2020-07-14T13:48:35-05:00 2019-08-31 910189318 MOSS ADAMS LLP 3121 W MARCH LN STE 200 STOCKTON CA 952192367 990 2018-09-01 942864615 COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA COMM 5597244124 1560 E SHAW AVENUE FRESNO CA 93710 DEBORAH MOFFETT VP FINANCE 5597244124 2020-07-13 1 TRACY S PAGLIA P00366884 2099556100 2020-07-13 174.237.138.66 2020-07-13 13:42:47 PD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 9AD8C6E6EE883A8DEBF2D4C409B60F2243355F00 2018 2021-01-29 14:40:06Z TIM JOSLIN 1560 E SHAW AVENUE FRESNO CA 93710 197519244 0 X WWW.COMMUNITYMEDICAL.ORG X 1982 CA CHCC'S MISSION IS TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY AND TO PROMOTE MEDICAL EDUCATION. 15 12 876 16 82022 78522 223484 278346 171854471 190160271 73488 57281 -83070 66019 172068373 190561917 917677 316400 0 0 90876806 100992200 0 0 0 80356960 89187302 172151443 190495902 -83070 66015 181697521 163380998 256318283 264551261 -74620762 -101170263 COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA'S MISSION IS TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY AND TO PROMOTE MEDICAL EDUCATION. 0 0 148668998 316400 190160271 MANAGEMENT FEES FROM AFFILIATED 501(C)(3) HOSPITALS AND FOUNDATION FOR EXECUTIVE MANAGEMENT AND GENERAL ADMINISTRATIVE COSTS. 148668998 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 660 0 1 876 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 15 12 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 CA X DEBORAH MOFFETT 5597244124 1560 E SHAW AVENUE FRESNO CA 93710 LINZIE DANIEL CHAIR 0.20 1.70 X X 0 0 0 FARID ASSEMI CHAIR-ELECT 0.20 1.70 X X 0 0 0 SUSAN ABUNDIS SECRETARY 0.20 1.70 X X 0 0 0 AJIT ARORA MD BOARD MEMBER 0.20 1.70 X 147100 0 0 KEITH BOONE MD AS OF 418 BOARD MEMBER 0.20 1.70 X 0 0 0 TERRANCE BRADLEY EDD BOARD MEMBER 0.20 1.70 X 0 0 0 JERRY COOK BOARD MEMBER 0.20 1.70 X 0 0 0 MANUEL CUNHA JR BOARD MEMBER 0.20 1.70 X 0 0 0 REN IMAI MD BOARD MEMBER 0.20 1.70 X 0 0 0 KAREN MCCAFFREY BOARD MEMBER 0.20 1.70 X 0 0 0 JOHN MCGREGOR BOARD MEMBER 0.20 1.70 X 0 0 0 VONG MOUANOUTOUA BOARD MEMBER (THRU 12/18) 0.20 1.70 X 0 0 0 RUTHIE QUINTO BOARD MEMBER 0.20 1.70 X 0 0 0 DAVID SLATER MD BOARD MEMBER 0.20 1.70 X 10000 0 0 ROGER STURDEVANT BOARD MEMBER 0.20 1.70 X 0 0 0 CHANDRASEKAR VENUGOPAL MD BOARD MEMBER 0.20 1.70 X 0 0 0 TIM JOSLIN PRESIDENT, CHIEF EXECUTIVE OFFICER 5.00 55.00 X 1021680 0 1295308 CRAIG CASTRO EVP, CHIEF OPERATING OFFICER 5.00 55.00 X 1260888 0 39260 JOSEPH NOWICKI SVP CORPORATE CFO 5.00 55.00 X 934345 0 33578 ALDO DE LA TORRE SVP NETWORK DEVELOPMENT 5.00 50.00 X 892899 0 30351 ROBYNN L VAN PATTEN SVP CHIEF LEGAL OFFICER THRU 6/19 5.00 50.00 X 683563 0 32944 CARLA MILTON SVP HUMAN RESOURCES 5.00 50.00 X 540394 0 33064 PATRICK RAFFERTY - FORMER