FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER (EIN 94-1156276)
- Tax period
- 2011-09-01 to 2012-08-31
- Filed
- 2013-07-12
- IRS object ID
- 201321939349301012
- Schema version
- 2011v1.5
- 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 F
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-07-12T16:17:58-05:00 | Timestamp |
| Tax Period End Date | 2012-08-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 910189318 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3121 WEST MARCH LANE SUITE 100 | AddressLine1 |
| City | STOCKTON | City |
| State | CA | State |
| ZIP Code | 952192303 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-09-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 941156276 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | FRES | NameControl |
| Phone | 5594596000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | POST OFFICE BOX 1232 | AddressLine1 |
| City | FRESNO | City |
| State | CA | State |
| ZIP Code | 937154821 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ROGER FRETWELL | Name |
| Title | CONTROLLER | Title |
| Phone | 5594596000 | Phone |
| Date Signed | 2013-07-10 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | TRACY S PAGLIA | Name |
| PTIN | P00366884 | PTIN |
| Phone | 2099556100 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | TIM JOSLIN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 789 N MEDICAL CENTER DRIVE EAST | AddressLine1 |
| City | FRESNO | City |
| State | CA | State |
| ZIP Code | 93611 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 1340003402 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.MEDWATCHTODAY.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1947 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | FCH&MC'S MISSION IS TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY AND TO PROMOTE MEDICAL EDUCATION. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 5430 | TotalNbrEmployees |
| Total Nbr Volunteers | 700 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 4496873 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 5985724 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 1191502576 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 1261294703 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 7054220 | InvestmentIncomePriorYear |
| Investment Income Current Year | 17230317 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 4893454 | OtherRevenuePriorYear |
| Other Revenue Current Year | 3735869 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 1207947123 | TotalRevenuePriorYear |
| Total Revenue Current Year | 1288246613 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 2075903 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 6187000 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 494164032 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 516984474 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 596860638 | OtherExpensePriorYear |
| Other Expenses Current Year | 629272849 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 1093100573 | TotalExpensesPriorYear |
| Total Expenses Current Year | 1152444323 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 114846550 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 135802290 | RevenuesLessExpensesCY |
| Total Assets BOY | 1368361603 | TotalAssetsBOY |
| Total Assets EOY | 1460984057 | TotalAssetsEOY |
| Total Liabilities BOY | 752820692 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 724276400 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 615540911 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 736707657 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER'S (FCH&MC'S) MISSION IS TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY AND TO PROMOTE MEDICAL EDUCATION. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 1023812737 | Expense |
| Grants | 6187000 | Grants |
| Revenue | 1261294703 | Revenue |
| Description | HEALTH CARE SERVICES FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER OPERATES THREE ACUTE HOSPITALS AND NUMEROUS OUTPATIENT CENTERS, CLINICS AND OTHER SERVICES WHICH MEET THE HEALTHCARE NEEDS OF THE COMMUNITY.SEE SCHEDULE O FOR ADDITIONAL DETAILS.- COMMUNITY REGIONAL MEDICAL CENTER: CRMC IS A TERTIARY ACUTE CARE FACILITY THAT PROVIDES THE PRIMARY SERVICE AREA AND SECONDARY SERVICE AREA WITH THE FOLLOWING SERVICES: (I) THE CENTRAL VALLEY'S ONLY LEVEL I TRAUMA CENTER, (II) THE COMMUNITY REGIONAL BURN CENTER, (III) A LEVEL III NEONATAL INTENSIVE CARE UNIT, (IV) COMPREHENSIVE INPATIENT AND OUTPATIENT SERVICES, INCLUDING TECHNOLOGICALLY ADVANCED MEDICAL/SURGICAL SPECIALTIES, (V) THE COMMUNITY FAMILY BIRTH CENTER, (VI) TWO INTENSIVE CARE UNITS, (VII) THE LEON S. PETERS REHABILITATION CENTER, (VIII) INPATIENT AND OUTPATIENT CANCER TREATMENT, (IX) PATHOLOGY AND CLINICAL LABORATORY SERVICES, (X) DIALYSIS TREATMENT FACILITIES, (XI) DIAGNOSTIC RADIOLOGY SERVICES, (XII) SHORT STAY SURGERY SERVICES, (XIII) A CARDIOVASCULAR CARE UNIT, AND (XIV) 24-HOUR EMERGENCY SERVICES. CRMC IS ALSO A TEACHING HOSPITAL THAT IS AFFILIATED WITH THE UNIVERSITY OF CALIFORNIA AT SAN FRANCISCO. THE MAIN CAMPUS OF CRMC CONSISTS OF A HOSPITAL BUILDING WITH FIVE AND 10-STORY WINGS, CONNECTED TO A 5-STORY TRAUMA AND CRITICAL CARE BUILDING. CRMC ALSO PROVIDES (I) BEHAVIORAL HEALTH SERVICES AT A FREESTANDING FACILITY IN NORTHERN FRESNO KNOWN AS THE COMMUNITY BEHAVIORAL HEALTH CENTER ("CBHC"), (II) OUTPATIENT CANCER SERVICES AT ITS TWO-STORY OUTPATIENT CANCER CENTER AT WOODWARD PARK IN NORTHEAST FRESNO, APPROXIMATELY EIGHT MILES FROM THE CRMC MAIN CAMPUS, AND (III) A VARIETY OF GENERAL AND SPECIALIZED OUTPATIENT HEALTH CLINICS SERVICES AT THE DERAN KOLIGIAN AMBULATORY CARE CENTER.