FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER (EIN 94-1156276)
- Tax period
- 2021-09-01 to 2022-08-31
- Filed
- 2023-07-17
- IRS object ID
- 202341989349301144
- 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
- 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 | 2023-07-17T11:32:21-05:00 | ReturnTs |
| Tax Period End | 2022-08-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 910189318 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | 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 | 2021-09-01 | 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 | VICE FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 5594596000 | PhoneNum |
| Signature | 2023-07-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | DEBORAH | PersonFirstNm |
| Person Last | MOFFETT | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | TRACY S PAGLIA | PreparerPersonNm |
| PTIN | P00366884 | PTIN |
| Phone | 2099556100 | PhoneNum |
| Preparation | 2023-07-11 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | 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 S CASTRO | 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 | $3,497,434,525 | 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 | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 9378 | TotalEmployeeCnt |
| Total Volunteers | 320 | TotalVolunteersCnt |
| Total Gross UBI | $21,844,645 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $1,233,139 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $6,757,250 | PYContributionsGrantsAmt |
| CY Contributions Grants | $67,643,129 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,866,455,109 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,071,614,013 | CYProgramServiceRevenueAmt |
| PY Investment Income | $35,900,342 | PYInvestmentIncomeAmt |
| CY Investment Income | $33,566,557 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,589,644 | PYOtherRevenueAmt |
| CY Other Revenue | $5,729,227 | CYOtherRevenueAmt |
| PY Total Revenue | $1,913,702,345 | PYTotalRevenueAmt |
| CY Total Revenue | $2,178,552,926 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $585,167 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $445,251 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $885,963,000 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,134,803,999 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $978,971,097 | PYOtherExpensesAmt |
| CY Other Expenses | $1,006,975,396 | CYOtherExpensesAmt |
| PY Total Expenses | $1,865,519,264 | PYTotalExpensesAmt |
| CY Total Expenses | $2,142,224,646 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $48,183,081 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $36,328,280 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,723,343,481 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,856,280,211 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,103,621,119 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,296,997,237 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,619,722,362 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,559,282,974 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER'S (FCH&MC'S) MISSION IS TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY AND TO PROMOTE MEDICAL EDUCATION. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,941,385,460 | ExpenseAmt |
| Grant | $445,251 | GrantAmt |
| Revenue | $2,050,311,435 | 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 AND WOMEN'S AND CHILDREN'S SERVICES, (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 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 TOWER 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 | $1,941,385,460 | 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 | 306 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 9378 | 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 | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | 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 (35 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|---|---|
| CRAIG S CASTRO - PRESIDENT | ||||||||||
| CHIEF EXECUTIVE OFFICER | 55.00 | 5.00 | Yes (X) | $0 | $1,757,595 | $646,765 | ||||
| CRAIG WAGONER | ||||||||||
| EVP, CHIEF OPERATING OFFICER | 55.00 | 6.90 | $0 | $1,584,241 | $32,862 | Yes (X) | ||||
| THOMAS UTECHT | ||||||||||
| SVP, CHIEF QUALITY OFFICER | 50.00 | 5.00 | $1,029,763 | $0 | $45,465 | Yes (X) | ||||
| CHRISTOPHER NEUMAN - SVP | ||||||||||
| MEDICAL CENTER OPERATIONS/COO - CRMC | 50.00 | 5.00 | $949,085 | $0 | $39,433 | Yes (X) | ||||
| TIM JOSLIN - FORMER PRESIDENT | ||||||||||
| CHIEF EXECUTIVE OFFICER THRU 07/20 | 0.00 | 0.00 | $0 | $895,869 | $10,393 | Yes (X) | ||||
| BRIANNE L MARRIOTT - FIRST VS | ||||||||||
| SECOND VS/SVP, CHIEF LEGAL OFFICER | 50.00 | 5.00 | Yes (X) | $0 | $816,409 | $37,239 | ||||
| ALDO DE LA TORRE | ||||||||||
| SVP, NETWORK DEVELOPMENT | 10.00 | 46.90 | $0 | $815,294 | $36,233 | Yes (X) | ||||
| JOSEPH NOWICKI | ||||||||||
| SVP, CORPORATE CFO THRU 04/21 | 50.00 | 5.00 | $0 | $795,606 | $34,829 | Yes (X) | ||||
| CARLA MILTON | ||||||||||
| SVP, HUMAN RESOURCES | 50.00 | 6.90 | $0 | $663,955 | $37,023 | Yes (X) | ||||
| DEBORAH MOFFETT - VICE | ||||||||||
| FINANCIAL OFFICER/VP, FINANCE | 50.00 | 5.00 | Yes (X) | $0 | $633,555 | $31,151 | ||||
| JEFFREY THOMAS - CHIEF | ||||||||||
| MEDICAL & QUALITY OFFICER - CRMC | 50.00 | 5.00 | $602,343 | $0 | $34,140 | Yes (X) | ||||
| TRACY KIRITANI - VP HOSPITAL | ||||||||||
| FINANCIAL OPERATIONS/CFO - HOSPITAL | 50.00 | 5.00 | $595,020 | $0 | $31,518 | Yes (X) | ||||
| JOHN KASS - VP OF OPERATIONS - | ||||||||||
| CCMC/CHIEF OPERATING OFFICER - CCMC | 50.00 | 5.00 | $473,521 | $0 | $28,276 | Yes (X) | ||||
| WANDA HOLDERMAN - FORMER SVP | ||||||||||
| CCI OFFICER THRU 07/20 | 0.00 | 0.00 | $494,361 | $0 | $7,185 | Yes (X) | ||||
| ROGER LARSEN | ||||||||||
| SVP, CORPORATE CFO | 55.00 | 5.00 | Yes (X) | $0 | $336,681 | $6,839 | ||||
| JUANITA HERNANDEZ - FIRST VS | ||||||||||
| SECOND VS/DIR CORP GOV THRU 02/22 | 50.00 | 5.00 | Yes (X) | $0 | $248,260 | $30,486 | ||||
| ISABEL MARTINEZ - FIRST VICE | ||||||||||
| SECRETARY/MANAGER CORP GOVERNANCE | 45.00 | 5.00 | Yes (X) | $0 | $57,583 | $18,543 | ||||
| AMIR FATHI MD | ||||||||||
| BOARD MEMBER AS OF 11/21 | 1.40 | 0.50 | $0 | $49,400 | $0 | Yes (X) | ||||
| RONALD BIERMA MD | ||||||||||
| BOARD MEMBER | 1.40 | 0.50 | $0 | $3,000 | $0 | Yes (X) | ||||
| FARID ASSEMI | ||||||||||
| CHAIR | 1.40 | 0.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| ROGER STURDEVANT | ||||||||||
| CHAIR ELECT | 1.40 | 2.40 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| SUSAN ABUNDIS | ||||||||||
| SECRETARY | 1.40 | 0.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| LORI BENNETT EDD | ||||||||||
| BOARD MEMBER AS OF 05/22 | 1.40 | 0.50 | $0 | $0 | $0 | Yes (X) | ||||
| KEITH BOONE MD | ||||||||||
| BOARD MEMBER | 1.40 | 0.50 | $0 | $0 | $0 | Yes (X) | ||||
| TERRANCE BRADLEY EDD | ||||||||||
| BOARD MEMBER THRU 12/21 | 1.40 | 0.50 | $0 | $0 | $0 | Yes (X) | ||||
| JERRY COOK | ||||||||||
| BOARD MEMBER | 1.40 | 0.50 | $0 | $0 | $0 | Yes (X) | ||||
| GREG ESTEP | ||||||||||
| BOARD MEMBER | 1.40 | 0.50 | $0 | $0 | $0 | Yes (X) | ||||
| WAGIH IBRAHIM MD | ||||||||||
