2019-07-08T18:28:04-05:00 2018-08-31 910189318 MOSS ADAMS LLP 3121 W MARCH LN STE 200 STOCKTON CA 952192367 990 2017-09-01 942864615 COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA COMM 5597244124 1560 E SHAW AVENUE FRESNO CA 93710 DEBORAH MOFFETT VICE TREASURER 5597244124 2019-06-26 1 TRACY S PAGLIA P00366884 2099556100 2019-06-26 12.129.7.100 2019-06-26 20:06:22 PD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 BE861C6778D90A5D3E7861ABDDE45BE6309F51A4 2017 2019-02-21 02:37:17Z TIM JOSLIN 1560 E SHAW AVENUE FRESNO CA 93710 178905042 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 11 841 16 0 0 278551 223484 153931132 171854471 58414 73488 520751 -83070 154788848 172068373 279340 917677 0 0 79055055 90876806 0 0 0 74933702 80356960 154268097 172151443 520751 -83070 145610471 181697521 231402381 256318283 -85791910 -74620762 COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA'S MISSION IS TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY AND TO PROMOTE MEDICAL EDUCATION. 0 0 134318311 917677 171854471 MANAGEMENT FEES FROM AFFILIATED 501(C)(3) HOSPITALS AND FOUNDATION FOR EXECUTIVE MANAGEMENT AND GENERAL ADMINISTRATIVE COSTS. 134318311 1 1 0 1 0 0 0 0 0 0 1 0 0 1 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 0 0 0 1 841 0 1 841 1 0 0 0 0 0 0 0 0 0 0 X 15 11 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 SUSAN ABUNDIS BOARD MEMBER 0.20 1.70 X 0 0 0 AJIT ARORA MD BOARD MEMBER 0.20 1.70 X 112334 0 0 KEITH BOONE MD 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 JOHN MCGREGOR BOARD MEMBER 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 11171 0 0 ROGER STURDEVANT BOARD MEMBER 0.20 1.70 X 0 0 0 MICHAEL SYNN MD BOARD MEMBER (THRU 1/18) 0.20 1.70 X 0 0 0 CHANDRASEKAR VENUGOPAL MD BOARD MEMBER 0.20 1.70 X 0 0 0 LINZIE DANIEL CHAIR 0.20 1.70 X 0 0 0 FARID ASSEMI CHAIR-ELECT 0.20 1.70 X 0 0 0 VONG MOUANOUTOUA SECRETARY 0.20 1.70 X X 0 0 0 TIM JOSLIN CHIEF EXECUTIVE OFFICER 5.00 55.00 X 1541745 0 30097 PATRICK RAFFERTY THRU 818 EVP CHIEF OPERATIONS OFFICER 5.00 55.00 X 896019 0 353182 CRAIG CASTRO EVP CHIEF OPERATIONS OFFICER 5.00 55.00 X 1272410 0 118156 JOSEPH NOWICKI SVP FINANCIAL SVCS 5.00 55.00 X 734938 0 89040 ALDO DE LA TORRE SVP - NETWORK DEVELOPMENT 5.00 50.00 X 707947 0 80964 ROBYNN L VAN PATTEN SVP - CHIEF LEGAL OFFICER 5.00 50.00 X 551260 0 63254 JAMES FRANKLIN SVP CHIEF INFORMATION OFFICER 5.00 50.00 X 417107 0 69397 JOHN ZELEZNY SVP COMMUNICATIONS 5.00 50.00 X 458437 0 60947 CARLA MILTON SVP HUMAN RESOURCES 5.00 50.00 X 296958 0 64889 MARGARET BREEN SVP HUMAN RESOURCES (THRU 4/17) 5.00 50.00 X 650441 0 145039 JUDI BINDERMAN VP CHIEF MEDICAL INFO OFF- CMIO 5.00 50.00 X 418022 0 13198 GEORGE VASQUEZ THRU 318 VP CHIEF TECHNOLOGY OFFICER 5.00 50.00 X 369915 0 32381 ERIC SAFF VP CHIEF TECHNOLOGY OFFICER 5.00 50.00 X 288582 0 13183 VICKI ANDERSON VP MANAGED CARE 5.00 55.00 X 291843 0 33618 DEBRA MUSCIO SVP AUDIT AND COMPLIANCE 5.00 50.00 