EVP CHIEF OPERATIONS OFFICER THRU 08/18 5.00 55.00 X 2680081 0 358434 JOHN ZELEZNY SVP COMMUNICATIONS 5.00 50.00 X 550233 0 61596 DEBRA MUSCIO SVP AUDIT AND COMPLIANCE 5.00 50.00 X 557472 0 25717 JAMES FRANKLIN SVP CHIEF INFORMATION OFFICER 5.00 50.00 X 484498 0 33012 JUDI BINDERMAN VP CHIEF MEDICAL INFO OFF- CMIO 5.00 50.00 X 486662 0 25783 GEORGE VASQUEZ - FORMER VP CHIEF TECHNOLOGY OFFICER 0.00 0.00 X 360450 0 18206 MARGARET BREEN - FORMER SVP HUMAN RESOURCES THRU 04/17 0.00 0.00 X 339298 0 4304 10949563 0 1991557 188 1 1 0 COMP SPEC 425 E COLORADO ST SUITE 410 GLENDALE CA 91205 FINANCIAL SERVICES 3545900 OPEN SYSTEMS TECHNOLOGIES DE 605 SEWARD AVE NW SUITE 101 GRAND RAPIDS MI 49504 TECHNOLOGY SERVICES/SUPPLIES 1907234 JONES DAY 555 SOUTH FLOWER ST LOS ANGELES CA 90071 LEGAL SERVICES 998950 CONVERGENT REVENUE CYCLE MANAGEMENT 13575 HEATHCOTE BLVD SUITE 300 GAINESVILLE VA 20155 FINANCIAL SERVICES 993150 ARENT FOX LLP PO BOX 644672 PITTSBURG PA 152644672 LEGAL SERVICES 850026 56 278346 278346 MANAGEMENT FEES 900099 182738086 182738086 PROGRAM SERVICE RENTAL 900099 1068371 1068371 APPLICATION REVENUE 900099 248650 248650 SPECIAL SERVICES REVEN 900099 157080 157080 INCOME FROM SANTE 900099 37390 37390 5910694 5910694 190160271 42051 42051 7023346 6957327 66019 66019 82022 -16003 15230 0 15230 15230 15230 190561917 190160271 82022 41278 X 316400 316400 755725 755725 285404 285404 82079790 68947024 13132766 2190820 1840289 350531 10314908 8664523 1650385 5365553 4507065 858488 1692404 1692404 365610 365610 943584 943584 731400 314502 416898 25679369 10973231 14706138 2217993 2217993 5583665 4020239 1563426 23170495 23170495 4057764 3408522 649242 999387 999387 246959 246959 273013 273013 18598617 15622838 2975779 1785994 1725994 60000 OTHER OPERATING EXPENSE 2544623 1272312 1272311 REPAIRS AND MAINTENANCE 236480 118240 118240 LEASE AND RENTAL PAYMEN 59945 29972 29973 190495902 148668998 41826904 0 657670 239682 2742092 4198813 942147 1326027 10290964 10845276 307687158 166344399 148846025 141342759 1589948 2435011 2956040 2993430 13672635 0 181697521 163380998 23531231 30664182 115322 156898 5846841 5739634 2214943 1830857 224609946 226159690 256318283 264551261 X -74620762 -101170263 -74620762 -101170263 181697521 163380998 X 66015 -26615516 X 0 1 X 1 0 X X 2 FRESNO COMMUNITY HOSPITAL & MEDICAL CENTER 941156276 3 0 0 0 SIERRA HOSPITAL FOUNDATION 941431181 3 0 0 0 2 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 PART IV, SECTION A, LINE 1 COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA'S (CHCC) BOARD APPROVED MISSION IS TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY AND TO PROMOTE MEDICAL EDUCATION. CHCC IS THE CENTRALIZED SHARED SERVICES ENTITY FOR THE AFFILIATED GROUP, WHICH ARE UNDER