COMMUNITY HEALTH SYSTEMS INC: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY HEALTH SYSTEMS INC (EIN 33-0056551)
- Tax period
- 2024-01-01 to 2024-12-31
- Filed
- 2025-10-02
- IRS object ID
- 202512759349300346
- Schema version
- 2024v5.2
- 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 D
- Schedule I
- Schedule J
- Schedule L
- Schedule M
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-10-02T20:34:59-05:00 | ReturnTs |
| Tax Period End | 2024-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390758449 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1502 LONDON ROAD SUITE 200 | AddressLine1Txt |
| City | DULUTH | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55812 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 330056551 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HEALTH SYSTEMS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 9515712300 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7880 MISSION GROVE PARKWAY S | AddressLine1Txt |
| City | RIVERSIDE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92508 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LORI HOLEMAN | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 9515712300 | PhoneNum |
| Signature | 2025-09-26 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
| Form8822 B Attached | Yes (X) | Form8822BAttachedInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL J PETERSON CPA | PreparerPersonNm |
| PTIN | P01833529 | PTIN |
| Phone | 2187224705 | PhoneNum |
| Preparation | 2025-09-25 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Principal Officer | LORI HOLEMAN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7880 MISSION GROVE PARKWAY S | AddressLine1Txt |
| City | RIVERSIDE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92508 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $61,414,654 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CHSICA.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1984 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE AND STRENGTHEN THE HEALTH OF OUR DIVERSE COMMUNITIES BY PROVIDING COMPASSIONATE AND COMPREHENSIVE HEALTH SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 512 | TotalEmployeeCnt |
| Total Volunteers | 9 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $10,290,799 | PYContributionsGrantsAmt |
| CY Contributions Grants | $9,923,198 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $42,510,624 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $50,168,923 | CYProgramServiceRevenueAmt |
| PY Investment Income | $140,461 | PYInvestmentIncomeAmt |
| CY Investment Income | $326,586 | CYInvestmentIncomeAmt |
| PY Other Revenue | $31,459 | PYOtherRevenueAmt |
| CY Other Revenue | $994,507 | CYOtherRevenueAmt |
| PY Total Revenue | $52,973,343 | PYTotalRevenueAmt |
| CY Total Revenue | $61,413,214 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $50,899 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $32,065,858 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $38,476,520 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $11,923,010 | PYOtherExpensesAmt |
| CY Other Expenses | $12,701,544 | CYOtherExpensesAmt |
| PY Total Expenses | $43,988,868 | PYTotalExpensesAmt |
| CY Total Expenses | $51,228,963 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $8,984,475 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $10,184,251 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $42,691,698 | TotalAssetsBOYAmt |
| Total Assets EOY | $61,021,144 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $25,006,014 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $33,151,209 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $17,685,684 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $27,869,935 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO IMPROVE AND STRENGTHEN THE HEALTH OF OUR DIVERSE COMMUNITIES BY PROVIDING COMPASSIONATE AND COMPREHENSIVE HEALTH SERVICES. | MissionDesc |
| Significant New Program Srvc | Yes (1) | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $35,955,152 | ExpenseAmt |
| Grant | $50,899 | GrantAmt |
| Revenue | $51,022,559 | RevenueAmt |