| BOARD MEMBER | 1.40 | 0.50 | $0 | $0 | $0 | Yes (X) | ||||
| JOSEPH JONES PHD | ||||||||||
| BOARD MEMBER THRU 05/22 | 1.40 | 0.50 | $0 | $0 | $0 | Yes (X) | ||||
| KAREN MCCAFFREY | ||||||||||
| BOARD MEMBER | 1.40 | 0.50 | $0 | $0 | $0 | Yes (X) | ||||
| JOHN MCGREGOR | ||||||||||
| BOARD MEMBER | 1.40 | 0.50 | $0 | $0 | $0 | Yes (X) | ||||
| JOSHUA PETERSON | ||||||||||
| BOARD MEMBER AS OF 05/22 | 1.40 | 0.50 | $0 | $0 | $0 | Yes (X) | ||||
| RUTHIE QUINTO | ||||||||||
| BOARD MEMBER | 1.40 | 0.50 | $0 | $0 | $0 | Yes (X) | ||||
| CHANDRASEKAR VENUGOPAL MD | ||||||||||
| BOARD MEMBER | 1.40 | 0.50 | $0 | $0 | $0 | Yes (X) | ||||
| LINZIE DANIEL | ||||||||||
| PAST CHAIR | 1.40 | 0.50 | Yes (X) | $0 | $0 | $0 | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,144,093 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $8,657,448 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,108,380 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1919 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | 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 | $123,023,856 |
| CLARK CONSTRUCTION | |||||
| 677 D N MEDICAL CENTER DR EAST | CLOVIS | CA | 93611 | CONSTRUCTION SERVICES | $88,140,948 |
| MEDLINE INDUSTRIES INC | |||||
| DEPT LA 21588 | PASADENA | CA | 91185 | MEDICAL | $57,530,364 |
| CCFMG | |||||
| 2625 EAST DIVISADERO | FRESNO | CA | 93721 | MEDICAL | $54,557,271 |
| COMMUNITY HOSPITALIST MED GRP | |||||
| 7370 N PALM AVE | FRESNO | CA | 93711 | MEDICAL | $32,214,281 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 419 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $5,222,098 | RelatedOrganizationsAmt |
| Government Grants | $62,421,031 | GovernmentGrantsAmt |
| Total Contributions | $67,643,129 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| MEDICAL SERVICE | 622110 | $2,036,069,193 | $2,036,069,193 | |
| PHARMACY SALES | 446110 | $20,514,484 | $330,854 | $20,183,630 |
| GRANTS AND CONTRACTS | 622110 | $13,773,093 | $13,773,093 | |
| INCOME FR PARTNERSHIPS | 622110 | $1,257,243 | $138,295 | $1,118,948 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,071,614,013 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $25,749,739 | TotalRevenueColumnAmt |
| Exclusion | $25,749,739 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,326,557,435 | SecuritiesAmt |
| Other | $140,982 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,317,631,045 | SecuritiesAmt |
| Other | $1,250,554 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $8,926,390 | SecuritiesAmt |
| Other | -$1,109,572 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,816,818 | TotalRevenueColumnAmt |
| Exclusion | $7,816,818 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| HOSPITAL CAFETERIA REV | 722514 | $5,187,160 | $5,187,160 | |
| PARKING AND SECURITY | 812930 | $542,067 | $542,067 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $5,729,227 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,178,552,926 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,050,311,435 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $21,844,645 | UnrelatedBusinessRevenueAmt |
| Exclusion | $38,753,717 | 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 | $445,251 | TotalAmt |
| Program Services | $445,251 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,705,341 | TotalAmt |
| Management And General | $8,705,341 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,331,923 | TotalAmt |
| Program Services | $1,331,923 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $965,534,478 | TotalAmt |
| Program Services | $840,014,996 | ProgramServicesAmt |
| Management And General | $125,519,482 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,224,096 | TotalAmt |
| Program Services | $22,814,964 | ProgramServicesAmt |
| Management And General | $3,409,132 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,189,210 | TotalAmt |
| Program Services | $70,634,612 | ProgramServicesAmt |
| Management And General | $10,554,598 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,818,951 | TotalAmt |
| Program Services | $45,082,488 | ProgramServicesAmt |
| Management And General | $6,736,463 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $511,364 | TotalAmt |
| Management And General | $511,364 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,898,372 | TotalAmt |
| Management And General | $1,898,372 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $342,403,108 | TotalAmt |
| Program Services | $331,049,028 | ProgramServicesAmt |
| Management And General | $11,354,080 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,071,889 | TotalAmt |
| Management And General | $2,071,889 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,922,550 | TotalAmt |
| Management And General | $4,922,550 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,425,322 | TotalAmt |
| Program Services | $23,877,270 | ProgramServicesAmt |
| Management And General | $4,548,052 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $605,285 | TotalAmt |
| Program Services | $508,439 | ProgramServicesAmt |
| Management And General | $96,846 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $251,944 | TotalAmt |
| Program Services | $251,944 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,043,000 | TotalAmt |
| Program Services | $14,316,120 | ProgramServicesAmt |
| Management And General | $2,726,880 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,478,000 | TotalAmt |
| Program Services | $61,721,520 | ProgramServicesAmt |
| Management And General | $11,756,480 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,710,000 | TotalAmt |
| Program Services | $10,676,400 | ProgramServicesAmt |
| Management And General | $2,033,600 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| MEDICAL SUPPLIES | $384,382,952 | $384,382,952 |
| MEDI-CAL PROVIDER FEE | $74,352,892 | $74,352,892 |
| MINOR EQUIPMENT | $31,962,173 | $31,962,173 |
| UBI TAXES | $257,825 | $257,825 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,698,720 | TotalAmt |
| Program Services | $27,704,663 | ProgramServicesAmt |
| Management And General | $3,994,057 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,142,224,646 | TotalAmt |
| Program Services | $1,941,385,460 | ProgramServicesAmt |
| Management And General | $200,839,186 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,151,550 | BOYAmt |
| EOY | $25,105,704 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $345,942,716 | BOYAmt |
| EOY | $374,039,865 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,296,765 | BOYAmt |
| EOY | $16,166,597 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,628,685 | BOYAmt |
| EOY | $7,386,311 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,558,499 | BOYAmt |
| EOY | $24,996,946 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,287,425 | BOYAmt |
| EOY | $61,254,467 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,992,538,290 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $763,294,771 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,151,077,282 | BOYAmt |
| EOY | $1,229,243,519 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $922,708,420 | BOYAmt |
| EOY | $762,420,969 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,481,456 | BOYAmt |