- CLOVIS COMMUNITY MEDICAL CENTER: CCMC IS LOCATED IN THE CITY OF CLOVIS (WHICH IS CONTIGUOUS TO THE CITY OF FRESNO), WHERE IT SERVES THE PRIMARY SERVICE AREA AND, TO A LESSER DEGREE, THE SECONDARY SERVICE AREA. THE MAIN FACILITY CONSISTS OF A THREE-STORY ACUTE CARE HOSPITAL CONNECTED TO AN OUTPATIENT SURGERY CENTER. THE FACILITY PROVIDES: (I) MEDICAL AND SURGICAL FACILITIES, (II) 24-HOUR EMERGENCY CARE, (III) A CRITICAL CARE UNIT AND TREATMENT SERVICES, (IV) THE COMMUNITY FAMILY BIRTH CENTER, (V) THE MARJORIE E. RADIN BREAST CARE CENTER, AND (VI) OUTPATIENT DIAGNOSTIC AND SURGICAL SERVICES. CCMC ALSO PROVIDES URGENT CARE SERVICES THROUGH AN ADDITIONAL FACILITY IN OAKHURST, APPROXIMATELY 45 MILES NORTH OF FRESNO.- FRESNO HEART AND SURGICAL HOSPITAL: IS AN ACUTE CARE FACILITY LOCATED IN THE CITY OF FRESNO OVERLOOKING WOODWARD PARK IN NORTHEAST FRESNO. THE FACILITY OPENED IN OCTOBER 2003 AND PROVIDES THE PRIMARY AND SECONDARY SERVICE AREAS WITH (I) CARDIOLOGY AND CARDIAC SURGERY SERVICES, (II) VASCULAR SURGERY SERVICES, AND (III) BARIATRIC AND OTHER MINIMALLY INVASIVE SURGERY SERVICES.THE ORGANIZATION IS THE PRINCIPAL TEACHING HOSPITAL IN THE CENTRAL VALLEY THROUGH A GRADUATE MEDICAL EDUCATION PROGRAM AFFILIATED WITH THE UNIVERSITY OF CALIFORNIA AT SAN FRANCISCO MEDICAL EDUCATION PROGRAM. CMC SUPPORTS A FULLY ACCREDITED EDUCATIONAL PROGRAM WITH CALIFORNIA STATE UNIVERSITY, FRESNO, BY PROVIDING CLINICAL EXPERIENCE TO ITS NURSING, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY AND DIETETIC STUDENTS. ADDITIONALLY, THE ORGANIZATION PROVIDES CLINICAL EXPERIENCE TO FRESNO CITY COLLEGE'S NURSING, SURGERY AND RADIOLOGY TECHNOLOGY STUDENTS. CMC ALSO PROVIDES CLINICAL EXPERIENCE TO STUDENTS IN THE SAN JOAQUIN VALLEY COLLEGE LVN TO RN PROGRAM, FRESNO ADULT SCHOOL AND CLOVIS ADULT SCHOOL LICENSED VOCATIONAL NURSE PROGRAMS, AS WELL AS STUDENTS IN MANY OTHER PROGRAMS AT AREA COMMUNITY COLLEGES.EACH OF THE THREE ACUTE HOSPITALS CONDUCTS EDUCATIONAL PROGRAMS FOR THE BENEFIT OF PHYSICIANS, NURSES, TECHNICIANS, MANAGEMENT PERSONNEL, EMPLOYEES, AND THE PUBLIC. IN ADDITION, CMC SPONSORS NUMEROUS HEALTH PROMOTION AND EDUCATION PROGRAMS FOR ITS EMPLOYEES AND MEMBERS OF THE COMMUNITY IN MANY AREAS, INCLUDING ASTHMA, DIABETES, NUTRITION AND WEIGHT CONTROL, STRESS MANAGEMENT, HEALTH AND WELLNESS, AND SMOKING CESSATION. THE ORGANIZATION IS AN ACTIVE PARTNER IN SEVERAL COMMUNITY SERVICE PROJECTS SUPPORTING EDUCATION IN HEALTH CAREERS FOR HIGH SCHOOLS AND OTHER COMMUNITY GROUPS.TO ADDRESS THE NATION-WIDE NURSING SHORTAGE, THE ORGANIZATION HAS IMPLEMENTED SEVERAL SYSTEM-WIDE INITIATIVES TO INCREASE RECRUITMENT AND RETENTION INCLUDING THE IMPLEMENTATION OF A NURSE RESIDENCY PROGRAM AND CLINICAL LADDER, BOTH DESIGNED TO EXPAND THE EDUCATION OF NEW NURSES AND PROMOTE RETENTION OF A HIGHER PERCENTAGE OF THESE NURSES. | Description |
| Total Program Service Expense | 1023812737 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 1 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 5430 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 1 | ForeignFinancialAccount |
| Name Of Foreign Country | CJ | NameOfForeignCountry |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROGER FRETWELL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5594596000 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1925 E DAKOTA STE 206 | AddressLine1 |
| City | FRESNO | City |
| State | CA | State |
| ZIP Code | 937264821 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (35 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| MICHAEL SYNN MD | ||||||||
| BOARD MEMBER | 1.40 | X | 0 | 312990 | 0 | |||
| BRIAN PACHECO | ||||||||
| BOARD MEMBER | 1.40 | X | 0 | 0 | 0 | |||
| DAVID SLATER MD | ||||||||
| BOARD MEMBER | 1.40 | X | 0 | 12000 | 0 | |||
| FARID ASSEMI | ||||||||
| BOARD MEMBER | 1.40 | X | 0 | 0 | 0 | |||
| FLORENCE DUNN | ||||||||
| BOARD MEMBER | 1.40 | X | 0 | 0 | 0 | |||
| JEFFREY THOMAS MD | ||||||||
| BOARD MEMBER | 1.40 | X | 0 | 126841 | 0 | |||
| JOHN MCGREGOR ESQUIRE | ||||||||
| BOARD MEMBER | 1.40 | X | 0 | 0 | 0 | |||
| KATHERINE FLORES MD | ||||||||
| BOARD MEMBER | 1.40 | X | 0 | 0 | 0 | |||
| LINZIE DANIEL | ||||||||
| BOARD MEMBER | 1.40 | X | 0 | 0 | 0 | |||
| MANUEL CUNHA JR | ||||||||
| BOARD MEMBER | 1.40 | X | 0 | 0 | 0 | |||
| MARK BORBA | ||||||||
| BOARD CHAIR-ELECT | 1.40 | X | 0 | 0 | 0 | X | ||
| MICHAEL PETERSON MD | ||||||||
| BOARD MEMBER (THROUGH 12/31/11) | 1.40 | X | 0 | 0 | 0 | |||
| JERRY COOK | ||||||||
| BOARD MEMBER | 1.40 | X | 0 | 0 | 0 | |||
| RALPH GARCIA | ||||||||
| SECRETARY | 1.40 | X | 0 | 0 | 0 | X | ||
| SUSAN ABUNDIS | ||||||||
| BOARD CHAIR | 1.40 | X | 0 | 0 | 0 | X | ||
| REN IMAI MD | ||||||||
| BOARD MEMBER | 1.40 | X | 0 | 0 | 0 | |||
| TIM JOSLIN | ||||||||
| CHIEF EXECUTIVE OFFICER | 70.00 | 0 | 967400 | 383440 | X | |||
| PATRICK RAFFERTY | ||||||||
| EVP CHIEF OPERATIONS OFFICER | 70.00 | 0 | 710528 | 52101 | X | |||
| STEPHEN WALTER | ||||||||
| SVP CHIEF FINANCIAL OFFICER | 70.00 | 0 | 600839 | 49733 | X | |||
| THOMAS UTECHT | ||||||||
| SVP CHIEF QUALITY OFFICER | 70.00 | 428654 | 0 | 54309 | X | |||
| ABDUL KASSIR | ||||||||
| SVP MANAGED CARE | 70.00 | 407938 | 0 | 38747 | X | |||
| COLLEEN STROM | ||||||||
| VP QUALITY-RISK MGMT (THRU 7/22/2011) | 70.00 | 274043 | 0 | 4601 | X | |||
| MARY CONTRERAS | ||||||||
| SR VP CHIEF NURSING OFFICE | 61.00 | 330607 | 0 | 33987 | X | |||
