290TotalAmt
Program Services$5,308,290ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$780,206TotalAmt
Fundraising$780,206FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,492,640TotalAmt
Fundraising$1,492,640FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$131,067TotalAmt
Fundraising$131,067FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$184,403TotalAmt
Fundraising$184,403FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$147,684TotalAmt
Fundraising$147,684FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$24,590TotalAmt
Management And General$12,295ManagementAndGeneralAmt
Fundraising$12,295FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$115,260TotalAmt
Management And General$57,630ManagementAndGeneralAmt
Fundraising$57,630FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$6,491TotalAmt
Management And General$3,245ManagementAndGeneralAmt
Fundraising$3,246FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$20,858TotalAmt
Management And General$3,129ManagementAndGeneralAmt
Fundraising$17,729FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$553TotalAmt
Management And General$553ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$21,000TotalAmt
Management And General$21,000ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$5,000TotalAmt
Management And General$5,000ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtFundraisingFundraisingAmtManagement And GeneralManagementAndGeneralAmt
NON-CASH CONTRIB DISTRI$832,813$832,813
DUES & SUBSCRIPTIONS$99,776$99,776
MEALS$50,397$46,365$4,032

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,641TotalAmt
Management And General$478ManagementAndGeneralAmt
Fundraising$3,163FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$9,224,669TotalAmt
Program Services$6,141,103ProgramServicesAmt
Management And General$107,362ManagementAndGeneralAmt
Fundraising$2,976,204FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$114BOYAmt
EOY$141EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$24,022,649BOYAmt
EOY$28,064,087EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$9,841,965BOYAmt
EOY$11,073,181EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$23,548BOYAmt
EOY$24,976EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$77,390LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$73,339LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,518BOYAmt
EOY$4,051EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$33,894,794BOYAmt
EOY$39,166,436EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$345,725BOYAmt
EOY$438,552EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$14,145,948BOYAmt
EOY$17,864,316EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$14,491,673BOYAmt
EOY$18,302,868EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$13,276,357BOYAmt
EOY-$16,767,173EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$32,679,478BOYAmt
EOY$37,630,741EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$19,403,121BOYAmt
EOY$20,863,568EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$33,894,794BOYAmt
EOY$39,166,436EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,488,250ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$27,803OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$14,907,326CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,134,500CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,128,296CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,926,340CurrentTaxYearMinus1YearAmt
Current Tax Year$10,544,224CurrentTaxYearAmt
Total$48,640,686TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$14,907,326CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,134,500CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,128,296CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,926,340CurrentTaxYearMinus1YearAmt
Current Tax Year$10,544,224CurrentTaxYearAmt
Total$48,640,686TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$11,348,145SubstantialContributorsTotAmt
Public Support Total170$37,292,541PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,139,730CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus1 Year$26,605CurrentTaxYearMinus1YearAmt
Current Tax Year$35,449CurrentTaxYearAmt
Total$1,201,784TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$135,147CurrentTaxYearMinus4YearsAmt
Total$135,147TotalAmt
FieldValueIRS element (for citing)
Total Support$49,977,617TotalSupportAmt
Gross Receipts Rltd Activities$2,351,171GrossReceiptsRltdActivitiesAmt
Public Support CY1700.74620PublicSupportCY170Pct
Public Support PY1700.70370PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationESCROW AND REFUNDS - 2017 AMOUNT: $ 135,147.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$484,030BeginningYearBalanceAmt
Contributions$57,769ContributionsAmt
Investment Earnings Or Losses$9,264InvestmentEarningsOrLossesAmt
End Year Balance$551,063EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$383,593BeginningYearBalanceAmt
Contributions$95,268ContributionsAmt
Investment Earnings Or Losses$17,169InvestmentEarningsOrLossesAmt
Other Expenditures$12,000OtherExpendituresAmt
End Year Balance$484,030EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$383,593BeginningYearBalanceAmt
End Year Balance$383,593EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$383,593BeginningYearBalanceAmt
End Year Balance$383,593EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$383,593BeginningYearBalanceAmt
End Year Balance$383,593EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.30000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.70000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$77,390OtherCostOrOtherBasisAmt
Depreciation$73,339DepreciationAmt
Book Value$4,051BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$4,051TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescPAYABLE TO AFFILIATESDesc
Amt$17,864,316Amt
FieldValueIRS element (for citing)
Total Liability$17,864,316TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:$383,593 OF THE ENDOWMENT REPORTED IN PART V IS A PERMANENT ENDOWMENT TO PROVIDE A PERMANENT SOURCE OF INCOME TO SUPPORT PATIENT CARE. $167,469 IS A QUASI-ENDOWMENT TO SUPPORT TERRY'S HOUSE.