| Desc | COMMUNITY HEALTH SYSTEMS PROVIDED 136,414 MEDICAL, DENTAL, VISION, MENTAL HEALTH, AND OTHER PRIMARY CARE SERVICES, INCLUDING VIRTUAL VISITS, TO INDIVIDUALS IN THE TRI-COUNTY AREA OF SOUTHERN CALIFORNIA. APPROXIMATELY 25,414 PATIENTS WERE SERVED. A MAJORITY OF THOSE PATIENTS WERE LOW-INCOME AND UNDERINSURED WITH LIMITED MEANS FOR PAYMENT. IN 2024, CHSI ADDED 2 ADDITIONAL PROGRAM SERVICES: PHILANTHROPY AND RENTAL. | Desc |
| Total Program Service Expenses | $35,955,152 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | 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 | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | 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 | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| 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 | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 25 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 512 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| 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 | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | 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 | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
| Other | Yes (X) | OtherInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANNIE NGUYEN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9515712300 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7880 MISSION GROVE PARKWAY S | AddressLine1Txt |
| City | RIVERSIDE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92508 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| AMIR SADEGHIAN | |||||||
| CHAIR | 1.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JONNATHAN BARAJAS | |||||||
| VICE CHAIR | 0.25 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| OSCAR ULRIC JONES | |||||||
| TREASURER | 1.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| KIMBERLY JIMENEZ | |||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DENYSE BAHAM | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DRAYMOND CRAWFORD | |||||||
| BOARD MEMBER | 0.75 | Yes (X) | $0 | $0 | $0 | ||
| JENNIFER DOBROWOLSKY | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| VERONICA HERNANDEZ | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| MAYRA JACKSON | |||||||
| BOARD MEMBER (THRU AUG) | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| ALLISON MONTERROSA | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| LORI HOLEMAN | |||||||
| CEO | 40.00 | Yes (X) | $544,715 | $0 | $16,283 | ||
| ANNIE NGUYEN | |||||||
| CFO | 40.00 | Yes (X) | $456,331 | $0 | $13,655 | ||
| DENIS VEGA TAPIA | |||||||
| CSO | 40.00 | Yes (X) | $375,128 | $0 | $7,405 | ||
| CLAUDIA MENA | |||||||
| COO | 40.00 | Yes (X) | $366,407 | $0 | $10,307 | ||
| LISA MOXLEY | |||||||
| CHIEF HUMAN RESOURCES OFFICER | 40.00 | Yes (X) | $301,732 | $0 | $8,614 | ||
| NAOMI LOPEZ | |||||||
| CHIEF DATA ANALYTICS OFFICER | 40.00 | Yes (X) | $295,831 | $0 | $7,127 | ||
| GURVINDER UPPAL | |||||||
| CHIEF MEDICAL ADVANCEMENT OFFICER | 40.00 | Yes (X) | $256,178 | $0 | $11,056 | ||
| GORAN CVIJANOVIC | |||||||
| INTERNAL MEDICINE PHYSICIAN TEAM LEAD | 40.00 | $362,291 | $0 | $10,121 | Yes (X) | ||
| CALVIN LAMBERT HALL | |||||||
| FAMILY PRACTICE PHYSICIAN | 40.00 | $328,237 | $0 | $33,403 | Yes (X) | ||
| GEORGE SOLIMAN | |||||||
| FAMILY PRACTICE PHYSICIAN | 40.00 | $332,404 | $0 | $22,158 | Yes (X) | ||
| STANLEY YU | |||||||
| PEDIATRICIAN | 40.00 | $252,093 | $0 | $15,109 | Yes (X) | ||
| NAUREEN KHAN | |||||||
| DIRECTOR OF GRANTS MANAGEMENT | 40.00 | $225,403 | $0 | $16,243 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,096,750 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $171,481 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 82 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| HARBOR BUILDING MAINTENANCE | |||||
| 5011 ARGOSY AVE SUITE 11 | HUNTINGTON BEACH | CA | 92649 | JANITORIAL SERVICE | $403,653 |
| DIRECT GUARD | |||||
| 1750 CALIFORNIA AVE SUITE 201 | CORONA | CA | 92881 | SECURITY GUARD SERVICES | $328,007 |
| PROVIDER HEALTHCARE | |||||
| 2825 E COTTONWOOD PARKWAY SUITE 470 | SALT LAKE CITY | CA | 84121 | PROVIDER SERVICES | $269,879 |
| STRATUS INDEMAND INC | |||||
| PO BOX 675248 | DETROIT | MI | 48267 | TRANSLATION SERVICES | $101,700 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $9,219,713 | GovernmentGrantsAmt |
| All Other Contributions | $703,485 | AllOtherContributionsAmt |
| Noncash Contributions | $403,348 | NoncashContributionsAmt |
