2025-10-02T20:34:59-05:00 2024-12-31 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2024-01-01 330056551 COMMUNITY HEALTH SYSTEMS INC COMM 9515712300 7880 MISSION GROVE PARKWAY S RIVERSIDE CA 92508 LORI HOLEMAN CEO 9515712300 2025-09-26 1 1 X MICHAEL J PETERSON CPA P01833529 2187224705 2025-09-25 2024 2025-03-06 01:10:19Z X LORI HOLEMAN 7880 MISSION GROVE PARKWAY S RIVERSIDE CA 92508 61414654 0 X WWW.CHSICA.ORG X 1984 CA TO IMPROVE AND STRENGTHEN THE HEALTH OF OUR DIVERSE COMMUNITIES BY PROVIDING COMPASSIONATE AND COMPREHENSIVE HEALTH SERVICES. 9 9 512 9 0 0 10290799 9923198 42510624 50168923 140461 326586 31459 994507 52973343 61413214 0 50899 0 0 32065858 38476520 0 0 0 11923010 12701544 43988868 51228963 8984475 10184251 42691698 61021144 25006014 33151209 17685684 27869935 X TO IMPROVE AND STRENGTHEN THE HEALTH OF OUR DIVERSE COMMUNITIES BY PROVIDING COMPASSIONATE AND COMPREHENSIVE HEALTH SERVICES. 1 0 35955152 50899 51022559 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. 35955152 1 1 0 0 0 0 0 0 1 0 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 1 0 1 0 0 0 0 0 0 0 0 1 25 0 512 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X X ANNIE NGUYEN 9515712300 7880 MISSION GROVE PARKWAY S RIVERSIDE CA 92508 AMIR SADEGHIAN CHAIR 1.50 X X 0 0 0 JONNATHAN BARAJAS VICE CHAIR 0.25 X X 0 0 0 OSCAR ULRIC JONES TREASURER 1.50 X X 0 0 0 KIMBERLY JIMENEZ SECRETARY 1.00 X X 0 0 0 DENYSE BAHAM BOARD MEMBER 1.00 X 0 0 0 DRAYMOND CRAWFORD BOARD MEMBER 0.75 X 0 0 0 JENNIFER DOBROWOLSKY BOARD MEMBER 1.00 X 0 0 0 VERONICA HERNANDEZ BOARD MEMBER 0.50 X 0 0 0 MAYRA JACKSON BOARD MEMBER (THRU AUG) 0.50 X 0 0 0 ALLISON MONTERROSA BOARD MEMBER 0.50 X 0 0 0 LORI HOLEMAN CEO 40.00 X 544715 0 16283 ANNIE NGUYEN CFO 40.00 X 456331 0 13655 DENIS VEGA TAPIA CSO 40.00 X 375128 0 7405 CLAUDIA MENA COO 40.00 X 366407 0 10307 LISA MOXLEY CHIEF HUMAN RESOURCES OFFICER 40.00 X 301732 0 8614 NAOMI LOPEZ CHIEF DATA ANALYTICS OFFICER 40.00 X 295831 0 7127 GURVINDER UPPAL CHIEF MEDICAL ADVANCEMENT OFFICER 40.00 X 256178 0 11056 GORAN CVIJANOVIC INTERNAL MEDICINE PHYSICIAN TEAM LEAD 40.00 X 362291 0 10121 CALVIN LAMBERT HALL FAMILY PRACTICE PHYSICIAN 40.00 X 328237 0 33403 GEORGE SOLIMAN FAMILY PRACTICE PHYSICIAN 40.00 X 332404 0 22158 STANLEY YU PEDIATRICIAN 40.00 X 252093 0 15109 NAUREEN KHAN DIRECTOR OF GRANTS MANAGEMENT 40.00 X 225403 0 16243 4096750 0 171481 82 0 1 0 HARBOR BUILDING MAINTENANCE 5011 ARGOSY AVE SUITE 11 HUNTINGTON BEACH CA 92649 JANITORIAL SERVICE 403653 DIRECT GUARD 1750 CALIFORNIA AVE SUITE 201 CORONA CA 92881 SECURITY GUARD SERVICES 328007 PROVIDER HEALTHCARE 2825 E COTTONWOOD PARKWAY SUITE 470 SALT LAKE CITY CA 84121 PROVIDER SERVICES 269879 STRATUS INDEMAND INC PO BOX 675248 DETROIT MI 48267 TRANSLATION SERVICES 101700 4 9219713 703485 403348 9923198 PATIENT SERVICE REVENUE 621990 46389703 46389703 340B PHARMACY REVENUE 456110 2323792 2323792 PATIENT PHARMACY REVENUE 456110 1455428 1455428 50168923 326551 326551 102400 0 102400 102400 102400 1475 1440 35 35 35 INCENTIVE REVENUE 900099 853636 853636 38471 38471 892107 61413214 51022559 0 467457 50899 50899 2670768 2670768 29021481 23484959 5536522 1850499 769957 1080542 2434607 1580675 853932 2499165 1856416 642749 126578 126578 42042 42042 922849 717098 205751 871047 640255 230792 1019156 87676 931480 3453022 2647585 805437 283651 