X 440452 0 59470 JENNIFER LORGE VP CMC INSURANCE SERVICES 5.00 50.00 X 288758 0 905 DEBORAH MOFFETT VP FINANCE 5.00 50.00 X 330775 0 26410 BRIANNE L MARRIOTT VP LEGAL SERVICES 5.00 50.00 X 287334 0 28304 ROBERT WARD THRU 216 FORMER SVP CHIEF LEGAL OFFICER 5.00 50.00 X 459510 0 11804 10825958 0 1294238 150 1 1 0 COMP SPEC 425 E COLORADO ST STE 410 GLENDALE CA 912051675 FINANCIAL SERVICES 3357386 DELOITTE AND TOUCHE LLP PO BOX 844708 DALLAS TX 752844708 CONSULTING 1589254 CONVERGENT REVENUE CYCLE MGMT PO BOX 714668 CINCINNATI OH 452714668 FINANCIAL SERVICES 1190195 STEPHENSON ACQUISTO & COLMAN 303 N GLENOAKS BLVD STE 700 BURBANK CA 91502 FINANCIAL SERVICES 1146980 TELEDATA SERVICES CO 3886 N ANN AVE FRESNO CA 93727 TECHNOLOGY 843623 45 223484 223484 MANAGEMENT FEES 900099 166899005 166899005 PROGRAM SERVICE RENTAL 900099 517137 517137 APPLICATION REVENUE 900099 266350 266350 SPECIAL SERVICES REVEN 900099 157080 157080 INCOME FROM SANTE 900099 -10084 -10084 4024983 4024983 171854471 44419 44419 6536623 6619693 -83070 -83070 -83070 246045 216976 29069 29069 29069 172068373 171854471 0 -9582 X 917677 917677 886059 886059 70398 70398 76040201 63873769 12166432 958188 804878 153310 8160380 6854719 1305661 4761580 3999727 761853 3268238 3268238 287523 287523 1029445 1029445 694758 298746 396012 21650005 9309502 12340503 2444895 2444895 3830147 2757706 1072441 21888304 21888304 3738910 3140684 598226 1427835 1427835 312019 312019 252950 252950 16311939 13702029 2609910 1565751 1505751 60000 OTHER OPERATING EXPENSE 1259621 629810 629811 REPAIRS AND MAINTENANCE 343694 171847 171847 LEASE AND RENTAL PAYMEN 50926 25463 25463 172151443 134318311 37833132 0 596502 657670 4179624 2742092 374059 942147 6598196 10290964 295812896 146966871 127899308 148846025 2840947 1589948 2966124 2956040 155711 13672635 145610471 181697521 19675359 23531231 106725 115322 5958519 5846841 2579790 2214943 203081988 224609946 231402381 256318283 X -85791910 -74620762 -85791910 -74620762 145610471 181697521 X -83070 11254218 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 1988. 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. 0 0 0 0 0 0 1 1029445 0 0 1029445 0 PART II-B, LINE 1: CHCC MAINTAINS A GOVERNMENT RELATIONS DEPARTMENT 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. 13313522 12840535 26154057 106340216 27528466 78811750 1736262 1732488 3774 160383559 117705917 42677642 1198802 1198802 148846025 DEFERRED RENT PALM BUILDING 230891 NET DEFINED BENEFIT ASSET 13441744 13672635 PAYABLES TO AFFILIATES 219583883 PENSION LIABILITY 2050113 COVIDIEN LEASE 2975950 224609946 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) 75000 ARMENIA EXCHANGE FUND CENTRAL VALLEY COMMUNITY FOUNDATION 5250 N PALM AVE SUITE 424 FRESNO CA 93704 770478025 501(C)(3) 22887 SPONSORSHIP FOR EDUCATION PROGRAM THE FOUNDATION FCOE 1111 VAN NESS THIRD FLOOR FRESNO CA 93721 800381096 501(C)(3) 10000 SPONSORSHIP FOR EDUCATION PROGRAM