| CRAIG CASTRO | ||||||||
| CHIEF EXECUTIVE OFFICER CCMC | 70.00 | 623640 | 0 | 56226 | X | |||
| JACK CHUBB | ||||||||
| CHIEF EXECUTIVE OFFICER CRMC | 70.00 | 613927 | 0 | 53221 | X | |||
| WANDA HOLDERMAN | ||||||||
| CHIEF EXECUTIVE OFFICER FHSH | 70.00 | 476692 | 0 | 43003 | X | |||
| CRAIG WAGONER | ||||||||
| CHIEF OPERATIONS OFFICER CRMC | 61.00 | 394997 | 0 | 11197 | X | |||
| BRUCE KINDER | ||||||||
| EXC DIR NURSING CLIN OPS-I | 61.00 | 257813 | 0 | 7976 | X | |||
| KAREN BUCKLEY | ||||||||
| VP CHIEF NURSING OFFICER | 51.00 | 245175 | 0 | 37 | X | |||
| TRACY KIRITANI | ||||||||
| CHIEF FINANCIAL OFFICER FACILITY | 61.00 | 323216 | 0 | 4361 | X | |||
| GREGORY RUBIOLO | ||||||||
| PHARMACIST-STAFF CLINICAL | 51.00 | 222299 | 0 | 11187 | X | |||
| PHYLLIS STARK | ||||||||
| DIR MEDICAL SURGICAL SERVICES | 51.00 | 237935 | 0 | 9453 | X | |||
| JULIE CLEELAND | ||||||||
| EXEC. DIR DVMT, FHSH (THRU 10/24/11) | 51.00 | 233007 | 0 | 17094 | X | |||
| VERNICE EMAS | ||||||||
| DIR WOMEN CHILD SERVICES | 51.00 | 230673 | 0 | 6129 | X | |||
| KHAJA AHMED | ||||||||
| PHARMACIST (CLOVIS) | 51.00 | 225318 | 0 | 11175 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 5525934 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2730598 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 847977 | TotalOtherCompensation |
| Number Individuals GT100 K | 564 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| CENTRAL CALIFORNIA FACULTY MEDICAL GROUP | |||||
| 445 S CEDAR AVE | FRESNO | CA | 93702 | MEDICAL | 30255080 |
| COMMUNITY HOSPITALIST MEDICAL GROUP | |||||
| 1180 E SHAW AVENUE SUITE 101 | FRESNO | CA | 93710 | MEDICAL | 14870903 |
| COMMUNITY REGIONAL ANESTHESIA | |||||
| 1180 E SHAW AVENUE SUITE 101 | FRESNO | CA | 93710 | MEDICAL | 6213649 |
| REGIONAL EMERGENCY MED GROUP | |||||
| 1180 E SHAW AVENUE SUITE 101 | FRESNO | CA | 93710 | MEDICAL | 3600000 |
| CLARK CONSTRUCTION GROUP | |||||
| 798 N MEDICAL CENTER DRIVE EAST | CLOVIS | CA | 93611 | CONSTRUCTION | 2696793 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 60 | NumberOfContractorsGT100K |
| Related Organizations | 4445200 | RelatedOrganizations |
| Government Grants | 1540524 | GovernmentGrants |
| Total Contributions | 5985724 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| MEDICAL SERVICE | 900099 | 1247148247 | 1247148247 |
| GRANTS AND CONTRACTS | 900099 | 9238751 | 9238751 |
| PHARMACY SALES | 900099 | 2974234 | 2974234 |
| INCOME FR PARTNERSHIPS | 900099 | 1933471 | 1933471 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 1261294703 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5681294 | TotalRevenueColumn |
| Exclusion | $5,681,294 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1119426 | TotalRevenueColumn |
| Exclusion | $1,119,426 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 62123568 | Securities |
| Other | 62818 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 51744639 | Securities |
| Other | 12150 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 10378929 | Securities |
| Other | 50668 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 10429597 | TotalRevenueColumn |
| Exclusion | $10,429,597 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | HOSPITAL CAFETERIA REV | Description |
| Business Code | 722320 | BusinessCode |
| Total Revenue Column | 3735869 | TotalRevenueColumn |
| Exclusion | $3,735,869 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 3735869 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1288246613 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1261294703 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $20,966,186 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6187000 | Total |
| Program Services | 6187000 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7180430 | Total |
| Management And General | 7180430 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 414206297 | Total |
| Program Services | 343741610 | ProgramServices |
| Management And General | 70464687 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28248411 | Total |
| Program Services | 23446181 | ProgramServices |
| Management And General | 4802230 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37280220 | Total |
| Program Services | 30942582 | ProgramServices |
| Management And General | 6337638 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30069116 | Total |
| Program Services | 24957367 | ProgramServices |
| Management And General | 5111749 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 599164 | Total |
| Management And General | 599164 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6000 | Total |
| Management And General | 6000 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 109294 | Total |
| Management And General | 109294 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 149881202 | Total |
| Program Services | 128897834 | ProgramServices |
| Management And General | 20983368 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1882198 | Total |
| Management And General | 1882198 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5990113 | Total |
| Program Services | 4133178 | ProgramServices |
| Management And General | 1856935 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14275723 | Total |
| Program Services | 12277122 | ProgramServices |
| Management And General | 1998601 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1354538 | Total |
| Program Services | 1354538 | ProgramServices |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 112006 | Total |