| Total Contributions | $9,923,198 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 621990 | $46,389,703 | $46,389,703 |
| 340B PHARMACY REVENUE | 456110 | $2,323,792 | $2,323,792 |
| PATIENT PHARMACY REVENUE | 456110 | $1,455,428 | $1,455,428 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $50,168,923 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $326,551 | TotalRevenueColumnAmt |
| Exclusion | $326,551 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $102,400 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $102,400 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $102,400 | TotalRevenueColumnAmt |
| Exclusion | $102,400 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,475 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,440 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $35 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $35 | TotalRevenueColumnAmt |
| Exclusion | $35 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INCENTIVE REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $853,636 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $853,636 | RelatedOrExemptFuncIncomeAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $38,471 | TotalRevenueColumnAmt |
| Exclusion | $38,471 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $892,107 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $61,413,214 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $51,022,559 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $467,457 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,899 | TotalAmt |
| Program Services | $50,899 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,670,768 | TotalAmt |
| Management And General | $2,670,768 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,021,481 | TotalAmt |
| Program Services | $23,484,959 | ProgramServicesAmt |
| Management And General | $5,536,522 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,850,499 | TotalAmt |
| Program Services | $769,957 | ProgramServicesAmt |
| Management And General | $1,080,542 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,434,607 | TotalAmt |
| Program Services | $1,580,675 | ProgramServicesAmt |
| Management And General | $853,932 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,499,165 | TotalAmt |
| Program Services | $1,856,416 | ProgramServicesAmt |
| Management And General | $642,749 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $126,578 | TotalAmt |
| Management And General | $126,578 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,042 | TotalAmt |
| Management And General | $42,042 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $922,849 | TotalAmt |
| Program Services | $717,098 | ProgramServicesAmt |
| Management And General | $205,751 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $871,047 | TotalAmt |
| Program Services | $640,255 | ProgramServicesAmt |
| Management And General | $230,792 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,019,156 | TotalAmt |
| Program Services | $87,676 | ProgramServicesAmt |
| Management And General | $931,480 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,453,022 | TotalAmt |
| Program Services | $2,647,585 | ProgramServicesAmt |
| Management And General | $805,437 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $283,651 | TotalAmt |
| Program Services | $114,395 | ProgramServicesAmt |
| Management And General | $169,256 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $210,290 | TotalAmt |
| Program Services | $18,855 | ProgramServicesAmt |
| Management And General | $191,435 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $382,661 | TotalAmt |
| Management And General | $382,661 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,073,973 | TotalAmt |
| Program Services | $815,649 | ProgramServicesAmt |
| Management And General | $258,324 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $682,665 | TotalAmt |
| Program Services | $213,421 | ProgramServicesAmt |
| Management And General | $469,244 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $2,726,640 | $2,726,640 | |
| STAFF RECRUITMENT | $239,633 | $74,594 | $165,039 |
| EQUIPMENT RENTAL & MAIN | $190,338 | $32,263 | $158,075 |
| DUES & SUBSCRIPTIONS | $118,795 | $118,795 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $358,204 | TotalAmt |