COMMON CONTROL. CHCC HAS HAD A HISTORIC AND CONTINUING RELATIONSHIP WITH FCH&MC AND SHF SINCE IT WAS FORMED IN 1982. PART IV, SECTION A, LINE 6: CHCC PROVIDED GRANTS TO SEVERAL NON-SUPPORTED ORGANIZATIONS DURING THE YEAR TO SUPPORT THE COMMUNITY AT LARGE. ALL GRANTS MADE WERE IN FURTHERANCE OF HEALTH CARE PURPOSES CONSISTENT WITH FCH&MC'S EXEMPT PURPOSE, AND WOULD HAVE BEEN MADE DIRECTLY BY FCH&MC IF THEY HAD NOT BEEN MADE BY CHCC. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 943584 0 0 943584 0 PART II-B, LINE 1: CHCC MAINTAINS A GOVERNMENT RELATIONS FUNCTION TO MONITOR PENDING LEGISLATION AND TO INFLUENCE LEGISLATORS AND PUBLIC OPINION ON HEALTH CARE ISSUES. PAYMENTS MADE TO LOBBYISTS ARE DISCLOSED BELOW. THE FORHAN COMPANY: PROFESSIONAL FEES WERE PAID FOR FEDERAL, STATE OF CALIFORNIA, COUNTY OF FRESNO AND CITY OF FRESNO FOR GOVERNMENT RELATIONS AND ADVOCACY SERVICES. CJ LAKE: PROFESSIONAL FEES WERE PAID FOR FEDERAL GOVERNMENT RELATIONS AND ADVOCACY SERVICES. PEACH: A PORTION OF DUES PAID DIRECTLY RELATE TO LOBBYING ACTIVITY. CALIFORNIA HOSPITAL COUNCIL: A PORTION OF DUES PAID DIRECTLY RELATE TO LOBBYING ACTIVITY. HOOPER, LUNDY & BOOKMAN: A PORTION OF DUES PAID DIRECTLY RELATE TO LOBBYING ACTIVITY. VILLINES GROUP, LLC: FEES RELATE DIRECTLY TO LOBBYING/GOVERNMENTAL RELATIONS ACTIVITY. POLITICO, LLC: FEES RELATE DIRECTLY TO LOBBYING/GOVERNMENTAL RELATIONS ACTIVITY. 13313523 12601807 25915330 108629542 31974016 76655526 1736262 1736262 0 169598713 132634121 36964592 1807311 1807311 141342759 PAYABLES TO AFFILIATES 200199290 PENSION LIABILITY 16067426 COVIDIEN LEASE 2354101 PYXIS LEASE 7538873 226159690 FORM 990, SCHEDULE D, PART X, LINE 2: THERE IS NO FOOTNOTE FOR FIN 48 IN THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS DUE TO IMMATERIALITY. 0 CENTRAL VALLEY COMMUNITY FOUNDATION 5250 N PALM AVE SUITE 424 FRESNO CA 93704 770478025 501(C)(3) 100000 PROVIDE MEDICAL SURGICAL, AND DENTAL CARE TO MOST UNDERSERVED AREAS FOUNDATION FOR CLOVIS 1450 HERNDON AVE CLOVIS CA 93611 770140576 501(C)(3) 100000 SUPPORT CUSD'S MENTAL HEALTH INITIATIVES FOR KIDS, FAMILIES, STAFF, AND COMMUNITY PANCREATIC ACTION NETWORK 1500 ROSECRANS AVE MANHATTAN BEACH CA 90266 330841281 501(C)(3) 10000 PURPLESTRIDE - THE WALK TO END PANCREATIC CANCER CALIFORNIA HEALTH SCIENCES UNIVERSITY 120 N CLOVIS AVE CLOVIS CA 93612 770478025 501(C)(3) 30000 SCHOLARSHIP GALA CENTRAL CALIFORNIA WOMEN'S CONFERENCE PO BOX 998 ATWATER CA 95301 770178140 501(C)(3) 18000 SPONSORSHIP CLINICAL PASTORAL EDUCATION OF CENTRAL CALIFORNIA 1303 E HERNDON AVE FRESNO CA 93720 262859810 501(C)(3) 15000 DONATION FOR CLINICAL PASTORAL EDUCATION AND TRAINING EVERY NEIGHBORHOOD PARTNERSHIP 2044 E NEES AVE FRESNO CA 93720 870814198 501(C)(3) 10000 COMMUNITY