114395 169256 210290 18855 191435 382661 382661 1073973 815649 258324 682665 213421 469244 MEDICAL SUPPLIES 2726640 2726640 STAFF RECRUITMENT 239633 74594 165039 EQUIPMENT RENTAL & MAIN 190338 32263 158075 DUES & SUBSCRIPTIONS 118795 118795 358204 123815 234389 51228963 35955152 15273811 0 4603078 13007032 10663 1310213 4151077 3043485 84393 105231 385493 647349 34998283 10610619 20067675 24387664 1440 13387879 18520170 42691698 61021144 4082655 5133802 0 28445 459473 565655 7216379 9213897 13247507 18209410 25006014 33151209 X 17646934 27406504 38750 463431 17685684 27869935 42691698 61021144 10184251 0 X 0 1 X 1 1 1 X 9002113 17507114 6308263 10260383 9923198 53001071 9002113 17507114 6308263 10260383 9923198 53001071 221972 52779099 107 373 1700 93291 428951 524422 73253 227128 10206 26841 38471 375899 53901392 157586726 0.97920 0.97280 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 230000 230000 17784720 1997899 15786821 11255175 4462583 6792592 2730371 2359126 371245 2998017 1791011 1207006 24387664 RIGHT-OF-USE ASSETS 18069758 SECURITY DEPOSITS 450412 18520170 RIGHT-OF-USE LIABILITIES 18209410 18209410 61413214 0 61413214 0 61413214 51228963 0 51228963 0 51228963 PART IV, LINE 2B: THE ORGANIZATION HOLDS SECURITY DEPOSITS FOR TENANTS. 1 COUNCIL OF COMMUNITY CLINICS 3710 RUFFIN RD SAN DIEGO CA 92123 953008850 501(C)(3) 50000 0 TO SUPPORT IMPLEMENTING CA PROP.35 1 0 PART I, LINE 2: THE ORGANIZATION DOES NOT REGULARLY MAKE GRANTS BUT WHEN IT DOES OCCUR MAINTAINS RECORDS TO SUBSTANTIATE THE DECISION AND NEEDS ADDRESSED WITH THE GRANT. X X X X 0 1 0 0 0 0 0 1 0 LORI HOLEMAN CEO 401850 0 142865 0 0 0 0 0 16283 0 560998 0 0 0 ANNIE NGUYEN CFO 307991 0 148340 0 0 0 0 0 13655 0 469986 0 0 0 DENIS VEGA TAPIA CSO 277974 0 97154 0 0 0 0 0 7405 0 382533 0 0 0 CLAUDIA MENA COO 282235 0 84172 0 0 0 0 0 10307 0 376714 0 0 0 GORAN CVIJANOVIC INTERNAL MEDICINE PHYSICIAN TEAM LEA 345293 0 16998 0 0 0 0 0 10121 0 372412 0 0 0 CALVIN LAMBERT HALL FAMILY PRACTICE PHYSICIAN 300279 0 27958 0 0 0 0 0 33403 0 361640 0 0 0 GEORGE SOLIMAN FAMILY PRACTICE PHYSICIAN 319476 0 12928 0 0 0 0 0 22158 0 354562 0 0 0 LISA MOXLEY CHIEF HUMAN RESOURCES OFFICER 230376 0 71356 0 0 0 0 0 8614 0 310346 0 0 0 NAOMI LOPEZ CHIEF DATA ANALYTICS OFFICER 182279 0 113552 0 0 0 0 0 7127 0 302958 0 0 0 GURVINDER UPPAL CHIEF MEDICAL ADVANCEMENT OFFICER 218892 0 37286 0 0 0 0 0 11056 0 267234 0 0 0 STANLEY YU PEDIATRICIAN 231878 0 20215 0 0 0 0 0 15109 0 267202 0 0 0 NAUREEN KHAN DIRECTOR OF GRANTS MANAGEMENT 135745 0 89658 0 0 0 0 0 16243 0 241646 0 0 0 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. SRMV LLC FAMILY MEMBER TO BOARD CHAIR AMIR SADEGHIAN RENTING AND TENANT IMPROVEMENT FOR CORPORATE BUILDING X 200000 121651 0 1 1 SRMV LLC FAMILY MEMBER TO BOARD CHAIR AMIR SADEGHIAN RIGHT OF USE ASSET - LEASE X 0 44269 0 1 1 UPPAL PARTNER OF COLORADO OWNED BY OFFICER GURVINDER SUNNY UPPAL RIGHT OF USE ASSET - LEASE X 0 399735 0 1 1 565655 SRMV LLC FAMILY MEMBER TO BOARD CHAIR AMIR SADEGHIAN 282818 RIGHT OF USE ASSET - LEASE 0 UPPAL PARTNER OF COLORADO OWNED BY OFFICER GURVINDER SUNNY UPPAL 406744 RIGHT OF USE ASSET - LEASE 0 X MEDICATION 7 403348 FAIR MARKET VALUE 0 0 1 0 PART I, COLUMN (B) THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS IN PART I, COLUMN (B). 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.