FORM 990, SCHEDULE D, PART X, LINE 2:THERE IS NO FOOTNOTE FOR FIN 48 IN THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS DUE TO IMMATERIALITY.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1WHSNEvent1Nm
Gross Receipts Event1$648,673GrossReceiptsEvent1Amt
Charitable Contri Event1$198,150CharitableContriEvent1Amt
Gross Revenue Event1$450,523GrossRevenueEvent1Amt
Non Cash Prizes Event1$139,730NonCashPrizesEvent1Amt
Rent Facility Costs Event1$38,851RentFacilityCostsEvent1Amt
Food And Beverage Event1$111,758FoodAndBeverageEvent1Amt
Entertainment Event1$9,856EntertainmentEvent1Amt
Other Direct Expenses Event1$74,888OtherDirectExpensesEvent1Amt
Event2HOT PINK CLASSICEvent2Nm
Gross Receipts Event2$178,492GrossReceiptsEvent2Amt
Charitable Contri Event2$20,125CharitableContriEvent2Amt
Gross Revenue Event2$158,367GrossRevenueEvent2Amt
Non Cash Prizes Event2$23,710NonCashPrizesEvent2Amt
Rent Facility Costs Event2$11,950RentFacilityCostsEvent2Amt
Food And Beverage Event2$11,127FoodAndBeverageEvent2Amt
Entertainment Event2$26,897EntertainmentEvent2Amt
Other Direct Expenses Event2$26,877OtherDirectExpensesEvent2Amt
Gross Receipts Total$827,165GrossReceiptsTotalAmt
Charitable Contributions Tot$218,275CharitableContributionsTotAmt
Gross Revenue Total Events$608,890GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$163,440NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$50,801RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$122,885FoodAndBeverageTotalEventsAmt
Entertainment Total Events$36,753EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$101,765OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$475,644DirectExpenseSummaryEventsAmt
Net Income Summary$133,246NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER
1560 E SHAW AVENUEFRESNOCA93710941156276501(C)(3)$5,222,098$0CAPITAL AND OPERATING EXPENSES
COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA
1560 E SHAW AVENUEFRESNOCA93710942864615501(C)(3)$73,994$0OPERATING EXPENSES
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationCHCC FOUNDATION IS GOVERNED BY A BOARD OF TRUSTEES THAT SETS POLICY AND IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF GRANTS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CRAIG S CASTRO
PRESIDENT, CHIEF EXECUTIVE OFFICER$0$1,490,363$0$103,372$0$163,860$0$623,100$0$23,665$0$2,404,360$0$0
CRAIG WAGONER
EVP, CHIEF OPERATING OFFICER$0$996,314$0$439,239$0$148,688$0$17,400$0$15,462$0$1,617,103$0$0
TIM JOSLIN - FORMER PRESIDENT
CHIEF EXECUTIVE OFFICER THRU 07/20$0$0$0$0$0$895,869$0$0$0$10,393$0$906,262$0$0
BRIANNE L MARRIOTT - FIRST VS
SECOND VS/SVP, CHIEF LEGAL OFFICER$0$536,855$0$213,403$0$66,151$0$17,400$0$19,839$0$853,648$0$0
JOSEPH NOWICKI
SVP, CORPORATE CFO THRU 04/21$0$232,573$0$0$0$563,033$0$16,669$0$18,160$0$830,435$0$0
KATHRYN ZENOVICH
SVP, DEVELOPMENT & EXTERNAL AFFAIRS$511,347$0$191,687$0$54,027$0$23,200$0$21,607$0$801,868$0$0$0
DEBORAH MOFFETT - VICE
FINANCIAL OFFICER/VP, FINANCE$0$345,384$0$283,540$0$4,631$0$23,200$0$7,951$0$664,706$0$0
ROGER LARSEN
SVP, CORPORATE CFO$0$334,928$0$320$0$1,433$0$0$0$6,839$0$343,520$0$0
DEBORAH KLEIN - VICE
PRESIDENT, FOUNDATION THRU 07/21$127,426$0$47,831$0$110,315$0$2,614$0$6,993$0$295,179$0$0$0
JUANITA HERNANDEZ - FIRST VS
SECOND VS/DIR CORP GOV THRU 02/22$0$192,825$0$40,988$0$14,447$0$15,850$0$14,636$0$278,746$0$0
VONGSAVANH MOUANOUTOUA
DIRECTOR EXT RELATIONS/PROJECT DEV$126,325$0$26,148$0$687$0$7,384$0$385$0$160,929$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ATHE FOUNDATION PAID SOCIAL CLUB DUES FOR KATHRYN ZENOVICH, SVP, DEVELOPMENT OFFICER. SHE IS A FUNDRAISER AND OFTEN ATTENDS THE CLUB FOR WORK-RELATED DUTIES. THE EXPENSE IS TREATED AS TAXABLE COMPENSATION AND REPORTED ON FORM W-2.