| Program Services | 112006 | ProgramServices |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16239577 | Total |
| Program Services | 16239577 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 45141141 | Total |
| Program Services | 39272792 | ProgramServices |
| Management And General | 5868349 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7346545 | Total |
| Program Services | 6834839 | ProgramServices |
| Management And General | 511706 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| MEDICAL SUPPLIES | 158691221 | 158691221 |
| PROVISION FOR BAD DEBT | 114074764 | 114074764 |
| MEDI-CAL PROVIDER FEE | 74958661 | 74958661 |
| MINOR EQUIPMENT | 25213375 | 25213375 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13397327 | Total |
| Program Services | 12478090 | ProgramServices |
| Management And General | 919237 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1152444323 | Total |
| Program Services | 1023812737 | ProgramServices |
| Management And General | 128631586 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 83776081 | BOY |
| EOY | 57553171 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 138512978 | BOY |
| EOY | 212125020 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 856237 | BOY |
| EOY | 552903 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10641340 | BOY |
| EOY | 11005625 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27992500 | BOY |
| EOY | 11876741 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 1058150553 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 375628853 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 609969064 | BOY |
| EOY | 682521700 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 249277777 | BOY |
| EOY | 266729693 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62744404 | BOY |
| EOY | 33980996 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35676856 | BOY |
| EOY | 22109732 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3119033 | BOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 145795333 | BOY |
| EOY | 162528476 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1368361603 | BOY |
| EOY | 1460984057 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 94611012 | BOY |
| EOY | 97398678 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38493808 | BOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 515746000 | BOY |
| EOY | 502811046 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28086440 | BOY |
| EOY | 31467677 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 75883432 | BOY |
| EOY | 92598999 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 752820692 | BOY |
| EOY | 724276400 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 615540911 | BOY |
| EOY | 736707657 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 615540911 | BOY |
| EOY | 736707657 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1368361603 | BOY |
| EOY | 1460984057 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 135802290 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -14635544 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Endowments Held By Related Orgs | 1 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 3160934 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 14453499 | OtherCostOrOtherBasis |
| Book Value | 17614433 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 464664325 | OtherCostOrOtherBasis |
| Depreciation | 139056959 | Depreciation |
| Book Value | 325607366 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1187927 | OtherCostOrOtherBasis |
| Depreciation | 779774 | Depreciation |
| Book Value | 408153 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 328949515 | OtherCostOrOtherBasis |
| Depreciation | 235792120 | Depreciation |
| Book Value | 93157395 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 245734353 | OtherCostOrOtherBasis |
| Book Value | 245734353 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 682521700 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DEBT ISSUANCE COSTS | 7931034 |
| OTHER ASSETS | 4250033 |
| RECEIVABLE FROM AFFILIATES | 136625634 |
| SUPPLEMENTAL FUNDING | 13721775 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 162528476 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (6 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ASSET RETIREMENT OBLIGATION | $3,981,803 |
| GROUP HEALTH | $2,527,478 |
| MALPRACTICE - IBNR | $3,049,000 |
| PHYSICIAN GUARANTEE PAYABLE | $1,319,714 |
| WORKERS COMPENSATION RESERVE | $45,356,548 |
| PROVIDER FEE DUE | $36,364,456 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 92598999 | TotalOfAmounts |
Schedule F IRS990ScheduleF
Accts Actvs Out US Table AcctsActvsOutUSTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | CENTRAL AMERICA AND THE CARIBBEAN - | Region |
| Type Of Activities Conducted | INVESTMENT | TypeOfActivitiesConducted |
| Total Expenditures | 5674124 | TotalExpenditures |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Number Of Offices | 0 | SubtotalNumberOfOffices |
| Subtotal Number Of Employees | 0 | SubtotalNumberOfEmployees |
| Cont Number Of Offices | 0 | ContNumberOfOffices |
| Cont Number Of Employees | 0 | ContNumberOfEmployees |
| Total Number Of Offices | 0 | TotalNumberOfOffices |
| Total Number Of Employees | 0 | TotalNumberOfEmployees |
| Subtotal Amount Spent | 5674124 | SubtotalAmountSpent |
| Cont Amount Spent | 0 | ContAmountSpent |
| Total Amount Spent | 5674124 | TotalAmountSpent |
| Transfer To Foreign Corp | 1 | TransferToForeignCorp |
| Interest In Foreign Trust | 0 | InterestInForeignTrust |