| Program Services | $123,815 | ProgramServicesAmt |
| Management And General | $234,389 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,228,963 | TotalAmt |
| Program Services | $35,955,152 | ProgramServicesAmt |
| Management And General | $15,273,811 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,603,078 | BOYAmt |
| EOY | $13,007,032 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,663 | BOYAmt |
| EOY | $1,310,213 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,151,077 | BOYAmt |
| EOY | $3,043,485 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $84,393 | BOYAmt |
| EOY | $105,231 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $385,493 | BOYAmt |
| EOY | $647,349 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $34,998,283 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $10,610,619 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,067,675 | BOYAmt |
| EOY | $24,387,664 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,440 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,387,879 | BOYAmt |
| EOY | $18,520,170 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,691,698 | BOYAmt |
| EOY | $61,021,144 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,082,655 | BOYAmt |
| EOY | $5,133,802 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $28,445 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $459,473 | BOYAmt |
| EOY | $565,655 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,216,379 | BOYAmt |
| EOY | $9,213,897 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,247,507 | BOYAmt |
| EOY | $18,209,410 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,006,014 | BOYAmt |
| EOY | $33,151,209 | 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 | $17,646,934 | BOYAmt |
| EOY | $27,406,504 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,750 | BOYAmt |
| EOY | $463,431 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,685,684 | BOYAmt |
| EOY | $27,869,935 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,691,698 | BOYAmt |
| EOY | $61,021,144 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $10,184,251 | ReconcilationRevenueExpnssAmt |
| 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) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,002,113 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $17,507,114 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,308,263 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,260,383 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,923,198 | CurrentTaxYearAmt |
| Total | $53,001,071 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,002,113 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $17,507,114 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,308,263 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,260,383 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,923,198 | CurrentTaxYearAmt |
| Total | $53,001,071 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $221,972 | SubstantialContributorsTotAmt |
| Public Support Total170 | $52,779,099 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $107 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $373 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,700 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $93,291 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $428,951 | CurrentTaxYearAmt |
| Total | $524,422 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $73,253 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $227,128 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,206 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $26,841 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $38,471 | CurrentTaxYearAmt |
| Total | $375,899 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $53,901,392 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $157,586,726 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.97920 | PublicSupportCY170Pct |
| Public Support PY170 | 0.97280 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
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 D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $230,000 | OtherCostOrOtherBasisAmt |
| Book Value | $230,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $17,784,720 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,997,899 | DepreciationAmt |