PART I, LINES 4A-BLINE 4A: SEVERANCE AGREEMENTS WERE MADE BETWEEN THE ORGANIZATION AND FOUR EMPLOYEES: TIM JOSLIN, JOSEPH NOWICKI, JUANITA HERNANDEZ, AND DEBRA KLEIN. UNDER THESE AGREEMENTS PAYMENTS WERE MADE DURING 2021 FOR TIM JOSLIN, JOSEPH NOWICKI, AND DEBRA KLEIN. NO PAYMENTS WERE MADE FOR JUANITA HERNANDEZ DURING 2021. DETAILS OF THE TERMS AND CONDITIONS OF THE SEVERANCE AGREEMENTS ARE AVAILABLE TO THE IRS UPON REQUEST. LINE 4B: DURING THE YEAR, CRAIG CASTRO PARTICIPATED IN A SERP PLAN. A CONTRIBUTION OF $602,800 WAS MADE IN 2021. KATHRYN ZENOVICH PARTICIPATED IN A CAP-EX PLAN IN LIEU OF A SERP. THE CAP-EX PLAN IS HELD BY A RELATED TAX-EXEMPT ORGANIZATION. THE BALANCE THAT WOULD HAVE BEEN REPORTED ON THE FOUNDATION'S SCHEDULE L, PART II AT AUGUST 31, 2022 WAS $583,764 HAD THE REPORTING REQUIREMENT BEEN MET.
PART I, LINE 7IF FUNDING IS AVAILABLE, THE CHS BOARD WILL PROVIDE THE CHS PRESIDENT & CHIEF EXECUTIVE OFFICER WITH A DISCRETIONARY BONUS POOL TO RECOGNIZE CHS SENIOR LEADERS WHO HAVE DEMONSTRATED EXCEPTIONAL PERFORMANCE.

Schedule M IRS990ScheduleM

Books And Publications BooksAndPublicationsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$1,945NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$24,636NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution2ContributionCnt
Noncash Contributions Rpt F990$568,002NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution36ContributionCnt
Noncash Contributions Rpt F990$19,695NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution3ContributionCnt
Noncash Contributions Rpt F990$36,465NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (4 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)FUND RAISING EVENT ITEMS53$76,413FMV
Yes (X)TOILETRIES11$60,093FMV
Yes (X)MEALS14$40,557FMV
Yes (X)MISCELLANEOUS23$5,007FMV
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, COLUMN (B):FormAndLineReferenceDesc
ExplanationTHE FOUNDATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED IN PART I, COLUMN (B).ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 2FARID ASSEMI, SUSAN ABUNDIS, AND JOHN MCGREGOR, ESQ. - BUSINESS RELATIONSHIP FARID ASSEMI AND JOSHUA PETERSON - BUSINESS RELATIONSHIP
FORM 990, PART VI, SECTION A, LINE 4DURING FISCAL YEAR 2022 AND IN PRIOR YEARS, THE ORGANIZATION ADOPTED BYLAW AMENDMENTS RELATED TO CERTAIN COMMITTEES AND SUBCOMMITTEES, SUCH AS COMPOSITION, RESPONSIBILITIES, AND PROCEDURES. ALSO DURING PRIOR YEARS, THE ORGANIZATION ADOPTED BYLAW AMENDMENTS THAT ALTERED THE COMPOSITION, QUALIFICATIONS, VOTING RIGHTS, QUORUM, AND NUMBER OF MEMBERS OF THE BOARD OF TRUSTEES, CHANGED THE DUTIES, AUTHORITY, AND QUALIFICATIONS OF CERTAIN OFFICERS, ALTERED THE PROCESS FOR COMPENSATION REVIEW FOR CERTAIN OFFICERS, AND MODIFIED THE PROCEDURES OF THE AUDIT COMMITTEE.