| Own Foreign Corp | 1 | OwnForeignCorp |
| Passive Foreign Invest Co | 0 | PassiveForeignInvestCo |
| Foreign Partnership | 0 | ForeignPartnership |
| Boycott Countries | 0 | BoycottCountries |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent350 | X | Pcent350 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9879000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9879000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00950 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 179915000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 107397000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 72518000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06980 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 189794000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 107397000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 82397000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07930 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 721000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 721000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 56137000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 56137000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05410 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 56858000 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 56858000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05480 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 246652000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 107397000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 139255000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.13410 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 200000 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 200000 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 200000 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 200000 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $114,074,764 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 217558009 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 317482674 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -99924665 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)
| Description Ent Primary ActivityDescriptionEntPrimaryActivity | Organization Profit Or OwnershipOrganizationProfitOrOwnership | Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership | Physicans Profit Or OwnershipPhysicansProfitOrOwnership |
|---|---|---|---|
| 1 CA IMAGING INSTITUTE LLC | |||
| MEDICAL IMAGING | 0.50000 | 0.00000 | 0.50000 |
| 2 AMI REALTY PARTNERS LP | |||
| REAL ESTATE INVESTING | 0.50000 | 0.00000 | 0.50000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 3 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (3 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Teaching HospitalTeachingHospital | Critical Access HospitalCriticalAccessHospital | Er24 HoursEr24Hours |
|---|---|---|---|---|---|---|---|---|---|
| COMMUNITY REGIONAL MEDICAL CENTER | |||||||||
| 1 | 2823 FRESNO ST | FRESNO | CA | 93721 | X | X | X | X | X |
| CLOVIS COMMUNITY MEDICAL CENTER | |||||||||
| 2 | 2755 HERNDON | CLOVIS | CA | 93612 | X | X | X | ||
| FRESNO HEART AND SURGICAL HOSPITAL | |||||||||
| 3 | 15 E AUDUBON DR | FRESNO | CA | 93720 | X | X | |||
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (3 entries)
| Hospital Facility NumberHospitalFacilityNumber | Eligibility Criteria ExplainedEligibilityCriteriaExplained | Uses FPG FreeUsesFPGFree | FPG Free PercentFPGFreePercent | Uses FPG DiscountedUsesFPGDiscounted | FPG Discount PercentFPGDiscountPercent | Explains BasisExplainsBasis | Income LevelIncomeLevel | Asset LevelAssetLevel | Medical IndigencyMedicalIndigency | Insurance StatusInsuranceStatus | Uninsured DiscountUninsuredDiscount | Medicaid MedicareMedicaidMedicare | State RegulationStateRegulation | Explains Application MethodExplainsApplicationMethod | Includes Publicity MeasuresIncludesPublicityMeasures | Attached To InvoicesAttachedToInvoices | Posted In Emergency RoomPostedInEmergencyRoom | Posted In Admission OfficePostedInAdmissionOffice | Provided On AdmissionProvidedOnAdmission | Available On RequestAvailableOnRequest | Actions On NonpaymentActionsOnNonpayment | Collection ActivitiesCollectionActivities | Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy | Medicare RateMedicareRate | Amounts Generally BilledAmountsGenerallyBilled | Gross ChargesGrossCharges |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COMMUNITY REGIONAL MEDICAL CENTER | ||||||||||||||||||||||||||
| 1 | 1 | 1 | 200.000000000000 | 1 | 350.000000000000 | 1 | X | X | X | X | X | X | X | 1 | 1 | X | X | X | X | X | 1 | 0 | 1 | X | 0 | 0 |
| CLOVIS COMMUNITY MEDICAL CENTER | ||||||||||||||||||||||||||
| 2 | 1 | 1 | 200.000000000000 | 1 | 350.000000000000 | 1 | X | X | X | X | X | X | X | 1 | 1 | X | X | X | X | X | 1 | 0 | 1 | X | 0 | 0 |
| FRESNO HEART AND SURGICAL HOSPITAL | ||||||||||||||||||||||||||
| 3 | 1 | 1 | 200.000000000000 | 1 | 350.000000000000 | 1 | X | X | X | X | X | X | X | 1 | 1 | X | X | X | X | X | 1 | 0 | 1 | X | 0 | 0 |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 6 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (6 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| COMMUNITY SUBACUTE AND TRANSITIONAL CARE | ||||
| 3003 N MARIPOSA | FRESNO | CA | 93703 | CARE FOR CHRONIC, SUBACUTE CONDITIONS |
| CALIFORNIA CANCER CENTER AT WOODWARD | ||||
| 7257 N FRESNO ST | FRESNO | CA | 93720 | OUTPATIENT CANCER CENTER |
| COMMUNITY HEALTH CENTER-SIERRA | ||||