| EOY | $32,067,699 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $120,210,683 | BOYAmt |
| EOY | $323,598,134 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,723,343,481 | BOYAmt |
| EOY | $2,856,280,211 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $502,301,772 | BOYAmt |
| EOY | $361,300,016 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $502,852,541 | BOYAmt |
| EOY | $722,861,866 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,149,333 | BOYAmt |
| EOY | $136,083,029 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,317,473 | BOYAmt |
| EOY | $76,752,326 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,103,621,119 | BOYAmt |
| EOY | $1,296,997,237 | 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 | $1,619,722,362 | BOYAmt |
| EOY | $1,559,282,974 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,619,722,362 | BOYAmt |
| EOY | $1,559,282,974 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,723,343,481 | BOYAmt |
| EOY | $2,856,280,211 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $36,328,280 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$96,767,668 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | 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 | Yes (1) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $193,747 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $193,747 | 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 | $15,917,825 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $15,461,051 | OtherCostOrOtherBasisAmt |
| Book Value | $31,378,876 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,357,410,819 | OtherCostOrOtherBasisAmt |
| Depreciation | $370,880,840 | DepreciationAmt |
| Book Value | $986,529,979 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,218,953 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,415,593 | DepreciationAmt |
| Book Value | $803,360 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $481,332,706 | OtherCostOrOtherBasisAmt |
| Depreciation | $382,466,678 | DepreciationAmt |
| Book Value | $98,866,028 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $116,196,936 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,531,660 | DepreciationAmt |
| Book Value | $111,665,276 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,229,243,519 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OTHER ASSETS | $8,434,848 |
| RECEIVABLE FROM AFFILIATES | $299,760,216 |
| SUPPLEMENTAL FUNDING | $15,403,070 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $323,598,134 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| ASSET RETIREMENT OBLIGATION | $5,579,318 |
| GROUP HEALTH | $2,184,916 |
| MALPRACTICE - IBNR | $5,531,000 |
| WORKERS COMPENSATION RESERVE | $34,573,000 |
| PHYSICIAN GUARANTEE PAYABLE | $2,965,839 |
| LEASE LIABILITY | $25,642,720 |
| DEFERRED REVENUE | $275,533 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $76,752,326 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE D, PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THERE IS NO FOOTNOTE FOR FIN 48 IN THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS DUE TO IMMATERIALITY. | ExplanationTxt |
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 | $30,316,699 | |
| CENTRAL AMERICA AND THE CARIBBEAN | 0 | 0 | PROGRAM SERVICES | $8,612,566 | 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 | $38,929,265 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $38,929,265 | 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 (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3: | ACCRUAL METHOD |
| PART III ACCOUNTING METHOD: |
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 | $15,030,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $15,030,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00700 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $415,589,144 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $201,668,514 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $213,920,630 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09990 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $430,619,144 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $201,668,514 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $228,950,630 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10690 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $335,342 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $51,659 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $283,683 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $47,455,631 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,539,252 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $38,916,379 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01820 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 416 | PersonsServedCnt |
| Total Community Benefit Expns | $1,303 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,303 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 360 | PersonsServedCnt |
| Total Community Benefit Expns | $375,353 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $375,353 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 776 | PersonsServedCnt |
| Total Community Benefit Expns | $48,167,629 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,590,911 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $39,576,718 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01850 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 776 | PersonsServedCnt |
| Total Community Benefit Expns | $478,786,773 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $210,259,425 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $268,527,348 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12540 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 45 | PersonsServedCnt |
| Total Community Benefit Expns | $9,552 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $9,552 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 45 | PersonsServedCnt |
| Total Community Benefit Expns | $9,552 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $9,552 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $127,024 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $302,438,890 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $408,645,399 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$106,206,509 | 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 (2 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|---|
| 1 CA IMAGING INSTITUTE LLC | |||
| MEDICAL IMAGING | 0.50000 | 0.00000 | 0.50000 |
| 2 AMI REALTY PARTNERS LP | |||
| PROPERTY MANAGEMENT | 0.50000 | 0.00000 | 0.50000 |
| 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) | 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 | 21 | 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 | 21 | 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 (12 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 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) CONSISTS OF PRIMARY DATA FROM OVER 4,800 INDIVIDUAL INTERVIEWS AND 59 MULTI-LINGUAL FOCUS GROUPS. PARTICIPANTS IN PRIMARY DATA COLLECTION EFFORTS INCLUDED RESIDENTS THROUGHOUT FRESNO, KINGS, MADERA, AND TULARE COUNTIES AND REPRESENTATIVES FROM AND USERS OF HEALTH IMPROVEMENT PROGRAMS SERVING LOW-INCOME AND VULNERABLE POPULATIONS, CHILDREN AND FAMILIES, HOMELESS, LGBTQ+, SENIORS, TRIBAL COMMUNITIES, AS WELL AS BLACK/AFRICAN AMERICAN, HMONG, LATINO AND SPANISH-SPEAKING POPULATIONS. SECONDARY DATA WAS COLLECTED USING GOVERNMENT AND OTHER PUBLIC HEALTH RESOURCES INCLUDING THE CALIFORNIA DEPARTMENT OF PUBLIC HEALTH, U.S. CENTER FOR DISEASE CONTROL, HEALTHY COMMUNITIES INSTITUTE AND U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES. |