FORM 990, PART VI, SECTION A, LINE 6COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA (CHCC) IS THE SOLE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7ATHE 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 7BTHE 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 SUCCESSORS.
FORM 990, PART VI, SECTION B, LINE 11BUPON 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 12CANNUALLY EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF COMMITTEE WITH BOARD DELEGATED POWERS SIGN 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 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. CHS'S CHIEF AUDITOR, ETHICS & COMPLIANCE OFFICER AND CHIEF LEGAL OFFICER REVIEW THE RESPONSES AND DETERMINE WHETHER THERE IS A CONFLICT BASED ON POLICY. IF A CONFLICT OF INTEREST IS IDENTIFIED, THE DIRECTOR, PRINCIPAL OFFICER, OR MEMBER COMMITTEE WITH BOARD DELEGATED POWERS WILL BE REMOVED FROM DECISION MAKING AS IT PERTAINS TO THAT CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15ARESPONSIBILITY 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. THIS PROCESS WAS MOST RECENTLY COMPLETED IN OCTOBER, 2022.
FORM 990, PART VI, SECTION C, LINE 19FEDERAL 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 CONSOLIDATED FINANCIAL STATEMENTS OF COMMUNITY HEALTH SYSTEM, OF WHICH FILING ENTITY IS A PART, ARE ATTACHED TO THE FORM 990 OF FILING ENTITY'S AFFILIATE, FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER AND ARE THEREFORE PUBLICLY AVAILABLE.
FORM 990, PART XI, LINE 9:UNCOLLECTIBLE PLEDGES FROM PRIOR YEARS -27,803.
HEADING, BOX C:OTHER DBAS USED: COMMUNITY HEALTH FOUNDATION COMMUNITY MEDICAL FOUNDATION COMMUNITY HEALTH SYSTEM, OFFICE OF PHILANTHROPY

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA
1560 E SHAW AVENUEFRESNOCA93710942864615SUPPORTING ORGCA501(C)(3)LINE 12B, IIN/AYes (1)
FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER
1560 E SHAW AVENUEFRESNOCA93710941156276HOSPITALCA501(C)(3)LINE 3Yes (1)COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA
COMMUNITY HEALTH PARTNERS
45 RIVER PARK PLACE WEST SUITE 507FRESNOCA93720852103299HEALTHCARECA501(C)(3)LINE 30FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1AMI REALTY PARTNERS LPBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11560 E SHAW AVENUEAddressLine1Txt
CityFRESNOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93710ZIPCd
FieldValueIRS element (for citing)
EIN203709876EIN
Primary ActivitiesREAL PROPERTY RENTALPrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
COMMUNITY HEALTH ENTERPRISES INC
789 N MEDICAL CENTER DRIVE EASTCLOVISCA93611770175659PHARMACY SALESCAN/AC0
COMMUNITY HEALTH CARE PLAN INC
789 N MEDICAL CENTER DRIVE EASTCLOVISCA93611770246798HEALTH CARE PLANCAN/AC0
COMMUNITY INSURANCE SERVICES COMPANY
789 N MEDICAL CENTER DRIVE EASTCLOVISCA93611980674776INSURANCEN/AC0CJ
CHP COMMUNITY CHOICE IPA
789 N MEDICAL CENTER DRIVE EASTCLOVISCA93611NONECAN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
FRESNO COMMUNITY HOSPITAL & MEDICAL CENTER
B$5,222,098CASH
COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA
B$73,994CASH
COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA
P$423,822CASH
FRESNO COMMUNITY HOSPITAL & MEDICAL CENTER
R$4,409,074CASH