FRESNO STATE FOUNDATION 2380 E KEATS AVE FRESNO CA 937408024 946003272 501(C)(3) 10000 SPONSORSHIP FOR HMONG MINOR SCHOLARSHIP EVERY NEGIHBORHOOD PARTNERSHIP 2044 E NEES AVE FRESNO CA 93720 870814198 501(C)(3) 11000 NEIGHBORHOOD WELLNESS AND NUTRITION PROJECT UCSF FOUNDATION 155 N FRESNO ST FRESNO CA 93721 942829914 501(C)(3) 300000 MEDICAL EDUCATION AND RESEARCH FOUNDATION FOR CLOVIS UNIFIED 1450 HERNDON AVE CLOVIS CA 93611 770140576 501(C)(3) 100000 TO SUPPORT STUDENT MENTAL HEALTH BULLDOG FOUNDATION PO BOX 26767 FRESNO CA 93729 946080933 501(C)(3) 8331 CSUF SCHOLARSHIPS FMAAA 3837 N CLARK ST FRESNO CA 93726 942663924 501(C)(3) 318933 DONATE BUILDING 8 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 CHIEF EXECUTIVE OFFICER 1148275 0 232294 0 161176 0 16200 0 13897 0 1571842 0 0 0 PATRICK RAFFERTY THRU 818 EVP CHIEF OPERATIONS OFFICER 692505 0 122158 0 81356 0 340443 0 12739 0 1249201 0 0 0 CRAIG CASTRO EVP CHIEF OPERATIONS OFFICER 746851 0 400946 0 124613 0 98726 0 19430 0 1390566 0 0 0 JOSEPH NOWICKI SVP FINANCIAL SVCS 524849 0 113958 0 96131 0 70418 0 18622 0 823978 0 0 0 ALDO DE LA TORRE SVP - NETWORK DEVELOPMENT 475445 0 114141 0 118361 0 61710 0 19254 0 788911 0 0 0 ROBYNN L VAN PATTEN SVP - CHIEF LEGAL OFFICER 415701 0 99350 0 36209 0 44187 0 19067 0 614514 0 0 0 JAMES FRANKLIN SVP CHIEF INFORMATION OFFICER 341489 0 51003 0 24615 0 51477 0 17920 0 486504 0 0 0 JOHN ZELEZNY SVP COMMUNICATIONS 333767 0 85007 0 39663 0 53238 0 7709 0 519384 0 0 0 CARLA MILTON SVP HUMAN RESOURCES 224465 0 41460 0 31033 0 47356 0 17533 0 361847 0 0 0 MARGARET BREEN SVP HUMAN RESOURCES (THRU 4/17) 123996 0 37701 0 488744 0 138639 0 6400 0 795480 0 132425 0 JUDI BINDERMAN VP CHIEF MEDICAL INFO OFF- CMIO 366204 0 46350 0 5468 0 0 0 13198 0 431220 0 0 0 GEORGE VASQUEZ THRU 318 VP CHIEF TECHNOLOGY OFFICER 287477 0 36655 0 45783 0 18900 0 13481 0 402296 0 0 0 ERIC SAFF VP CHIEF TECHNOLOGY OFFICER 252989 0 32191 0 3402 0 0 0 13183 0 301765 0 0 0 VICKI ANDERSON VP MANAGED CARE 246275 0 31416 0 14152 0 20291 0 13327 0 325461 0 0 0 DEBRA MUSCIO SVP AUDIT AND COMPLIANCE 317385 0 68001 0 55066 0 46461 0 13009 0 499922 0 0 0 JENNIFER LORGE VP CMC INSURANCE SERVICES 241922 0 31249 0 15587 0 0 0 905 0 289663 0 0 0 DEBORAH MOFFETT VP FINANCE 279653 0 49707 0 1415 0 18900 0 7510 0 357185 0 0 0 BRIANNE L MARRIOTT VP LEGAL SERVICES 208948 0 26876 0 51510 0 10850 0 17454 0 315638 0 0 0 ROBERT WARD THRU 216 FORMER SVP CHIEF LEGAL OFFICER 455701 0 0 0 3809 0 0 0 11804 0 471314 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 SPECIAL CIRCUMSTANCES. CHCC ALSO LEASES A CONDOMINIUM TO MARK KESTNER, CMIO. CHCC PAYS FOR SOCIAL CLUB DUES FOR TIM JOSLIN, PATRICK RAFFERTY 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 ROBERT WARD, CHIEF LEGAL OFFICER, ENTERED INTO A SEVERANCE AGREEMENT WHEREBY MR. WARD WILL RECEIVE 52 BIWEEKLY PAYMENTS OF $17,820 BEGINNING FEBRUARY 2016. 