| 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, 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: | - BINATIONAL OF CENTRAL CALIFORNIA - CALIFORNIA STATE UNIVERSITY, FRESNO STUDENT VOLUNTEERS - CENTRAL VALLEY HEALTH POLICY INSTITUTE - CULTIVA LA SALUD - EVERY NEIGHBORHOOD PARTNERSHIP - FRESNO COUNTY DEPARTMENT OF PUBLIC HEALTH - FRESNO INTERDENOMINATIONAL REFUGEE MINISTRIES - HOSPITAL COUNCIL OF NORTHERN AND CENTRAL CALIFORNIA - KINGS COUNTY COMMISSION ON AGING - KINGS PARTNERSHIP FOR PROSPERITY, PROGRESS, AND PREVENTION - MADERA COALITION FOR COMMUNITY JUSTICE - MADERA COUNTY DEPARTMENT OF PUBLIC HEALTH - MOXLEY PUBLIC HEALTH - THE FRESNO CENTER - TULARE COUNTY DEPARTMENT OF PUBLIC HEALTH - TULE RIVER TRIBE PUBLIC HEALTH AUTHORITY - UNITED WAY FRESNO AND MADERA COUNTIES - UNITED WAY OF TULARE COUNTY |
| FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 11: | COMMUNITY HEALTH SYSTEM (CHS) INTENDS TO TAKE ACTIONS TO ADDRESS THE FOLLOWING HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2021 CHNA: ACCESS TO HEALTHCARE, CHRONIC DISEASE, ECONOMIC STABILITY, MATERNAL AND CHILD HEALTH, AND MENTAL HEALTH. CHS SELECTED HEALTH NEEDS TO PRIMARILY FOCUS EFFORTS ON BASED UPON THE SYSTEM'S CAPACITY TO ADDRESS THE NEEDS, THE STRENGTH OF COMMUNITY PARTNERSHIPS AND THOSE NEEDS THAT CORRESPOND WITH THE HEALTH SYSTEM'S PRIORITIES. CHS WILL ADDRESS THESE HEALTH NEEDS THOUGH A MULTI-FACETED APPROACH INCLUDING, DIRECT PROGRAMS/SERVICES, LEADERSHIP, AND PARTICIPATION IN BROAD MULTI-STAKEHOLDER COALITIONS/COLLABORATIVES AND CONTINUOUS COLLABORATION BETWEEN CHS AND COMMUNITY PARTNERS. |
| FACILITY REPORTING GROUP - A 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 10% OF THE PATIENT'S FAMILY INCOME. |
| FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 16J: | OSHPD 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, REVIEW PROCESS, AND APPLICATION FORM. ACCESS OSHPD'S HOSPITAL FAIR PRICING SEARCH SYSTEM AT: HTTPS://SYFPHR.HCAI.CA.GOV/#FRESNO-COUNTY |
| PART V, SECTION B, LINES 7A AND 7B: | THE HOSPITAL FACILITY'S WEBSITE WHERE THE CHNA REPORT IS AVAILABLE:HTTPS://WWW.COMMUNITYMEDICAL.ORG/ABOUT-US/COMMUNITY-BENEFITOTHER WEBSITE WHERE THE CHNA REPORT IS AVAILABLE:HTTPS://WWW.COMMUNITYMEDICAL.ORG/GETATTACHMENT/51E91F02-6B3C-4BB9-B984-E7AFE3DAB770/COMMUNITYHEALTHSYSTEM_2022CHNA_9-19-22.PDF |
| PART V, SECTION B, LINE 10: | THE HOSPITAL'S MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY:HTTPS://WWW.COMMUNITYMEDICAL.ORG/ABOUT-US/COMMUNITY-BENEFIT |
| 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 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 DR 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 AVE | FRESNO | CA | 93720 | PSYCHIATRIC CARE FACILITY INCLUDED IN CRMC HOSPITAL LICENSE |
| 4 - COMMUNITY SUBACUTE TRANSITIONAL CARE CEN | ||||
| 3003 N MARIPOSA ST | 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 (20 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 $ 127,024. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | THE 2022 CHNA IS THE THIRD COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED BY COMMUNITY HEALTH SYSTEM. QUANTITATIVE AND QUALITATIVE DATA WERE COLLECTED TO INFORM DECISIONS ON HOW TO BETTER MEET THE HEALTH NEEDS OF OUR COMMUNITY. WE WANT TO PROVIDE THE BEST POSSIBLE CARE FOR OUR RESIDENTS, AND WE WILL USE THIS REPORT TO HELP GUIDE US IN OUR STRATEGIC PLANNING AND DECISION-MAKING CONCERNING FUTURE PROGRAMS AND HEALTH RESOURCES.THE ASSESSED HEALTH NEEDS ARE LISTED IN ORDER OF COMMUNITY RANKING OF CONCERN AND ARE VALIDATED BY DATA COLLECTION AS FOLLOWS:1. MENTAL HEALTH2. MATERNAL AND CHILD HEALTH3. ACCESS TO CARE (INCLUDES DENTAL AND MENTAL HEALTHCARE)4. CHRONIC DISEASES5. NUTRITION AND PHYSICAL HEALTH (OVERWEIGHT AND OBESITY)6. ACCESS TO CHILDCARE7. PREVENTIVE CARE AND PRACTICES (SCREENINGS, IMMUNIZATIONS/VACCINES, ETC.)8. SUBSTANCE USE (ALCOHOL AND DRUGS)9. COVID-1910. ADVERSE CHILDHOOD EXPERIENCES11. HOUSING AND HOMELESSNESS12. TOBACCO AND NICOTINE13. ECONOMIC STABILITY14. EDUCATION15. ENVIRONMENTAL CONDITIONS (WATER AND AIR)16. FOOD INSECURITY17. TRANSPORTATION18. INTERNET ACCESS19. CRIME AND VIOLENCE20. HIV/AIDS AND STISIMPLEMENTATION STRATEGY:THE 2022 CHNA FINDINGS WERE USED TO SELECT THE PRIORITY HEALTH NEEDS THAT WILL BE ADDRESSED DURING THE FISCAL YEARS 2023-2025. THE DATA COLLECTED IN THE CHNA PROCESS WERE USED TO IDENTIFY POOR HEALTH OUTCOMES, HEALTH DISPARITIES, HEALTH TRENDS AND COMMUNITY PRIORITIES. TO BE SELECTED AS A PRIORITY HEALTH NEED, THE LOCAL DATA HAD TO SHOW A NEED WHEN COMPARED TO STATE AND NATIONAL DATA, AND THE COMMUNITY HAD TO RANK THE HEALTH NEED AS A PRIORITY. THE LIST OF 2023-2025 PRIORITY HEALTH NEEDS WAS FINALIZED BY REVIEWING THE FOCUS AREAS FROM THE PREVIOUS IMPLEMENTATION STRATEGY AND CHS' CAPACITY TO ADDRESS EACH HEALTH NEED.FROM THE SIGNIFICANT HEALTH NEEDS IDENTIFIED AND RANKED BY THE CHNA, CHS CHOSE HEALTH NEEDS THAT CONSIDERED THE HEALTH SYSTEM'S CAPACITY TO ADDRESS COMMUNITY NEEDS, THE STRENGTH OF COMMUNITY PARTNERSHIPS AND THOSE NEEDS THAT CORRESPOND WITH THE HEALTH SYSTEM'S PRIORITIES. THIS IMPLEMENTATION STRATEGY EXPLAINS HOW CHS PLANS TO ADDRESS THE SELECTED PRIORITY HEALTH NEEDS IDENTIFIED BY THE CHNA.THE FIVE PRIORITY HEALTH NEEDS THAT WILL BE ADDRESSED IN THE 2023-2025 IMPLEMENTATION STRATEGY ARE THE FOLLOWING. |
| PART II: | HEALTH NEED 1 - ACCESS TO HEALTHCAREGOAL: INCREASE ACCESS TO HEALTHCARE SERVICES THROUGH PRIMARY CARE, PREVENTATIVE CARE AND SPECIALTY CARE SERVICES, INCLUDING HIV/AIDS/STIS, FOR MEDICALLY UNDERSERVED RESIDENTS.STRATEGIES: - PROVIDE HEALTH INSURANCE ENROLLMENT ASSISTANCE FOR PERSONS WHO ARE UNINSURED OR UNDERINSURED. - PROVIDE TRANSPORTATION SUPPORT TO INCREASE ACCESS RELATED TO HEALTHCARE SERVICES. - PARTNER WITH FAMILY HEALTH CARE NETWORK'S SPECIAL SERVICES CLINIC TO ADMINISTER THE FEDERAL RYAN WHITE HIV/AIDS PROGRAM AND PROVIDE HEALTHCARE AND CASE MANAGEMENT SERVICES FOR PATIENTS AND THEIR FAMILIES. - PROVIDE IN-HOSPITAL TESTING AND EXAMINATIONS FOR THOSE WHO HAVE EXPERIENCED SEXUAL ASSAULT AND RAPE THROUGH THE SEXUAL ASSAULT FORENSIC EXAMINERS (SAFE) PROGRAM. - OFFER EDUCATION AND ENVIRONMENTAL MODIFICATIONS TO REDUCE THE INCIDENCE OF INJURY, DISABILITY AND DEATH DUE TO TRAUMA THROUGH THE TRAUMA PREVENTION PROGRAM. - WORK IN COLLABORATION WITH COMMUNITY AGENCIES TO INCREASE ACCESS TO HEALTHCARE SERVICES, INCLUDING PRIMARY CARE, SPECIALTY CARE AND MENTAL HEALTH SERVICES. - PROVIDE CASH AND IN-KIND SUPPORT TO NONPROFIT COMMUNITY ORGANIZATIONS THAT PROVIDE PROGRAMS AND SERVICES TO EXPAND HEALTHCARE ACCESS.POPULATIONS:STRATEGIES WILL POSITIVELY IMPACT ALL RESIDENTS, BUT DATA SHOWS THESE POPULATIONS ARE MOST IN NEED: - INSURANCE: AMERICAN INDIAN AND ALASKAN NATIVE RESIDENTS, HISPANIC RESIDENTS, NATIVE - HAWAIIAN/PACIFIC ISLANDER CHILDREN, KINGS COUNTY CHILDREN AND TULARE COUNTY