| 1925 E DAKOTA AVENUE | FRESNO | CA | 93726 | OUTPATIENT SERVICES:DIABETES, OUTPATIENT AND PULMONARY REHABILITATION, ETC |
| COMMUNITY MEDICAL CENTER-OAKHURST | ||||
| 48677 VICTORIA LANE | OAKHURST | CA | 93644 | URGENT CARE WITH RADIOLOGY, MAMMOGRAPHY AND DIAGNOSTIC SERVICES |
| DERAN KOLIGIAN AMBULATORY CARE CENTER | ||||
| 290 N WAYTE LANE | FRESNO | CA | 93701 | CLINICS: ASTHMA, DENTAL, DIABETES, EYE, FAMILY & ADULT PRACTICE, HIV/AIDS |
| COMMUNITY BEHAVIORAL HEALTH CENTER | ||||
| 7171 N CEDAR | FRESNO | CA | 93720 | PSYCHIATRIC CARE FACILITY |
Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| PART I, LINE 6A: THE COMMUNITY BENEFIT REPORT IS ISSUED BY COMMUNITY MEDICAL CENTERS, A DBA USED BY THE THREE HOSPITALS THAT COMPRISE THE ORGANIZATION. | ||
| PART I, LINE 7: COSTING METHODOLOGY: CHARITY CARE IS ESTIMATED BY CALCULATING THE RATIO OF COST PER ADJUSTED PATIENT DAY (EXCLUDING BAD DEBTS) AND THEN MULTIPLYING THAT RATIO BY THE ADJUSTED PATIENT DAYS ASSOCIATED WITH CHARITY CARE PATIENTS. CMC DOES NOT UTILIZE A COST ACCOUNTING SYSTEM TO ESTIMATE THE COST OF CHARITY CARE. | ||
| PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ XXX-XX-XXXX. | ||
| PART II: ACTIVITIES AND OUTREACH OF THE COMMUNITY SPECIAL SERVICES PROGRAM INCLUDE:(1) SERVING AS CO-CHAIR AND MEMBER OF COMMUNITY ACTION COUNCIL. THE COUNCIL WAS CREATED TO PROVIDE EFFECTIVE, COMMUNITY-CENTERED SERVICES TO THOSE IN FRESNO COUNTY AT-RISK, INFECTED AND/OR DIRECTLY AFFECTED BY HIV/AIDS THROUGH COORDINATED SERVICE DELIVERY. (2) SERVING AS PARTNER/LIAISON WITH FRESNO COUNTY HOUSING AUTHORITIES SHELTER PLUS CARE PROGRAM, FUNDED BY THE STEWART B. MCKINNEY HOMELESS ASSISTANCE ACT. THE PROGRAM PROVIDES TENANT-BASED RENTAL ASSISTANCE TO DISABLED, HOMELESS INDIVIDUALS/FAMILIES BASED ON SERIOUS MENTAL DISORDERS, CHRONIC ALCOHOL AND DRUG PROBLEMS AND/OR AIDS OR RELATED DISEASES. (3) PARTICIPATING AS A MEMBER OF THE CALIFORNIA PLANNING GROUP WHICH WORKS WITH THE U.S. CENTERS FOR DISEASE CONTROL, THE CALIFORNIA DEPARTMENT OF PUBLIC HEALTH AND THE OFFICE OF AIDS TO DEVELOP A COMPREHENSIVE HIV/AIDS SURVEILLANCE, PREVENTION AND CARE PLAN FOR CALIFORNIA. (4) PARTICIPATING FOR THE THIRD YEAR AS A SITE FOR THE CALIFORNIA MEDICAL MONITORING PROJECT, CONDUCTED BY THE U.S. CENTERS FOR DISEASE CONTROL AND PREVENTION TO COLLECT INFORMATION ON NEEDS/SERVICES INVOLVING HIV PATIENTS. (5) SERVING AS A CLINICAL TRIAL SITE FOR A NEW HIV MEDICATION. (6) PARTICIPATION BY OUR CONSUMER ADVISORY BOARD IN THE LESBIAN, GAY, BISEXUAL, TRANSGENDER HEALTH FAIR AT FRESNO STATE. (7) NETWORKING WITH FIRST 5 FRESNO ON COMMUNITY RESOURCES FOR HIV/AIDS PREGNANT WOMEN AND HIV EXPOSED CHILDREN. (8) PARTICIPATING IN SPANISH EDUCATION SERIES SPONSORED BY GILEAD ON HIV/AIDS MEDICATION ADHERENCE, HEALTH AND WELLNESS. (9) WE CARE SENT A CONSUMER ADVOCATE TO SPEAK TO AT-RISK YOUNG WOMEN AT PROTEUS IN VISALIA. (10) PARTICIPATING IN THE PLANNING OF THE WORLD AIDS DAY EVENT, SCHEDULED FOR DEC. 1, 2012 AT THE TOWER THEATRE. (11) PROVIDING THE FRESNO COUNTY DEPARTMENT OF PUBLICHEALTH WITH VOLUNTEERS WHO PERFORMED RAPID HIV TESTING BOTH AT THEIR AGENCY AND AT SPECIAL EVENTS. (12) PROVIDING VOLUNTEERS TO WORK WITH AIDS ALLIANCE AT THE NATIONAL LEVEL. (13) COLLABORATING WITH UNITED STUDENT PRIDE AT FRESNO STATE. (14) PARTICIPATING IN A "LOCAL MEN WHO HAVE SEX WITH MEN (MSM) TASK FORCE" ON HOW TO REACH OUT TO A SPECIFIC POPULATION ON PROTECTION AND EDUCATION. (15) HOLDING AN EDUCATIONAL SERIES BOTH IN SPANISH AND ENGLISH USING A NEW ONLINE PATIENT ACCESS -- "MY CHART." (16) COLLABORATING WITH OTHER AREA HOSPITALS TO LINK PATIENTS TO CARE. (17) WE CARE SPONSORED THE "REEL PRIDE" FILM FESTIVAL AND PROVIDED OUTREACH AND EDUCATION AT THE EVENT. (18) PARTICIPATING IN THE FRESNO AIDS WALK BENEFITING "THE LIVING ROOM," A DROP-IN CENTER FOR SUPPORTIVE SERVICES FOR PEOPLE LIVING WITH HIV/AIDS. (19) PARTICIPATING IN CAMP CARE, AN EDUCATIONAL AND RELATIONSHIP-BUILDING EVENT FOR FAMILIES AFFECTED BY HIV/AIDS, SPONSORED BY ALL ABOUT CARE. (20) PARTICIPATING IN A HEALTH FAIR WITH GAY FRESNO CENTRAL VALLEY.PROVIDING AN HIV 101 PRESENTATION TO A COMMUNITY FOSTER CARE AGENCY.(21) PROVIDING AN HIV 101 PRESENTATION TO A COMMUNITY FOSTER CARE AGENCY.(22) SERVING A HOLIDAY LUNCH AT THE LIVING ROOM-WESTCARE. | ||
| PART III, LINE 4: ACCOUNTS RECEIVABLE - CMC'S PRIMARY CONCENTRATION OF CREDIT RISK IS PATIENT ACCOUNTS RECEIVABLE AND SB855 AND SB1255 DISPROPORTIONATE SHARE FUNDS RECEIVABLE, WHICH CONSIST OF AMOUNTS OWED BY VARIOUS GOVERNMENT AGENCIES, INSURANCE COMPANIES, AND PRIVATE PATIENTS. CMC MANAGES THE RECEIVABLES BY REGULARLY REVIEWING ITS ACCOUNTS AND CONTRACTS AND BY PROVIDING APPROPRIATE ALLOWANCES FOR UNCOLLECTIBLE AMOUNTS. CMC PROVIDES FOR ESTIMATED LOSSES ON PATIENT ACCOUNTS RECEIVABLE BASED ON PRIOR BAD DEBT EXPERIENCE. UNCOLLECTIBLE RECEIVABLES ARE CHARGED-OFF WHEN DEEMED UNCOLLECTIBLE. RECOVERIES FROM PREVIOUSLY CHARGED-OFF ACCOUNTS ARE RECORDED WHEN RECEIVED.ALLOWANCE FOR DOUBTFUL ACCOUNTS - ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, CMC ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, CMC ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS AND NON-CONTRACTED INSURANCE (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), CMC RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.CMC'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS DECREASED FROM 83.7 PERCENT OF SELF-PAY ACCOUNTS RECEIVABLE AT AUGUST 31, 2011, TO 82.7 PERCENT OF SELF-PAY ACCOUNTS RECEIVABLE AT AUGUST 31, 2012. IN ADDITION, CMC'S SELF-PAY WRITE-OFFS INCREASED $8,100,000 