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. THESE PAYMENTS ARE NOT REFLECTED ON SCHEDULE J PART II AS THEY BEGAN IN CALENDAR YEAR 2018. LINE 4B: DURING THE YEAR, CONTRIBUTIONS WERE MADE TO THE PLAN FOR THE FOLLOWING INDIVIDUALS: -PATRICK RAFFERTY $324,243 -CRAIG CASTRO $79,826 -JOSEPH NOWICKI $54,218 -CARLA MILTON $37,500 -JOHN ZELEZNY $34,338 -DEBRA MUSCIO $32,961 -ALDO DE LA TORRE $50,910 -ROBYN VAN PATTEN $44,187 -JAMES FRANKLIN $35,277 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, BOARD MEMBER 52315 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. 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. FORM 990, PART VI, SECTION C, LINE 19 IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, THE ORGANIZATION CONSOLIDATES THE RESULTS OF ITS FINANCIAL OPERATIONS WITH THOSE OF ITS NONPROFIT AND FORPROFIT AFFILIATES TO ISSUE CONSOLIDATED FINANCIAL STATEMENTS UNDER THE BUSINESS NAME COMMUNITY MEDICAL CENTER. THESE AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE THROUGH ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) AT EMMA.MSRB.ORG. FORM 990, PART IX, LINE 11G MD SUPERVISORY FEES: PROGRAM SERVICE EXPENSES 196,663. MANAGEMENT AND GENERAL EXPENSES 260,693. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 457,356. COLLECTION AGENCIES: PROGRAM SERVICE EXPENSES 340,479. MANAGEMENT AND GENERAL EXPENSES 451,333. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 791,812. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,000,810. MANAGEMENT AND GENERAL EXPENSES 1,326,655. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,327,465. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 7,756,854. MANAGEMENT AND GENERAL EXPENSES 10,282,341. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,039,195. CONSULT & MGMT FEES: PROGRAM SERVICE EXPENSES 14,696. MANAGEMENT AND GENERAL EXPENSES 19,481. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 34,177. FORM 990, PART XI, LINE 9: CHANGE IN UNFUNDED ACCUMULATED PENSION BENEFIT OBLIGATION 11,254,218. FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER 789 N MEDICAL CENTER DRIVE EAST CLOVIS CA 93611 941156276 HOSPITAL CA 501(C)(3) LINE 3 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 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 COMMUNITY HEALTH ENTERPRISES INC 789 N MEDICAL CENTER DRIVE EAST CLOVIS CA 93611 770175659 PHARMACY SALES CA N/A C 0 COMMUNITY CARE HEALTH PLAN INC 789 N MEDICAL CENTER DRIVE EAST CLOVIS CA 93611 770246798 HEALTH CARE PLAN CA N/A C 0 COMMUNITY INSURANCE SERVICES COMPANY 789 N MEDICAL CENTER DRIVE EAST CLOVIS CA 93611 980674776 INSURANCE CJ N/A C 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 164879845 COST COMMUNITY HEALTH ENTERPRISES INC Q 576712 COST COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA FOUNDATION Q 644647 COST COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA FOUNDATION C 223484 COST COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA FOUNDATION C 32773563 FMV