ADULTS - PRIMARY CARE: ASIAN AND MULTIRACIAL RESIDENTS, LOW-INCOME AND UNINSURED RESIDENTS - DENTAL CARE: CHILDREN AND TEENS, LOW-INCOME AND UNINSURED RESIDENTS - MENTAL HEALTHCARE: CHILDREN AND TEENS, AMERICAN INDIAN AND ALASKAN NATIVE, AND ASIAN RESIDENTS, LOW-INCOME AND UNINSURED RESIDENTS - UNMET NEED FOR MENTAL HEALTHCARE: MADERA COUNTY TEENS, FRESNO, KINGS AND TULARE COUNTY ADULTS, PEOPLE WITH MENTAL ILLNESS/MENTAL HEALTH CHALLENGES, PEOPLE WITH SUBSTANCE USE DISORDERS, THOSE EXPERIENCING GRIEF AND LOSS, LOW-INCOME AND UNINSURED RESIDENTS, LGBTQ+ RESIDENTS, FEMALES AND MULTIRACIAL RESIDENTSTHE CHS SERVICE AREA HAS LESS ACCESS TO ALL LISTED HEALTHCARE PROVIDERS THAN CALIFORNIA AS A WHOLE; ACCESS IS PARTICULARLY LOW IN MADERA, KINGS AND TULARE COUNTIES.DESIRED OUTCOMES: - INCREASE HEALTH INSURANCE COVERAGE FOR CHILDREN AND ADULTS - INCREASE YOUTH & ADULT PRIMARY, DENTAL AND MENTAL HEALTHCARE ACCESS - DECREASE UNTREATED YOUTH & ADULT MENTAL HEALTH CONDITIONSOVERALL IMPACT: - INCREASE ACCESS AND QUALITY OF CARE - INCREASE EARLY CHRONIC DISEASE DETECTION AND MANAGEMENT - INCREASE EQUITABLE HEALTH OUTCOMES - INCREASE SELF-RATED HEALTH |
| PART II: | HEALTH NEED 2 - CHRONIC DISEASESGOAL: REDUCE THE IMPACT OF CHRONIC DISEASES ON HEALTH AND INCREASE THE FOCUS ON CHRONIC DISEASE PREVENTION AND TREATMENT, INCLUDING THROUGH NUTRITION AND PHYSICAL HEALTH.STRATEGIES: - PROVIDE DIABETES SELF-MANAGEMENT EDUCATION THROUGH THE COMMUNITY DIABETES EDUCATION (CDE) PROGRAM. - HOST THE SWEET SUCCESS PROGRAM, WHICH SUPPORTS WOMEN DIAGNOSED WITH DIABETES DURING PREGNANCY. - FACILITATE HEALTH EDUCATION WORKSHOPS AND PRESENTATIONS ON CHRONIC DISEASE PREVENTION, TREATMENT AND MANAGEMENT, INCLUDING PHYSICAL ACTIVITY, EXERCISE AND NUTRITION. - PARTICIPATE IN HEALTH AND WELLNESS FAIRS AND OFFER PREVENTIVE SCREENINGS. - PROVIDE PUBLIC HEALTH EDUCATION IN THE MEDIA AND AT COMMUNITY HEALTH AWARENESS EVENTS TO ENCOURAGE HEALTHY BEHAVIORS AND PREVENT CHRONIC DISEASES. - PROVIDE SUPPORT GROUPS TO ASSIST THOSE WITH CHRONIC DISEASES. - WORK IN COLLABORATION WITH COMMUNITY AGENCIES TO ADDRESS THE CAUSES AND MANAGEMENT OF CHRONIC DISEASES. - PROVIDE CASH AND IN-KIND SUPPORT TO NONPROFIT COMMUNITY ORGANIZATIONS THAT PROVIDE CHRONIC DISEASE-FOCUSED PROGRAMS AND SERVICES.POPULATIONS:STRATEGIES WILL POSITIVELY IMPACT ALL RESIDENTS, BUT DATA SHOWS THESE POPULATIONS ARE MOST IN NEED:ASIAN, AMERICAN INDIAN AND ALASKAN NATIVE, NATIVE HAWAIIAN/PACIFIC ISLANDER AND BLACK RESIDENTS, NON-BINARY INDIVIDUALS, MEN, TEENS AND OLDER ADULTS.MADERA COUNTY RESIDENTS (HEART DISEASE AND HYPERTENSION), KINGS COUNTY RESIDENTS (HEART DISEASE), TULARE COUNTY RESIDENTS (HYPERTENSION AND DIABETES), FRESNO COUNTY RESIDENTS (HYPERTENSION), OVERWEIGHT AND OBESE RESIDENTS, SEDENTARY RESIDENTS AND OLDER ADULTS.RISK FACTORS INCLUDE HISTORY, SMOKING/SMOKING EXPOSURE, UNHEALTHY DIET, SEDENTARY BEHAVIOR, OVERWEIGHT AND OBESITY, UNPROTECTED SEX, ALCOHOL USE, EXPOSURE TO CERTAIN ENVIRONMENTAL FACTORS, OLDER AGE, LACK OF ACCESS TO HEALTH CARE, LOW-INCOME (MORTALITY RATES), WHITE ETHNICITY (CANCER DIAGNOSIS) AND BLACK ETHNICITY (CANCER MORTALITY).RISK FACTORS INCLUDE FAMILY HISTORY, SMOKING/SMOKING EXPOSURE, EXPOSURE TO AIR POLLUTION, OVERWEIGHT AND OBESITY, OTHER ALLERGIC CONDITIONS, BLACK, AND AMERICAN INDIAN AND ALASKAN NATIVE ETHNICITY AND LOW-INCOME.OVERALL, RESIDENTS OF THE CHS SERVICE AREA HAVE LESS ACCESS TO EXERCISE OPPORTUNITIES, HEART DISEASE, DIABETES, CANCER AND ASTHMA.DESIRED OUTCOMES - INCREASE CHILD AND ADULT PHYSICAL ACTIVITY - INCREASE HEALTHY EATING - INCREASE ACCESS TO COMMUNITY HEALTH WORKERS (CHW)OVERALL IMPACT: - DECREASE CHRONIC DISEASE (HEART DISEASE, DIABETES, CANCER, ETC.) - INCREASE EARLY DETECTION AND MANAGEMENT OF THESE CONDITIONS - DECREASE MORTALITY RATES FROM THESE CONDITIONS - INCREASE QUALITY OF LIFE |
| PART II: | HEALTH NEED 3 - ECONOMIC STABILITYGOAL: INCREASE ACCESS TO RESOURCES TO ADDRESS HOMELESSNESS, CRIME AND VIOLENCE, FOOD INSECURITY AND ACCESS TO THE INTERNET.STRATEGIES: - CONNECT RESIDENTS TO LINGUISTICALLY AND CULTURALLY APPROPRIATE SERVICES, INCLUDING INTERNET ACCESS RESOURCES, HOUSING RESOURCES AND FOOD AVAILABILITY. - FACILITATE VIOLENCE PREVENTION AND FAMILY STABILIZATION INITIATIVES. - WORK IN COLLABORATION WITH COMMUNITY ORGANIZATIONS AND AGENCIES TO ADDRESS THE IMPACT THAT ECONOMIC STABILITY HAS ON HEALTH AND WELLNESS. - PROVIDE CASH AND IN-KIND SUPPORT TO NONPROFIT COMMUNITY ORGANIZATIONS THAT PROVIDE PROGRAMS AND SERVICES THAT ADDRESS FOOD INSECURITY, CRIME AND VIOLENCE, HOMELESSNESS AND INTERNET ACCESS.POPULATIONS:STRATEGIES WILL POSITIVELY IMPACT ALL RESIDENTS, BUT DATA SHOWS THESE POPULATIONS ARE MOST IN NEED OF SUPPORT WITH HOMELESSNESS, FOOD INSECURITY AND INTERNET ACCESS:THOSE WITH SEVERE MENTAL ILLNESS AND/OR CHRONIC SUBSTANCE USE DISORDER, THOSE EXPERIENCING CHRONIC HOMELESSNESS, SURVIVORS OF DOMESTIC VIOLENCE, VETERANS, YOUTH (AGES 18-24), PEOPLE LIVING WITH HIV/AIDS, BLACK, ASIAN, AND AMERICAN INDIAN AND ALASKAN NATIVE RESIDENTS BLACK, LATINO, ASIAN, AND AMERICAN INDIAN AND ALASKAN NATIVE RESIDENTS, RESIDENTS LIVING IN RURAL AREAS, TULARE COUNTY ADULTS, FRESNO COUNTY RESIDENTS (CHILDREN AND AVAILABILITY OF RESOURCES), MADERA COUNTY RESIDENTS (AVAILABILITY OF RESOURCES), FEMALE HEAD OF HOUSEHOLD (HOH) WITH CHILDREN UNDER 18, CHILDREN UNDER 18, YOUNGER ADULTS (18-39) AND OLDER ADULTS (80+)BLACK AND LATINO HOUSEHOLDS, RURAL HOUSEHOLDS, LOW-INCOME HOUSEHOLDS, LESS-EDUCATED HOUSEHOLDS, OLDER ADULTS (65+) AND RESIDENTS OF KINGS, MADERA AND TULARE COUNTIESDESIRED OUTCOMES: - INCREASE ACCESS TO HEALTHCARE, SOCIAL AND HOUSING SUPPORTS FOR HOMELESS POPULATION - INCREASE AVAILABILITY AND AFFORDABILITY OF HEALTHY FOODS NEIGHBORHOODS - INCREASE HOUSEHOLDS WITH BROADBAND INTERNET ACCESSOVERALL IMPACT: - DECREASE HOMELESSNESS (CHRONIC AND NONCHRONIC) - DECREASE PERCENTAGE OF CHILDREN AND ADULTS THAT ARE FOOD INSECURE - INCREASE EDUCATIONAL AND EMPLOYMENT OPPORTUNITIES AND OUTCOMES - INCREASE HEALTH OUTCOMESHEALTH NEED 4 - MATERNAL AND CHILD HEALTHGOAL: IMPROVE THE HEALTH OF NEW MOTHERS, INFANTS, ADOLESCENTS AND TEENS THROUGH PREVENTIVE AND POSTPARTUM PRACTICES.STRATEGIES: - PROVIDE COMMUNITY HEALTH PROMOTION AND EDUCATION PROGRAMS TARGETING MATERNAL, ADOLESCENT AND TEEN HEALTH ISSUES. - SUPPORT BREASTFEEDING INITIATIVES. - FACILITATE INCREASING ACCESS TO HPV VACCINATIONS AND HPV VACCINATION TRAINING. - ENCOURAGE SCREENINGS FOR DEVELOPMENTAL MILESTONES AND FOR PRENATAL AND POSTPARTUM DEPRESSION. - OFFER EDUCATION AND SUPPORT FOR PARENTS THROUGH COMMUNITY'S MOTHER'S RESOURCE CENTER. - WORK IN COLLABORATION WITH COMMUNITY AGENCIES AND HEALTHCARE PROVIDERS TO INCREASE ACCESS TO PRENATAL CARE, SAFE BIRTHING OPTIONS AND COMPREHENSIVE CHILD HEALTHCARE. - PROVIDE CASH AND IN-KIND SUPPORT TO NONPROFIT COMMUNITY ORGANIZATIONS THAT PROVIDE PROGRAMS AND SERVICES TO IMPROVE MATERNAL AND CHILD HEALTH.POPULATIONS:STRATEGIES WILL POSITIVELY IMPACT ALL RESIDENTS, BUT DATA SHOWS THESE POPULATIONS ARE MOST IN NEED:PRETERM BIRTH AND INFANT MORTALITY: FRESNO, KINGS AND TULARE COUNTY RESIDENTS, BLACK AND AMERICAN INDIAN AND ALASKAN NATIVE RESIDENTS, LOW-INCOME RESIDENTS, TEEN AND OLDER (40+) BIRTHING PERSONSMATERNAL MORBIDITY AND MORTALITY: RESIDENTS OF ALL CHS SERVICE AREA COUNTIES (MORTALITY RATE FOR REGION IS HIGHEST IN CALIFORNIA), PREGNANCIES WITH COMORBIDITIES, OLDER PREGNANT PEOPLE (35+),THOSE LIVING WITH OBESITY, THOSE WHO HAVE PUBLIC OR NO INSURANCE, LOW-INCOME RESIDENTS, LOWEDUCATION RESIDENTS AND BLACK RESIDENTSBREASTFEEDING: ASIAN, MULTIRACIAL AND BLACK PARENTS, PARENTS WITH BARRIERS TO BREASTFEEDING (I.E., WORK SCHEDULE, MENTAL AND PHYSICAL HEALTH CHALLENGES, LACK OF EDUCATION) INFANT AND CHILD HEALTH: VARIOUS GROUPS OF INFANTS, CHILDREN AND TEENS WILL BENEFIT, INCLUDING LOW INCOME AND UNINSURED RESIDENTS, AND RESIDENTS OF KINGS, MADERA AND TULARE COUNTIES IN PARTICULARDESIRED OUTCOMES: - INCREASE ACCESS TO EARLY AND COMPREHENSIVE PRENATAL CARE - INCREASE ACCESS TO INNOVATIVE, CULTURALLY AND LINGUISTICALLY APPROPRIATE BIRTHING PRACTICES, BREASTFEEDING AND SAFE SLEEP EDUCATION - INCREASE HEALTHY BEHAVIORS IN CHILDREN AND YOUTH - INCREASE RESOURCES FOR MOTHERS AND PARENTSOVERALL IMPACT: - INCREASE INFANT AND CHILD HEALTH - DECREASE MATERNAL MORBIDITY AND MORTALITY - DECREASE PRETERM BIRTHS - DECREASE INFANT MORTALITY - DECREASE PREMATURE DEATH AND DISABILITY |