FROM $105,800,000 FOR FISCAL YEAR 2011 TO $113,900,000 FOR FISCAL YEAR 2012. INCREASED WRITE-OFFS WERE THE RESULT OF INCREASED GROSS REVENUE OF 6.2 PERCENT IN FISCAL YEAR 2012. CMC HAS NOT CHANGED ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING FISCAL YEARS 2011 OR 2012. CMC MAINTAINED ALLOWANCES FOR DOUBTFUL ACCOUNTS FROM THIRD-PARTY PAYORS OF $8,300,000 IN FISCAL YEAR 2011 AND $9,200,000 IN FISCAL YEAR 2012.THE PRIMARY FACTOR USED TO ANALYZE PATIENT ACCOUNT RECEIVABLE BALANCES FOR DOUBTFUL ACCOUNTS (BAD DEBT), IS THE ORGANIZATION'S PREVIOUS, HISTORICAL, WRITE-OFF EXPERIENCE. PATIENT SELF-PAY ACCOUNTS WITH UNUSUALLY LARGE BALANCES ARE REVIEWED INDIVIDUALLY. PREVAILING ECONOMIC CONDITIONS ARE ALSO CONSIDERED. BAD DEBT AND CHARITY CARE DO NOT INCLUDE DISCOUNTS GIVEN TO UNINSURED AND UNDERINSURED PATIENTS.BAD DEBT IS NOT RECOGNIZED AS A COMMUNITY BENEFIT. | ||
| PART III, LINE 8: INPATIENT CARE SERVICES, SKILLED NURSING SERVICES, REHABILITATION SERVICES, AND CERTAIN OUTPATIENT SERVICES RENDERED TO MEDICARE PROGRAM BENEFICIARIES ARE PAID AT PROSPECTIVELY DETERMINED RATES PER DIAGNOSIS. THESE RATES VARY ACCORDING TO A PATIENT CLASSIFICATION SYSTEM THAT IS BASED ON CLINICAL, DIAGNOSTIC, AND OTHER FACTORS. CERTAIN INPATIENT NONACUTE SERVICES AND MEDICAL EDUCATION COSTS RELATED TO MEDICARE BENEFICIARIES ARE PAID BASED ON A COST-BASED REIMBURSEMENT METHODOLOGY. PROFESSIONAL SERVICES ARE REIMBURSED BASED ON A FEE SCHEDULE. | ||
| PART III, LINE 9B: THOSE PATIENT ELIGIBLE FOR FINANCIAL ASSISTANCE ARE GENERALLY SUBJECT TO THE NORMAL COLLECTION PROCEDURES FOR ALL PATIENTS. THE FOLLOWING SPECIAL CIRCUMSTANCES MAY APPLY: (1) RYAN WHITE PATIENTS ARE NOT SUBJECT TO COLLECTIONS ACTIVITY. (2) FOR PATIENTS WHO LACK HEALTH INSURANCE COVERAGE, HAVE AN APPLICATION PENDING FOR EITHER GOVERNMENT-SPONSORED COVERAGE OR FOR CMCS CHARITY/DISCOUNTED CARE, OR HAVE OTHERWISE INDICATED THEY MAY QUALIFY FOR SUCH PROGRAMS, CMC WILL NOT KNOWINGLY SEND THE BILL TO A COLLECTION AGENCY PRIOR TO 150 DAYS FROM THE INITIAL TIME OF BILLING. (3) FOR PATIENTS WHO LACK HEALTH INSURANCE COVERAGE, HAVE AN APPLICATION PENDING FOR EITHER GOVERNMENT-SPONSORED COVERAGE OR FOR CMCS CHARITY/DISCOUNTED CARE, OR HAVE OTHERWISE INDICATED THEY MAY QUALIFY FOR SUCH PROGRAMS, CMC WILL NOT FILE A CIVIL ACTION AGAINST THE PATIENT DUE TO NONPAYMENT UNTIL AFTER 150 DAYS FROM INITIAL BILLING. (4) IF A PATIENT QUALIFIES FOR ASSISTANCE UNDER THIS POLICY, AND IS REASONABLY COOPERATING WITH THE HOSPITAL IN AN EFFORT TO SETTLE AN OUTSTANDING BILL, CMC WILL NOT SEND THE UNPAID BILL TO AN OUTSIDE COLLECTION AGENCY IF THE HOSPITAL KNOWS THAT DOING SO MAY NEGATIVELY IMPACT A PATIENTS CREDIT. CMC WILL NOT SEND SUCH AN UNPAID BILL TO AN OUTSIDE COLLECTION AGENCY WITHOUT A WRITTEN AGREEMENT THAT THE COLLECTION AGENCY WILL COMPLY WITH CMCS COLLECTION POLICIES. (5) THE 150-DAY GRACE PERIOD DISCUSSED ABOVE WILL BE EXTENDED IF THE PATIENT HAS A PENDING APPEAL FOR THE COVERAGE OF SERVICES UNTIL A FINAL DETERMINATION OF THAT APPEAL IS MADE, IF THE PATIENT MAKES A REASONABLE EFFORT TO COMMUNICATE WITH THE HOSPITAL ABOUT THE PROGRESS OF ANY PENDING APPEALS. PENDING APPEALS INCLUDE: (A) GRIEVANCE AGAINST A CONTRACTING HEALTH SERVICE PLAN; (B) AN INDEPENDENT MEDICAL REVIEW UNDER THE CALIFORNIA INSURANCE CODE; (C) FAIR HEARING FOR A REVIEW OF A MEDI-CAL CLAIM PURSUANT TO THE WELFARE AND INSTITUTIONS CODE; AND (D) APPEAL REGARDING MEDICARE COVERAGE CONSISTENT WITH FEDERAL LAW AND REGULATIONS. | ||
| PART VI, LINE 2: ACTIVITIES AND OUTREACH OF THE COMMUNITY SPECIAL SERVICES PROGRAM INCLUDE:SERVING AS CO-CHAIR AND MEMBER OF COMMUNITY ACTION COUNCIL. THE COUNCILWAS CREATED TO PROVIDE EFFECTIVE, COMMUNITY-CENTERED SERVICES TO THOSE INFRESNO COUNTY AT-RISK, INFECTED AND/OR DIRECTLY AFFECTED BY HIV/AIDSTHROUGH COORDINATED SERVICE DELIVERY. SERVING AS PARTNER/LIAISON WITHFRESNO COUNTY HOUSING AUTHORITIES SHELTER PLUS CARE PROGRAM, FUNDED BY THESTEWART B. MCKINNEY HOMELESS ASSISTANCE ACT. THE PROGRAM PROVIDESTENANT-BASED RENTAL ASSISTANCE TO DISABLED, HOMELESS INDIVIDUALS/FAMILIESBASED ON SERIOUS MENTAL DISORDERS, CHRONIC ALCOHOL AND DRUG PROBLEMSAND/OR AIDS OR RELATED DISEASES. PARTICIPATING IN COMMON GROUNDS 100,000HOMES CAMPAIGN. THE FRESNO HOUSING AUTHORITY PARTNERED WITH OTHERCOMMUNITY AGENCIES ON A WEEK-LONG EFFORT TO IDENTIFY AND HELP THE HOMELESSTO OBTAIN PERMANENT HOUSING. PARTICIPATING FOR THE SECOND YEAR AS A SITEFOR THE CALIFORNIA MEDICAL MONITORING PROJECT, CONDUCTED BY THE U.S.CENTERS FOR DISEASE CONTROL TO COLLECT INFORMATION ON NEEDS/SERVICESINVOLVING HIV PATIENTS. SERVING AS A CLINICAL TRIAL SITE FOR A NEW HIVMEDICATION. THE CLINIC MEDICAL DIRECTOR COMPLETING TRAINING FOR HIGHRESOLUTION ENDOSCOPY FOR ANAL CANCER SCREENING. CURRENTLY, PATIENTSNEEDING SCREENING MUST TRAVEL TO SAN FRANCISCO OR LOS ANGELES. VOLUNTEERING AT THE TZU CHI FREE MEDICAL CLINICS. NETWORKING WITH FIRSTFIVE ON COMMUNITY RESOURCES FOR HIV/AIDS PREGNANT WOMEN AND HIV- EXPOSEDCHILDREN. PARTICIPATING IN A SPANISH-LANGUAGE EDUCATION SERIES SPONSORED BY GILEAD ON HIV/AIDS MEDICATION ADHERENCE, HEALTH AND WELLNESS.SPONSORING WE WERE HERE, A DOCUMENTARY FILM ABOUT THE FIRST 30 YEARS OFHIV, AT THE REEL PRIDE FILM FESTIVAL. PARTICIPATED IN PLANNING A WORLDAIDS DAY EVENT, SCHEDULED FOR DEC. 1, 2011 AT THE TOWER THEATER. PROVIDINGFRESNO COUNTY DEPARTMENT OF PUBLIC HEALTH WITH VOLUNTEERS TO ASSIST WITHRAPID HIV TESTING AT THE COUNTY AND AT SPECIAL EVENTS SUCH AS SOBERSTOCK,NATIONAL HIV TESTING DAY AND LATINO HIV/AIDS AWARENESS DAY. PROVIDINGVOLUNTEERS TO WORK WITH AIDS ALLIANCE AT THE NATIONAL LEVEL. COLLABORATINGWITH UNITED STUDENT PRIDE AT CSU-FRESNO. PARTICIPATING IN A HEALTH FAIR ATCLOVIS UNIFIED SCHOOL DISTRICT. COLLABORATING WITH OTHER AREA HOSPITALS TOLINK PATIENTS WITH CARE. PARTICIPATING IN A HEALTH FAIR AT CHOWCHILLAWOMENS PRISON. PROVIDING HIV EDUCATION TO CSU-FRESNO MEDICAL STAFF.PARTICIPATING IN CAMP CARE, AN EDUCATIONAL AND RELATIONSHIP-BUILDING EVENTFOR FAMILIES AFFECTED BY HIV/AIDS, SPONSORED BY ALL ABOUT CARE.PARTICIPATING IN A HEALTH FAIR WITH GAYFRESNO CENTRAL VALLEY. | ||