BENEFIT FOR OBESITY, DIABETES, AND HEALTHY EATING & ACTIVE LIVING PROGRAMS FRESNO METRO MINISTRY 4270 N BLACKSTONE AVE SUITE 212 FRESNO CA 93726 942181848 501(C)(3) 10000 COLLABORATIVE HEALTH EFFORTS BULLDOG FOUNDATION PO BOX 26267 FRESNO CA 93729 946080933 501(C)(3) 8400 SCHOLARSHIP FUND DONATION 9 0 PART I, LINE 2: THE ORGANIZATION DOES NOT HAVE A GRANT PROCEDURE FOR MONITORING THE USE OF FUNDS. X X X 1 1 X X X X 1 1 0 1 1 1 1 0 0 TIM JOSLIN PRESIDENT, CHIEF EXECUTIVE OFFICER 893890 0 0 0 127790 0 1284124 0 11184 0 2316988 0 0 0 CRAIG CASTRO EVP, CHIEF OPERATING OFFICER 793081 0 329530 0 138277 0 19250 0 20010 0 1300148 0 65524 0 JOSEPH NOWICKI SVP CORPORATE CFO 592513 0 220182 0 121650 0 16500 0 17078 0 967923 0 63383 0 ALDO DE LA TORRE SVP NETWORK DEVELOPMENT 505419 0 75000 0 312480 0 11000 0 19351 0 923250 0 49727 0 ROBYNN L VAN PATTEN SVP CHIEF LEGAL OFFICER THRU 6/19 426362 0 172202 0 84999 0 13750 0 19194 0 716507 0 0 0 CARLA MILTON SVP HUMAN RESOURCES 367702 0 143713 0 28979 0 16500 0 16564 0 573458 0 0 0 PATRICK RAFFERTY - FORMER EVP CHIEF OPERATIONS OFFICER THRU 08/18 479458 0 253182 0 1947441 0 350471 0 7963 0 3038515 0 1838576 0 JOHN ZELEZNY SVP COMMUNICATIONS 343664 0 146622 0 59947 0 54619 0 6977 0 611829 0 39457 0 DEBRA MUSCIO SVP AUDIT AND COMPLIANCE 352709 0 131046 0 73717 0 13750 0 11967 0 583189 0 32841 0 JAMES FRANKLIN SVP CHIEF INFORMATION OFFICER 347260 0 129534 0 7704 0 16500 0 16512 0 517510 0 0 0 JUDI BINDERMAN VP CHIEF MEDICAL INFO OFF- CMIO 359315 0 99956 0 27391 0 13750 0 12033 0 512445 0 0 0 GEORGE VASQUEZ - FORMER VP CHIEF TECHNOLOGY OFFICER 76288 0 0 0 284162 0 5637 0 12569 0 378656 0 37648 0 MARGARET BREEN - FORMER SVP HUMAN RESOURCES THRU 04/17 0 0 0 0 339298 0 0 0 4304 0 343602 0 0 0 PART I, LINE 1A FIRST-CLASS TRAVEL ON CERTAIN LONG-TERM OR OVERNIGHT FLIGHTS IS ALLOWED FOR THE CEO, COO, AND CFO. AS A RECRUITING TOOL, CHCC WILL PAY A TEMPORARY HOUSING ALLOWANCE TO CERTAIN NEW EMPLOYEES UNDER CERTAIN CIRCUMSTANCES. CHCC PAYS FOR SOCIAL CLUB DUES FOR TIM JOSLIN AND ALDO DE LA TORRE. THESE DUES ARE TAXABLE COMPENSATION. PART I, LINES 4A-B LINE 4A: THE ORGANIZATION AND MARGARET BREEN,HR SVP, ENTERED INTO A SEVERANCE AGREEMENT WHEREBY MARGARET BREEN RECEIVED A PAYMENT FOR $24,859 ON 4/29/17 AND WILL RECEIVE 37 BIWEEKLY PAYMENTS OF $16,572.80 BEGINNING 5/13/2017 AND A LAST PAYMENT FOR $8,286 ON 10/13/18. THE ORGANIZATION AND GEORGE VASQUEZ, VP CHIEF TECHNOLOGY OFFICER, ENTERED INTO A SEVERANCE AGREEMENT WHEREBY MR. VASQUEZ RECEIVED A PAYMENT FOR $11,504.00 ON 4/14/18 AND WILL RECEIVE 25 BIWEEKLY PAYMENTS FOR THE SAME AMOUNT ENDING ON 3/30/2019. ROBYNN VAN PATTEN AND THE ORGANIZATION ENTERED INTO A SERVERANCE AGREEMENT WHEREBY ROBYNN VAN PATTEN WILL RECEIVE 26 BIWEEKLY PAYMENTS