| PART II: | HEALTH NEED 5 - MENTAL HEALTHGOAL: INCREASE ACCESS TO MENTAL HEALTH SERVICES, INCLUDING ADVERSE CHILDHOOD EXPERIENCES (ACES) AND SUBSTANCE ABUSE, IN THE COMMUNITY.STRATEGIES: - HELP INDIVIDUALS AND FAMILIES CONNECT TO NEEDED RESOURCES (FOOD, HOUSING, NAVIGATING PARENTING, RELATIONSHIPS, ETC.) TO REDUCE MENTAL HEALTH CRISES. - PROVIDE APPROPRIATE MEDICATIONS IN THE EMERGENCY DEPARTMENTS TO SUPPORT PATIENTS EXPERIENCING WITHDRAWAL SYMPTOMS FROM SUBSTANCE ABUSE THROUGH THE BRIDGE PROGRAM. - OFFER COMMUNITY HEALTH EDUCATION, LECTURES, PRESENTATIONS AND WORKSHOPS FOCUSED ON MENTAL HEALTH TOPICS, INCLUDING ADVERSE CHILDHOOD EXPERIENCES (ACES), RELATIONAL HEALTH AND POSITIVE COPING SKILLS. - INCREASE ACCESS TO MENTAL HEALTH SCREENING, INCLUDING ACES SCREENING AND PSYCHOSOCIAL DISTRESS SCREENING. - WORK IN COLLABORATION WITH COMMUNITY AGENCIES TO INCREASE ACCESS TO MENTAL HEALTHCARE SERVICES, ADDRESS TRAUMA AND BUILD RESILIENCE. - PROVIDE CASH AND IN-KIND SUPPORT TO NONPROFIT COMMUNITY ORGANIZATIONS THAT PROVIDE MENTAL HEALTH SERVICES, PROGRAMS AND RESOURCES.POPULATIONS:STRATEGIES WILL POSITIVELY IMPACT ALL RESIDENTS, BUT DATA SHOWS THESE POPULATIONS ARE MOST IN NEED:PSYCHOLOGICAL DISTRESS AND ACCESS TO CARE: MADERA COUNTY TEENS, FRESNO, KINGS, AND TULARE COUNTY ADULTS, PEOPLE WITH MENTAL ILLNESS/MENTAL HEALTH CHALLENGES, PEOPLE WITH SUBSTANCE USE DISORDER, THOSE EXPERIENCING GRIEF AND LOSS, LOW-INCOME AND UNINSURED RESIDENTS, LGBTQ+ RESIDENTS, FEMALES AND MULTIRACIAL RESIDENTS.SUICIDE: FRESNO, KINGS, MADERA AND TULARE COUNTY YOUTH AND ADULTS, MEN, NON-HISPANIC WHITE RESIDENTS, OLDER ADULTS (65+), RESIDENTS WITH A HISTORY OF PSYCHOLOGICAL DISTRESS, SUICIDAL IDEATION, SELF-INFLICTED INJURY AND THOSE EXPERIENCING GRIEF AND LOSS.ACES: LOW-INCOME, FOOD INSECURE AND PRECARIOUSLY HOUSED RESIDENTS, AS WELL AS THOSE LIVING WITH MENTAL HEALTH AND SUBSTANCE USE CHALLENGES.DESIRED OUTCOMES - DECREASE PSYCHOLOGICAL DISTRESS - DECREASE MENTAL HEALTH HOSPITALIZATIONS - INCREASE ACCESS TO MENTAL HEALTHCARE SERVICES - DECREASE ACESOVERALL IMPACT: - INCREASE YOUTH & ADULT MENTAL HEALTH - INCREASE QUALITY OF LIFE - DECREASE SELF-HARM - DECREASE SUICIDE DEATHS |
| PART II: | COLLABORATE WITH THE COMMUNITY:IN FALL 2022, CHS AND SEVERAL COMMUNITY PARTNERS MET TO DISCUSS AND VALIDATE THE PRIORITY HEALTH NEEDS THAT THE HEALTH SYSTEM WILL FOCUS ON DURING THE 2023-2025 CYCLE. MOST IMPORTANTLY, CHS AND OUR COMMUNITY PARTNERS SELECTED STRATEGIES THAT WILL BE USED TO ADDRESS THE PRIORITY HEALTH NEEDS. THE STRATEGIES ON THE PREVIOUS PAGES WERE SELECTED AT THAT MEETING AND REFLECT THE EFFORTS BY NOT ONLY CHS BUT ALSO THE PARTNERSHIP OF MANY ORGANIZATIONS IN THE COMMUNITY. THE MEETING RESULTED IN SPECIFIC STRATEGIES THAT THE PARTNERS WILL CONDUCT TO WORK TOGETHER TO ADDRESS THE PRIORITY HEALTH NEEDS OF THE CHS SERVICE AREA.DEVELOP AND ADOPT:IN COMPLIANCE WITH THE IRS REGULATIONS 501(R) FOR CHARITABLE HOSPITALS, A HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND AN IMPLEMENTATION STRATEGY (WRITTEN PLAN) ARE TO BE MADE WIDELY AVAILABLE TO THE PUBLIC AND PUBLIC COMMENT IS TO BE SOLICITED. THESE REPORTS ARE POSTED ON THE CHS WEBSITE:HTTPS://WWW.COMMUNITYMEDICAL.ORG/ABOUT-US/COMMUNITY-BENEFITTHE 2023-2025 IMPLEMENTATION STRATEGY REPORT WAS ADOPTED BY CHS LEADERSHIP BEFORE JANUARY 15, 2023.OTHER HEALTH NEEDS NOT PRIMARILY ADDRESSED:COMMUNITY IS DEDICATED TO ENSURING THE REGION'S IDENTIFIED HEALTH NEEDS ARE ADDRESSED WHENEVER POSSIBLE. TAKING INTO CONSIDERATION OUR EXISTING HEALTH SYSTEM AND COMMUNITY RESOURCES, CHS WILL PRIMARILY FOCUS OUR RESOURCES ON THE FIVE PREVIOUSLY IDENTIFIED HEALTH NEEDS AND WILL NOT PRIMARILY ADDRESS THE OTHER NEEDS IDENTIFIED IN THE CHNA INCLUDING CHILD CARE, EDUCATION, TOBACCO/NICOTINE AND TRANSPORTATION. CHS DOES NOT INTEND TO DIRECTLY EMPHASIZE ENVIRONMENTAL CONDITIONS OUTSIDE OF THE ONGOING EFFORTS TO IDENTIFY INNOVATIVE WAYS TO REDUCE AND RECYCLE CLINICAL AND NONCLINICAL WASTE AND UTILIZE RECLAIMED WATER FOR LANDSCAPING IRRIGATION. ADDITIONALLY, CHS DOES NOT INTEND TO SPECIFICALLY EMPHASIZE COVID-19 INTERVENTIONS BUT WILL CONTINUE TO DELIVER ACUTE MEDICAL CARE AND BE A COMMUNITY RESOURCE FOR COVID-19. CHS 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.THE IMPLEMENTATION STRATEGY WILL BE SUSTAINED BY THE CONTINUOUS COLLABORATION BETWEEN CHS AND COMMUNITY PARTNER RELATIONSHIPS DURING THE 2023-2025 CYCLE.UPDATE AND SUSTAIN:CHS CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY PROCESS EVERY THREE YEARS. HOWEVER, THE IMPLEMENTATION STRATEGY MAY NEED TO BE UPDATED BASED ON CHANGING COMMUNITY NEEDS AND PRIORITIES, CHANGES IN HEALTH SYSTEM RESOURCES AND EVALUATION RESULTS. THE IMPLEMENTATION STRATEGY IS NOT STATIC AND CAN CHANGE AT ANY TIME WITHIN THE CYCLE. REVIEWS AND UPDATES OF THE IMPLEMENTATION STRATEGY SHOULD BE A PART OF THE HEALTH SYSTEM'S OVERALL PLANNING. CHS WILL ACCOMPLISH THIS BY REGULARLY COMMUNICATING WITH COMMUNITY PARTNERS AND REVISITING THE IMPLEMENTATION STRATEGY ON A REGULAR BASIS.EVALUATION OF IMPACT:COMMUNITY HEALTH SYSTEM WILL MONITOR AND EVALUATE THE PROGRAMS AND ACTIONS OUTLINED ABOVE. THE HEALTH SYSTEM ANTICIPATES THE ACTIONS TAKEN TO ADDRESS SIGNIFICANT HEALTH NEEDS WILL IMPROVE HEALTH KNOWLEDGE, BEHAVIORS, AND STATUS, INCREASE ACCESS TO CARE, AND OVERALL HELP SUPPORT GOOD HEALTH. THE HEALTH SYSTEM IS COMMITTED TO MONITORING KEY INDICATORS TO ASSESS IMPACT. OUR REPORTING PROCESS INCLUDES THE COLLECTION AND DOCUMENTATION OF TRACKING MEASURES, SUCH AS THE NUMBER OF PEOPLE REACHED/SERVED AND COLLABORATIVE EFFORTS TO ADDRESS HEALTH NEEDS.TO DEMONSTRATE THE CHS COMMITMENT TO INVESTING IN THE GROWING HEALTH NEEDS OF THE REGION, A STATE-MANDATED COMMUNITY BENEFIT REPORT IS SUBMITTED ANNUALLY. FINALLY, A REVIEW OF THE IMPACT OF THE HEALTH SYSTEM'S ACTIONS TO ADDRESS THESE PRIORITY HEALTH NEEDS WILL BE REPORTED IN THE NEXT SCHEDULED CHNA.IMPLEMENTATION STRATEGY FINAL NOTES:THE 2023-2025 IMPLEMENTATION STRATEGY IS NOT INTENDED TO BE A COMPREHENSIVE CATALOG OF ALL THE WAYS THAT THE HEALTH NEEDS OF THE COMMUNITY ARE ADDRESSED BY THE HEALTH SYSTEM. RATHER, IT IS A REPRESENTATION OF SPECIFIC STRATEGIES, ACTIONS AND ACTIVITIES THAT CHS AND ITS COMMUNITY PARTNERS COMMIT TO UNDERTAKING AND MONITORING AS THEY RELATE TO EACH IDENTIFIED PRIORITY HEALTH NEED. |