| Book Value | $15,786,821 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,255,175 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,462,583 | DepreciationAmt |
| Book Value | $6,792,592 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,730,371 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,359,126 | DepreciationAmt |
| Book Value | $371,245 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,998,017 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,791,011 | DepreciationAmt |
| Book Value | $1,207,006 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $24,387,664 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| RIGHT-OF-USE ASSETS | $18,069,758 |
| SECURITY DEPOSITS | $450,412 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $18,520,170 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | RIGHT-OF-USE LIABILITIES | Desc |
| Amt | $18,209,410 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $18,209,410 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $61,413,214 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $61,413,214 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $61,413,214 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $51,228,963 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $51,228,963 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $51,228,963 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART IV, LINE 2B: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION HOLDS SECURITY DEPOSITS FOR TENANTS. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COUNCIL OF COMMUNITY CLINICS | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3710 RUFFIN RD | AddressLine1Txt |
| City | SAN DIEGO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92123 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 953008850 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $50,000 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Purpose Of Grant | TO SUPPORT IMPLEMENTING CA PROP.35 | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION DOES NOT REGULARLY MAKE GRANTS BUT WHEN IT DOES OCCUR MAINTAINS RECORDS TO SUBSTANTIATE THE DECISION AND NEEDS ADDRESSED WITH THE GRANT. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LORI HOLEMAN | ||||||||||||||
| CEO | $401,850 | $0 | $142,865 | $0 | $0 | $0 | $0 | $0 | $16,283 | $0 | $560,998 | $0 | $0 | $0 |
| ANNIE NGUYEN | ||||||||||||||
| CFO | $307,991 | $0 | $148,340 | $0 | $0 | $0 | $0 | $0 | $13,655 | $0 | $469,986 | $0 | $0 | $0 |
| DENIS VEGA TAPIA | ||||||||||||||
| CSO | $277,974 | $0 | $97,154 | $0 | $0 | $0 | $0 | $0 | $7,405 | $0 | $382,533 | $0 | $0 | $0 |
| CLAUDIA MENA | ||||||||||||||
| COO | $282,235 | $0 | $84,172 | $0 | $0 | $0 | $0 | $0 | $10,307 | $0 | $376,714 | $0 | $0 | $0 |
| GORAN CVIJANOVIC | ||||||||||||||
| INTERNAL MEDICINE PHYSICIAN TEAM LEA | $345,293 | $0 | $16,998 | $0 | $0 | $0 | $0 | $0 | $10,121 | $0 | $372,412 | $0 | $0 | $0 |
| CALVIN LAMBERT HALL | ||||||||||||||
| FAMILY PRACTICE PHYSICIAN | $300,279 | $0 | $27,958 | $0 | $0 | $0 | $0 | $0 | $33,403 | $0 | $361,640 | $0 | $0 | $0 |
| GEORGE SOLIMAN | ||||||||||||||
| FAMILY PRACTICE PHYSICIAN | $319,476 | $0 | $12,928 | $0 | $0 | $0 | $0 | $0 | $22,158 | $0 | $354,562 | $0 | $0 | $0 |
| LISA MOXLEY | ||||||||||||||
| CHIEF HUMAN RESOURCES OFFICER | $230,376 | $0 | $71,356 | $0 | $0 | $0 | $0 | $0 | $8,614 | $0 | $310,346 | $0 | $0 | $0 |
| NAOMI LOPEZ | ||||||||||||||
| CHIEF DATA ANALYTICS OFFICER | $182,279 | $0 | $113,552 | $0 | $0 | $0 | $0 | $0 | $7,127 | $0 | $302,958 | $0 | $0 | $0 |
| GURVINDER UPPAL | ||||||||||||||
| CHIEF MEDICAL ADVANCEMENT OFFICER | $218,892 | $0 | $37,286 | $0 | $0 | $0 | $0 | $0 | $11,056 | $0 | $267,234 | $0 | $0 | $0 |
| STANLEY YU | ||||||||||||||
| PEDIATRICIAN | $231,878 | $0 | $20,215 | $0 | $0 | $0 | $0 | $0 | $15,109 | $0 | $267,202 | $0 | $0 | $0 |
| NAUREEN KHAN | ||||||||||||||
| DIRECTOR OF GRANTS MANAGEMENT | $135,745 | $0 | $89,658 | $0 | $0 | $0 | $0 | $0 | $16,243 | $0 | $241,646 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 4B | THE ORGANIZATION PARTICIPATES IN A 162 BONUS PLAN FOR ALL EMPLOYEES. THE AMOUNTS CONTRIBUTED BY THE EMPLOYER ARE INCLUDED IN TAXABLE PAY WITHIN SCHEDULE J, PART II. THE FOLLOWING INDIVIDUALS PARTICIPATED: LORI HOLEMAN - $60,000 ANNIE NGUYEN - $80,000 DENIS VEGA TAPIA - $43,000 CLAUDIA MENA - $40,000 GORAN CVIJANOVIC - $10,008 CALVIN LAMBERT HALL - $24,000 GEORGE SOLIMAN - $10,008 LISA MOXLEY - $30,000 NAOMI LOPEZ - $63,400 GURVINDER UPPAL - $36,000 STANLEY YU - $19,518 NAUREEN KHAN - $50,000 |