FOR $17,504.80 BEGINNING 7/25/2019 AND ENDING 7/09/2020. THESE PAYMENTS ARE NOT REFLECTED ON SCHEDULE J, PART II AS THEY BEGAN IN CALENDAR YEAR 2019. LINE 4B: DURING THE YEAR, CONTRIBUTIONS WERE MADE TO THE SERP PLAN FOR THE FOLLOWING INDIVIDUALS: - TIM JOSLIN $1,267,627 - PATRICK RAFFERTY $333,971 - JOHN ZELEZNY $35,369 LINE 4B: DURING THE YEAR, DISTRIBUTIONS WERE MADE FROM THE SERP PLAN FOR THE FOLLOWING INDIVIDUALS: - CRAIG CASTRO $65,524 - ALDO DE LA TORRE $49,727 - DEBRA MUSCIO $32,841 - JOSEPH NOWICKI $63,383 - PATRICK RAFFERTY $1,838,576 - GEORGE VASQUEZ $37,648 - JOHN ZELEZNY $39,457 PART I, LINE 5 THE ORGANIZATION'S EXECUTIVE INCENTIVE PLAN IS DESIGNED TO MOTIVATE AND REWARD KEY MEMBERS OF THE EXECUTIVE TEAM FOR MEETING SPECIFIC AND MEASURABLE GOALS AT THE HEALTH SYSTEM AND INDIVIDUAL LEVELS. THE MAIN OBJECTIVES ARE: - MOTIVATE EXECUTIVES AND REWARD THEM FOR IMPROVING CMC'S OPERATIONAL PERFORMANCE; - INCREASE COMMUNITY INVOLVEMENT AND EFFECTIVENESS; - INCREASE EXECUTIVE COMMITMENT TO CMC'S SHORT AND LONG TERM GOALS; - PROVIDE EXECUTIVES WITH COMPETITIVE BUT REASONABLE COMPENSATION; - AND ATTRACT AND RETAIN HIGHLY TALENTED EXECUTIVES THAT ARE CRITICALLY IMPORTANT TO THE SUCCESS OF THE ORGANIZATION. PART I, LINE 6 SEE RESPONSE FOR QUESTION 5. KATHERINE MCGREGOR FAMILY MEMBER OF JOHN MCGREGOR, A MEMBER OF CHCC'S BOARD OF TRUSTEES. 58113 EMPLOYMENT 0 SIMRUN ARORA FAMILY MEMBER OF AJIT ARORA, MD, A MEMBER OF CHCC'S BOARD OF TRUSTEES. 59500 EMPLOYMENT 0 FORM 990, PART VI, SECTION B, LINE 11B UPON COMPLETION OF AN INITIAL REVIEW BY SENIOR MANAGEMENT, THE FORM IS REVIEWED AT A MEETING OF THE EXECUTIVE COMMITTEE OF 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. CMC'S CHIEF AUDITOR, ETHICS & COMPLIANCE OFFICER, AND CHIEF LEGAL OFFICER REVIEW THE RESPONSES AND DETERMINE WHETHER THERE IS A CONFLICT BASED ON POLICY. IF A CONFLICT OF INTEREST IS IDENTIFIED, THE DIRECTOR, PRINCIPAL OFFICER, OR MEMBER COMMITTEE WITH BOARD DELEGATED POWERS WILL BE REMOVED FROM DECISION MAKING AS IT PERTAINS TO THAT CONFLICT. 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 ARM'S-LENGTH BARGAINING; 2) WHETHER ACQUISITIONS OF PHYSICIAN PRACTICES 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 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 NOVEMBER, 2019. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G HBP FEES: PROGRAM SERVICE EXPENSES 7,639. MANAGEMENT AND GENERAL EXPENSES 10,126. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,765. MD SUPERVISORY FEES: PROGRAM SERVICE EXPENSES 319,797. MANAGEMENT AND GENERAL EXPENSES 423,917. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 743,714. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,064,378. MANAGEMENT AND GENERAL EXPENSES 1,410,919. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,475,297. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 8,954,117. MANAGEMENT AND GENERAL EXPENSES 12,029,639. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,983,756. COLLECTION AGENCIES: PROGRAM SERVICE EXPENSES 577,976. MANAGEMENT AND GENERAL EXPENSES 766,154. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,344,130. CONSULT & MGMT FEES: PROGRAM SERVICE EXPENSES 49,324. MANAGEMENT AND GENERAL EXPENSES 65,383. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 114,707. FORM 990, PART XI, LINE 9: CHANGE IN UNFUNDED ACCUMULATED PENSION BENEFIT OBLIGATION -26,615,516. FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER 1560 E SHAW AVENUE FRESNO CA 93710 941156276 HOSPITAL CA 501(C)(3) LINE 3 COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA 1 COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA FOUNDATION PO BOX 1232 FRESNO CA 93715 770191730 SUPPORTING ORGANIZATION CA 501(C)(3) LINE 7 COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA 1 SIERRA HOSPITAL FOUNDATION PO BOX 1232 FRESNO CA 93715 941431181 INACTIVE CA 501(C)(3) LINE 3 COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA 1 SANTE HEALTH FOUNDATION 7370 N PALM AVENUE SUITE 101 FRESNO CA 93711 200517238 HEALTHCARE CA 501(C)(3) LINE 7 N/A 0 AMI REALTY PARTNERS LP 1867 E FIR SUITE 104 FRESNO CA 93720 203709876 REAL PROPERTY RENTAL CA FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER EXCLUDED 119789 239994 0 0 0.39480 CALIFORNIA IMAGING INSTITUTE LLC 1867 E FIR SUITE 104 FRESNO CA 93720 203766736 IMAGING SERVICES CA FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER EXCLUDED 1366169 368849 0 0 0.50000 COMMUNITY HEALTH ENTERPRISES INC 789 N MEDICAL CENTER DRIVE EAST CLOVIS CA 93611 770175659 PHARMACY SALES CA COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA C -182156 1441052 1.00000 1 COMMUNITY CARE HEALTH PLAN INC 789 N MEDICAL CENTER DRIVE EAST CLOVIS CA 93611 770246798 HEALTH CARE PLAN CA FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER C 3281039 16616478 1.00000 1 COMMUNITY INSURANCE SERVICES COMPANY 789 N MEDICAL CENTER DRIVE EAST CLOVIS CA 93611 980674776 INSURANCE CJ FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER C 2334015 20646692 1.00000 1 SANTE HEALTH SERVICES INC 6051 N FRESNO STREET FRESNO CA 93710 200382364 INACTIVE CA FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER C 1.00000 0 0 0 1 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 FRESNO COMMUNITY HOSPITAL & MEDICAL CENTER Q 180928655 COST COMMUNITY HEALTH ENTERPRISES INC Q 574744 COST COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA FOUNDATION Q 380572 COST COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA FOUNDATION C 278346 COST