| 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 17.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. THE FOLLOWING SPECIAL CIRCUMSTANCES MAY APPLY: 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 150 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, THE ORGANIZATION PARTNERED WITH THE HOSPITAL COUNCIL OF NORTHERN AND CENTRAL CALIFORNIA AND MANY OTHER VALLEY HOSPITALS AS WELL AS LOCAL ORGANIZATIONS TO PUBLISH A COMMUNITY NEEDS ASSESSMENT IN 2022. ADDITIONALLY, EACH OF OUR 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 MEDICAL CENTERS 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: | SERVICE AREA: COMMUNITY HEALTH SYSTEMS (CHS) IS HEADQUARTERED IN FRESNO, PROVIDING THE SAN JOAQUIN VALLEY WITH ACUTE CARE, OUTPATIENT CENTERS, CLINICS, HOME CARE, COMMUNITY EDUCATION, PHYSICIAN GROUPS AND A PHYSICIAN RESIDENCY PROGRAM IN CONJUNCTION WITH THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO (UCSF). WITH MORE THAN 11,000 EMPLOYEES, 1,997 AFFILIATED MEDICAL PROVIDERS AND OVER 300 VOLUNTEERS, CHS HAS A 15,000-SQUARE-MILE PRIMARY SERVICE AREA. THAT INCLUDES FRESNO, MADERA, KINGS, TULARE AND MARIPOSA COUNTIES. THE AREA IS AS LARGE AS RHODE ISLAND, CONNECTICUT AND NEW JERSEY COMBINED. CHS ALSO OPERATES THE ONLY COMBINED BURN AND LEVEL 1 TRAUMA UNITS BETWEEN LOS ANGELES AND SACRAMENTO, PROVIDING CRITICAL CARE AND OTHER SPECIALTY SERVICES TO PATIENTS FROM WELL OUTSIDE THE PRIMARY SERVICE REGION. THOSE UNITS ARE LOCATED AT COMMUNITY REGIONAL MEDICAL CENTER (COMMUNITY REGIONAL), WHICH ALSO OPERATES ONE OF THE BUSIEST HOSPITAL EMERGENCY DEPARTMENTS IN THE NATION. CHS CURRENTLY SERVES A POPULATION OF APPROXIMATELY 1.8 MILLION.BOARD OF TRUSTEES: CHS IS GOVERNED BY A VOLUNTEER BOARD OF TRUSTEES COMPRISED OF LOCAL CIVIC LEADERS AND PHYSICIANS. THE TRUSTEES PROVIDE VISION AND POLICY DIRECTION. THIS PROCESS INCLUDES AN ANNUAL REVIEW OF THE PRIOR FISCAL YEAR AND A COMMUNITY-NEEDS EVALUATION TO PRIORITIZE OPERATIONAL ISSUES AND PROVIDE DIRECTION. THE CORPORATE BOARD IS ALSO ACTIVELY INVOLVED IN APPROVING FISCAL APPROPRIATIONS FOR COMMUNITY BENEFITS PROGRAMS, OUTREACH SERVICES AND EDUCATION, AS WELL AS TRADITIONAL CHARITY CARE AND UNPAID COSTS OF PUBLIC PROGRAMS FOR THE MEDICALLY UNDERSERVED. CORPORATE BOARD MEMBERS, PHYSICIANS AND COMMUNITY'S LEADERSHIP TEAM HAVE HELPED IDENTIFY AND FUND COMMUNITY BENEFITS PROGRAMS. |
| PART VI, LINE 5: | COMMUNITY HEALTH SYSTEM'S 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 13,000 EMPLOYEES, PHYSICIANS AND VOLUNTEERS. AN INTEGRAL PART OF OUR MISSION IS OUR PATIENT POPULATION THAT INCLUDES MORE THAN 59,000 ADMISSIONS, 218,000 OUTPATIENT VISITS AND 176,000 EMERGENCY DEPARTMENT VISITS EQUALING MORE THAN 453,000 PATIENTS TO WHOM WE PROVIDED QUALITY MEDICAL CARE. OVER THE PAST TWO DECADES, NO OTHER HOSPITAL ORGANIZATION IN THE SAN JOAQUIN VALLEY HAS INVESTED MORE TO ENSURE HEALTHCARE ACCESS TO ALL PEOPLE OF THIS GROWING REGION.CHS STRIVES TO BRING PEOPLE AND ORGANIZATIONS TOGETHER TO IMPROVE COMMUNITY WELLNESS. THE COMMUNITY HEALTH NEEDS ASSESSMENT 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 2021 AND 2022, COMMUNITY HEALTH SYSTEM CONDUCTED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (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 COMMUNITY HEALTH SYSTEM TO MEASURE IMPACT AND STRATEGICALLY ESTABLISH PRIORITIES TO DEVELOP INTERVENTIONS AND ALIGN RESOURCES.A COMMUNITY HEALTH NEEDS ASSESSMENT (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, COMMUNITY HEALTH SYSTEM 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. |
| PART VI, LINE 6: | N/A |
| 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 METRO MINISTRY | ||||||||
| 4270 N BLACKSTONE AVE | FRESO | CA | 93726 | 942181848 | 501(C)(3) | $100,000 | $0 | TO SUPPORT ST. REST & FOOD TO SHARE PROGRAM ASSISTING FAMILIES IN SOUTHWEST FRESNO |
| THE BULLDOG FOUNDATION | ||||||||
| PO BOX 26267 | FRESNO | CA | 937296267 | 946080933 | 501(C)(3) | $50,000 | $0 | TO SUPPORT FRESNO STATE STUDENT-ATHLETES |
| FOUNDATION FOR CLOVIS SCHOOLS | ||||||||
| 1450 HERNDON AVE | CLOVIS | CA | 93611 | 770140576 | 501(C)(3) | $50,000 | $0 | SPECIALIZED SUICIDE PREVENTION AND INTERVENTION PROGRAMS |
| CENTRAL CALIFORNIA FOOD BANK | ||||||||
| 4010 E AMENDOLA DRIVE | FRESNO | CA | 93725 | 770320851 | 501(C)(3) | $36,504 | $0 | TO SUPPORT CENTRAL CA FOOD BANK'S ASSISTANCE TO FAMILIES IN NEED DURING COVID-19 CRISIS |
| CLINICAL PASTORIAL EDUCATION OF CENTRAL CA | ||||||||
| 1111 E SPRUCE AVE | FRESNO | CA | 93720 | 262859810 | 501(C)(3) | $15,000 | $0 | FOR OUTREACH INITIATIVES TO LOW-INCOME, VULNERABLE POPULATIONS THROUGHOUT THE CENTRAL VALLEY |
| CALIFORNIA HOSPITALS COMMITTEE ON ISSUES | ||||||||
| 1215 K STREET SUITE 800 | SACRAMENTO | CA | 95814 | 680148902 | 501(C)(6) | $193,747 | $0 | LOBBYING EXPENDITURES |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 5 | Total501c3OrgCnt |
| Total Other Org | 1 | 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) |
|---|---|---|
| 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 | Yes (1) | 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 (16 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 - 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 |
| THOMAS UTECHT | ||||||||||||||
| SVP, CHIEF QUALITY OFFICER | $724,808 | $0 | $271,325 | $0 | $33,630 | $0 | $23,200 | $0 | $22,265 | $0 | $1,075,228 | $0 | $0 | $0 |
| CHRISTOPHER NEUMAN - SVP | ||||||||||||||
| MEDICAL CENTER OPERATIONS/COO - CRMC | $648,179 | $0 | $287,018 | $0 | $13,888 | $0 | $17,400 | $0 | $22,033 | $0 | $988,518 | $0 | $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 |
| ALDO DE LA TORRE | ||||||||||||||
| SVP, NETWORK DEVELOPMENT | $0 | $552,777 | $0 | $234,649 | $0 | $27,868 | $0 | $14,500 | $0 | $21,733 | $0 | $851,527 | $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 |
| CARLA MILTON | ||||||||||||||
| SVP, HUMAN RESOURCES | $0 | $469,509 | $0 | $189,065 | $0 | $5,381 | $0 | $17,400 | $0 | $19,623 | $0 | $700,978 | $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 |
| JEFFREY THOMAS - CHIEF | ||||||||||||||
| MEDICAL & QUALITY OFFICER - CRMC | $475,225 | $0 | $124,489 | $0 | $2,629 | $0 | $14,500 | $0 | $19,640 | $0 | $636,483 | $0 | $0 | $0 |
| TRACY KIRITANI - VP HOSPITAL | ||||||||||||||
| FINANCIAL OPERATIONS/CFO - HOSPITAL | $464,098 | $0 | $121,066 | $0 | $9,856 | $0 | $23,200 | $0 | $8,318 | $0 | $626,538 | $0 | $0 | $0 |
| JOHN KASS - VP OF OPERATIONS - | ||||||||||||||
| CCMC/CHIEF OPERATING OFFICER - CCMC | $353,224 | $0 | $101,244 | $0 | $19,053 | $0 | $7,976 | $0 | $20,300 | $0 | $501,797 | $0 | $0 | $0 |
| WANDA HOLDERMAN - FORMER SVP | ||||||||||||||
| CCI OFFICER THRU 07/20 | $0 | $0 | $0 | $0 | $494,361 | $0 | $0 | $0 | $7,185 | $0 | $501,546 | $0 | $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 |
| 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 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | SOCIAL CLUB DUES ARE PAID FOR THOMAS UTECHT. THIS IS INCLUDED IN TAXABLE COMPENSATION. |