| PART I, LINE 7 | SCHEDULE J, PART II, COLUMN (B)(II) REPORTS DISCRETIONARY INCENTIVE AMOUNTS THAT WERE APPROVED BY THE BOARD BASED UPON PERFORMANCE. |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (3 entries)
| Relationship With OrgRelationshipWithOrgTxt | Loan PurposeLoanPurposeTxt | Loan To OrganizationLoanToOrganizationInd | Original PrincipalOriginalPrincipalAmt | Balance DueBalanceDueAmt | DefaultDefaultInd | Board Or Committee ApprovalBoardOrCommitteeApprovalInd | Written AgreementWrittenAgreementInd |
|---|---|---|---|---|---|---|---|
| SRMV LLC | |||||||
| FAMILY MEMBER TO BOARD CHAIR AMIR SADEGHIAN | RENTING AND TENANT IMPROVEMENT FOR CORPORATE BUILDING | Yes (X) | $200,000 | $121,651 | 0 | Yes (1) | Yes (1) |
| SRMV LLC | |||||||
| FAMILY MEMBER TO BOARD CHAIR AMIR SADEGHIAN | RIGHT OF USE ASSET - LEASE | Yes (X) | $0 | $44,269 | 0 | Yes (1) | Yes (1) |
| UPPAL PARTNER OF COLORADO | |||||||
| OWNED BY OFFICER GURVINDER SUNNY UPPAL | RIGHT OF USE ASSET - LEASE | Yes (X) | $0 | $399,735 | 0 | Yes (1) | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $565,655 | TotalBalanceDueAmt |
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| SRMV LLC | |||
| FAMILY MEMBER TO BOARD CHAIR AMIR SADEGHIAN | $282,818 | RIGHT OF USE ASSET - LEASE | 0 |
| UPPAL PARTNER OF COLORADO | |||
| OWNED BY OFFICER GURVINDER SUNNY UPPAL | $406,744 | RIGHT OF USE ASSET - LEASE | 0 |
Schedule M IRS990ScheduleM
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | MEDICATION | Desc |
| Contribution | 7 | ContributionCnt |
| Noncash Contributions Rpt F990 | $403,348 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, COLUMN (B) | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS IN PART I, COLUMN (B). | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 2 | IN 2024, CHSI ADDED 2 ADDITIONAL PROGRAM SERVICES: PHILANTHROPY AND RENTAL. |
| FORM 990, PART VI, SECTION B, LINE 11B | A DRAFT COPY OF FORM 990 (INCLUDING ALL PERTINENT SCHEDULES) WAS PROVIDED TO THE ORGANIZATION'S FINANCE COMMITTEE TO REVIEW AND APPROVE BEFORE IT WAS FILED WITH THE INTERNAL REVENUE SERVICE. A COPY WAS ALSO PROVIDED TO THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE BOARDS CONFLICT OF INTEREST POLICY IS AS STATED: NO MEMBER SHALL BE AN EMPLOYEE OF CHSI OR AN IMMEDIATE FAMILY MEMBER OF CHSI TO INCLUDE; SPOUSE, CHILD ADOPTED CHILD OR PARENT OR GRANDPARENT, EITHER BY BLOOD OR MARRIAGE INCLUDING ANY OTHER LAWFUL MARRIAGE OF AN EMPLOYEE. EACH MEMBER IS REQUIRED TO FULLY DISCLOSE A CONFLICT OF ANY BUSINESS OR PROFESSIONAL CIRCUMSTANCE, OR RELATIONSHIP WHICH MAY FORM OR MAY BE PERCEIVED TO FORM THE BASIS FOR A CONFLICT OF INTEREST TO HIS/HER POSITION AS A MEMBER OF THE BOARD. - THE BOARD SHALL CONSIDER THE CIRCUMSTANCE AND/OR RELATIONSHIP DISCLOSED AND MAKE A DETERMINATION BASED ON A VOTE, OF AT LEAST A TWO THIRDS MAJORITY (2/3), EXCLUDING THE POSSIBLY CONFLICTED MEMBER, WHETHER A CONFLICT EXISTS; - THE BOARD MAY REQUEST THAT A MEMBER ABSTAIN FROM PARTICIPATING IN A DISCUSSION OR VOTING ON CERTAIN ISSUES; - THE BOARD MAY REQUEST THAT A MEMBER TAKE APPROPRIATE AND TIMELY ACTIONS TO ELIMINATE THE BASIS FOR THE CONFLICT OF INTEREST; - THE BOARD MEMBERS WILL SIGN AN UPDATED CONFLICT OF INTEREST STATEMENT ANNUALLY OR WHEN A POSSIBLE CONFLICT ARISES. |
| FORM 990, PART VI, SECTION B, LINE 15 | TO DETERMINE THE COMPENSATION OF THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER, THE HUMAN RESOURCES DEPARTMENT RESEARCH COMPARABILITY DATA FOR THE SALARY ANALYSIS; THE HUMAN RESOURCES DIRECTOR MAKES A RECOMMENDATION TO THE BOARD OF DIRECTORS AND THE BOARD VOTES ON THAT RECOMMENDATION. THIS PROCESS IS DOCUMENTED IN THE MEETING MINUTES. |
| FORM 990, PART VI, SECTION C, LINE 18 | THE ORGANIZATION MAKES ITS FORM 1023 AND 990 AVAILABLE TO THE PUBLIC UPON REQUEST IN THE CORPORATE OFFICE IN MORENO VALLEY AND ON GUIDESTAR.ORG. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST FOR VIEWING IN THE CORPORATE OFFICE IN MORENO VALLEY. IN ADDITION, UPON REQUEST, THE FINANCIAL STATEMENTS ARE PROVIDED TO VARIOUS FUNDING AGENCIES AS REQUIRED. |