| PART I, LINES 4A-B | LINE 4A: SEVERANCE AGREEMENTS WERE MADE BETWEEN COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA, A RELATED ORGANIZATION, AND THREE EMPLOYEES: TIM JOSLIN, JOSEPH NOWICKI, AND WANDA HOLDERMAN. UNDER THESE AGREEMENTS, PAYMENTS WERE MADE DURING 2021 FOR TIM JOSLIN, JOSEPH NOWICKI, AND WANDA HOLDERMAN. 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. 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 CHS SENIOR LEADERS WHO HAVE DEMONSTRATED EXCEPTIONAL PERFORMANCE. |
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 | $74,780,457 | $430,205,457 | $2,780,950 | $50,342,190 | $377,082,317 | 2018 | Yes (1) | Yes (1) | Yes (1) | Yes (1) |
| B | $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 (8 entries)
| Relationship With OrgRelationshipWithOrgTxt | Loan PurposeLoanPurposeTxt | Loan From OrganizationLoanFromOrganizationInd | Original PrincipalOriginalPrincipalAmt | Balance DueBalanceDueAmt | DefaultDefaultInd | Board Or Committee ApprovalBoardOrCommitteeApprovalInd | Written AgreementWrittenAgreementInd |
|---|---|---|---|---|---|---|---|
| TIM JOSLIN | |||||||
| FORMER OFFICER | SPLIT INTEREST INSURANCE | Yes (X) | $5,789,822 | $6,104,480 | 0 | Yes (1) | Yes (1) |
| CRAIG CASTRO | |||||||
| OFFICER | SPLIT INTEREST INSURANCE | Yes (X) | $2,630,651 | $2,771,680 | 0 | Yes (1) | Yes (1) |
| JOSEPH NOWICKI | |||||||
| KEY EMPLOYEE | SPLIT INTEREST INSURANCE | Yes (X) | $1,382,253 | $1,456,355 | 0 | Yes (1) | Yes (1) |
| CRAIG WAGONER | |||||||
| KEY EMPLOYEE | SPLIT INTEREST INSURANCE | Yes (X) | $986,225 | $1,039,096 | 0 | Yes (1) | Yes (1) |
| ALDO DE LA TORRE | |||||||
| KEY EMPLOYEE | SPLIT INTEREST INSURANCE | Yes (X) | $1,795,318 | $1,866,768 | 0 | Yes (1) | Yes (1) |
| CARLA MILTON | |||||||
| KEY EMPLOYEE | SPLIT INTEREST INSURANCE | Yes (X) | $706,907 | $744,804 | 0 | Yes (1) | Yes (1) |
| BRIANNE L MARRIOTT | |||||||
| OFFICER | SPLIT INTEREST INSURANCE | Yes (X) | $823,753 | $841,900 | 0 | Yes (1) | Yes (1) |
| ROGER LARSEN | |||||||
| OFFICER | SPLIT INTEREST INSURANCE | Yes (X) | $1,321,766 | $1,341,514 | 0 | Yes (1) | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $16,166,597 | TotalBalanceDueAmt |
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| MATTHEW JOSLIN | |||
| FAMILY MEMBER OF T. JOSLIN, A FORMER OFFICER OF FCH&MC. | $188,490 | SALARIES AND WAGES | 0 |
| CHRIS-ANN VENUGOPAL | |||
| FAMILY MEMBER OF C. VENUGOPAL, MD, A MEMBER OF FCH&MC'S BOARD OF TRUSTEES | $192,108 | SALARIES AND WAGES | 0 |
| REBECCA HAMBALEK | |||
| FAMILY MEMBER OF R. QUINTO, A MEMBER OF FCH&MC'S BOARD OF TRUSTEES | $57,485 | SALARIES AND WAGES | 0 |
| ADVANCE LAPAROSCOPIC SURGERY ASSOCIATES | |||
| 35% CONTROLLED ENTITY OF K. BOONE, A MEMBER OF FCH&MC'S BOARD OF TRUSTEES | $869,706 | MEDICAL DIRECTORSHIP AND ON-CALL SERVICES | 0 |
| GWR PPMG | |||
| 35% CONTROLLED ENTITY OF W. IBRAHIM, A MEMBER OF FCH&MC'S BOARD OF TRUSTEES | $153,737 | PHYSICIAN SERVICES | 0 |
| MORGAN STURDEVANT | |||
| FAMILY MEMBER OF R. STURDEVANT, A MEMBER OF FCH&MC'S BOARD OF TRUSTEES | $24,134 | SALARIES AND WAGES | 0 |
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 (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| HEADING, BOX C: | OTHER DBAS USED: BOB SMITTCAMP FAMILY NEUROSCIENCE INSTITUTE CENTRAL CALIFORNIA HEART INSTITUTE CLOVIS COMMUNITY CENTER FOR WOUND HEALING CLOVIS COMMUNITY MEDICAL CENTER COMMUNITY BEHAVIORAL HEALTH CENTER COMMUNITY CANCER INSTITUTE COMMUNITY DIALYSIS CENTER - CLOVIS COMMUNITY DIALYSIS CENTER - FRESNO COMMUNITY HEALTH CENTER - SIERRA COMMUNITY HEALTH SYSTEM COMMUNITY HOME CARE COMMUNITY MEDICAL CENTERS COMMUNITY PROVIDER NETWORK COMMUNITY REGIONAL MEDICAL CENTER COMMUNITY SUBACUTE AND TRANSITIONAL CARE CENTER DERAN KOLIGIAN AMBULATORY CARE CENTER DIABETES CARE CENTER OF FRESNO 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 2 | FARID ASSEMI, SUSAN ABUNDIS, AND JOHN MCGREGOR, ESQ. - BUSINESS RELATIONSHIP FARID ASSEMI AND JOSHUA PETERSON - BUSINESS RELATIONSHIP |
| FORM 990, PART VI, SECTION A, LINE 4 | DURING 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 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 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 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. 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. THIS PROCESS WAS MOST RECENTLY COMPLETED IN OCTOBER, 2022. |
| 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 233,614,505. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 233,614,505. MD SUPERVISORY FEES: PROGRAM SERVICE EXPENSES 13,651,193. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,651,193. CONSULTING & MANAGEMENT FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 131,192. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 131,192. MEDICAL PURCHASED SERVICE: PROGRAM SERVICE EXPENSES 15,522,175. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,522,175. LINEN SERVICES: PROGRAM SERVICE EXPENSES 4,753,218. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,753,218. AMBULANCE SERVICE: PROGRAM SERVICE EXPENSES 4,587,779. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,587,779. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 58,920,158. MANAGEMENT AND GENERAL EXPENSES 11,222,888. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 70,143,046. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|
| CRMC CARDIOVASCULAR CO-MANAGEMENT LLC | ||||||||
| 789 N MEDICAL CTR DR EAST | CLOVIS | CA | 93611 | INACTIVE | CA | $0 | $0 | FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER |
| CRMC ORTHOPEDIC CO-MANAGEMENT LLC | ||||||||
| 789 N MEDICAL CTR DR EAST | 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 | AMI REALTY PARTNERS LP | BusinessNameLine1Txt |
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) |
|---|---|---|
| EIN | 203709876 | EIN |
| Primary Activities | REAL PROPERTY RENTAL | PrimaryActivitiesTxt |
| Legal Domicile State | CA | 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 | $92,277 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $419,192 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | Yes (1) | GeneralOrManagingPartnerInd |
| Ownership | 0.50000 | 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 CTR DR EAST | CLOVIS | CA | 93611 | 980674776 | INSURANCE | CJ | FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER | C | $4,853,431 | $30,316,699 | 1.00000 | Yes (1) | ||
| COMMUNITY CARE HEALTH PLAN INC | ||||||||||||||
| 789 N MEDICAL CTR DR EAST | CLOVIS | CA | 93611 | 273353543 | HEALTH CARE PLAN | FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER | C | $60,910,148 | $17,816,633 | 1.00000 | Yes (1) | CA | ||
| COMMUNITY HEALTH ENTERPRISES INC | ||||||||||||||
| 789 N MEDICAL CTR DR EAST | CLOVIS | CA | 93611 | 770175659 | PHARMACY SALES | C | 0 | CA | N/A | |||||
| CHP COMMUNITY CHOICE IPA | ||||||||||||||
| 789 N MEDICAL CTR DR EAST | CLOVIS | CA | 93611 | NONE | C | 0 | CA | N/A | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | 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 (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA FOUNDATION | ||
| C | $5,222,098 | CASH |
| COMMUNITY INSURANCE SERVICES COMPANY | ||
| R | $8,612,566 | CASH |
| COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA | ||
| P | $247,704,445 | COST |
| COMMUNITY HEALTH PARTNERS | ||
| J | $2,063,574 | CASH |
| COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA FOUNDATION | ||
| S | $4,409,074 | CASH |