| PART VI, LINE 3: COMMUNICATION OF FINANCIAL ASSISTANCE POLICIES WITH PATIENTS AND THE PUBLIC:1. CMC SHALL POST NOTICES REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE TO LOW-INCOME, UNINSURED AND UNDER-INSURED PATIENTS. THESE NOTICES WILL BE POSTED IN VISIBLE LOCATIONS THROUGHOUT THE HOSPITAL, INCLUDING BUT NOT LIMITED TO:A. ADMITTING/REGISTRATION;B. CASHIER WINDOWS;C. EMERGENCY DEPARTMENT; ANDD. OTHER APPROPRIATE OUTPATIENT SETTINGS.2. THESE POSTED NOTICES REGARDING FINANCIAL ASSISTANCE POLICIES SHALL CONTAIN BRIEF INSTRUCTIONS ON HOW TO APPLY FOR CHARITY CARE OR A DISCOUNTED PAYMENT. THE NOTICES WILL ALSO INCLUDE A CONTACT TELEPHONE NUMBER THAT A PATIENT OR FAMILY MEMBER CAN CALL TO OBTAIN MORE INFORMATION.3. CMC WILL ENSURE THAT APPROPRIATE STAFF MEMBERS ARE KNOWLEDGEABLE ABOUT THE EXISTENCE OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICIES INCLUDING THE RYAN WHITE PROGRAM. TRAINING WILL BE PROVIDED TO STAFF MEMBERS (E.G., BILLING OFFICE, FINANCIAL DEPARTMENT, ETC.) WHO DIRECTLY INTERACT WITH PATIENTS REGARDING THEIR HOSPITAL BILLS.4. WHEN COMMUNICATING TO PATIENTS REGARDING THEIR FINANCIAL ASSISTANCE POLICIES, EMPLOYEES WILL ATTEMPT TO DO SO IN THE PRIMARY LANGUAGE OF THE PATIENT, OR HIS/HER FAMILY, IF REASONABLY POSSIBLE, AND IN A MANNER CONSISTENT WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS.5. PATIENTS (ADMITTED PATIENTS, AS WELL AS THOSE WHO RECEIVE EMERGENCY OR OUTPATIENT CARE) WILL BE GIVEN WRITTEN NOTICE REGARDING FINANCIAL ASSISTANCE, INCLUDING ELIGIBILITY AND CONTACT INFORMATION THAT IS IN THE PRIMARY LANGUAGE SPOKEN BY THE PATIENT, AS DETERMINED BY CALIFORNIA INSURANCE CODE SECTION 12693.30 (POPULATIONS OVER 5% SERVED BY THE HOSPITAL) AND IN A MANNER CONSISTENT WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS.6. CMC WILL SHARE ITS POLICY WITH APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST SUCH PATIENTS.7. THE RYAN WHITE SLIDING FEE SCALE IS UPDATED YEARLY ACCORDING TO THE FEDERAL POVERTY GUIDELINES.8. ALL PATIENTS WHO POTENTIALLY QUALIFY FOR DISCOUNTS FOR SERVICES UNDER RYAN WHITE WILL HAVE THEIR FINANCIAL ELIGIBILITY TESTED EVERY SIX MONTHS. | ||
| PART VI, LINE 4: COMMUNITY CONTINUES TO SEEK CREATIVE SOLUTIONS AND PARTNERSHIPS THAT OFFER HEALTH BENEFITS TO VALLEY'S UNIQUE AND GROWING NEEDS. COMMUNITY HAS INCREASINGLY FOCUSED ON PATIENTS WHO LACK ACCESS TO PRIMARY CARE PHYSICIANS AND, AS A RESULT, REPEATEDLY USE THE EMERGENCY DEPARTMENT FOR THEIR CARE.IN SEPTEMBER 2009, COMMUNITY REGIONAL ESTABLISHED THE COMMUNITY CONNECTIONS PROGRAM. STAFF MEMBERS (2.5 FTES AND AN ADDITIONAL FTE ADDED IN 2011) HAVE SINCE WORKED WITH 188 CLIENTS ATTEMPTING TO PROVIDE INTENSIVE OUTREACH AND CASE MANAGEMENT SERVICES. DURING LAST FISCAL YEAR, THEY PROVIDED:1,204 FACE-TO-FACE CONTACTS (TO CLIENTS, SERVICES PROVIDERS, FAMILY); 2,876 ADDITIONAL TELEPHONE, E-MAIL, WRITTEN CONTACTS RELATED TO CASE MANAGEMENT SERVICES; 4,075 SERVICES INCLUDING ASSISTANCE AND LINKAGE WITH SERVICES, ATTENDING APPOINTMENTS, AND CLIENT SERVICES SUCH AS REFERRAL/ENROLLMENT ASSESSMENTS, CONSULTATION WITH SERVICE PROVIDERS, CARE PLAN DEVELOPMENT, AND MONITORING AND SUPPORT.DUE TO THE SPECIAL NEEDS OF PATIENTS WITH CHRONIC DISEASES, COMMUNITY CONNECTIONS ADDED A FULL TIME MASTER'S OF SOCIAL WORK EMPLOYEE IN 2011 WHO IS DEDICATED TO FREQUENT SERVICE USERS. SOME HAVE DIFFICULTY MANAGING THEIR DIABETES BECAUSE OF HOUSING, SUBSTANCE ABUSE, MENTAL ILLNESS, LACK OF INSURANCE OR A PRIMARY CARE PROVIDER OR INABILITY TO EASILY ACCESS PUBLIC BENEFIT AND SOCIAL SERVICES.COMMUNITY CONNECTIONS LINKS WITH INTERNAL AS WELL AS COMMUNITY-BASED ORGANIZATIONS AND SOCIAL SERVICES RESOURCES. COMMUNITY CONNECTIONS IS IN THE EARLY STAGES OF COLLABORATING WITH PROJECT BOOST, AN INITIATIVE BEING IMPLEMENTED AT COMMUNITY REGIONAL TO REDUCE PREVENTABLE HOSPITAL READMISSIONS.COMMUNITY CONNECTIONS CONTINUES TO PARTNER WITH THE HOUSING AUTHORITIES OF THE CITY AND COUNTY OF FRESNO, PROVIDING HOUSING VOUCHERS FOR INDIVIDUALS WHO HAVE A DISABILITY AND ARE HOMELESS. THE PROGRAM ALSO COLLABORATES WITH AGENCIES SUCH AS THE FRESNO COUNTY DEPARTMENT OF BEHAVIORAL HEALTH, POVERELLO HOUSE, FRESNO MEDICAL RESPITE CENTERS, AND THE FRESNO-MADERA CONTINUUM OF CARE.COMMUNITY CONNECTIONS CONTINUES TO TRACK OUTCOME DATA UTILIZING A PRE- AND POST-ENROLLMENT METHODOLOGY. THE RESULTS BELOW SHOW SUCCESS WITH A DECREASE IN CLIENT UTILIZATION OF COMMUNITY REGIONAL'S EMERGENCY DEPARTMENT, INPATIENT ADMITS, AND LENGTH OF STAY AS WELL AS THE ASSOCIATED CHARGES.MANY CLIENTS IN THEIR FIRST MONTHS OF ENROLLMENT WERE CONNECTED TO A PRIMARY CARE PROVIDER, SPECIALTY CLINICS, INSURANCE, MENTAL HEALTH AND SUBSTANCE ABUSE TREATMENT, HOUSING, AND OTHER BENEFITS THAT CONTRIBUTED TO DECREASED HOSPITAL UTILIZATION AND INCREASED THEIR QUALITY OF LIFE AND OVERALL STABILIZATION. | ||
| PART VI, LINE 5: 1. COMMUNITY HAS HISTORICALLY SPENT MORE ON UNCOMPENSATED COMMUNITY BENEFITS THAN ALL OTHER FRESNO-AREA HOSPITALS COMBINED. AND, SOME YEARS, NEARLY DOUBLE THEIR COMBINED TOTAL. 2. IT ALSO OPERATES THE ONLY COMBINED BURN AND LEVEL 1 TRAUMA UNITS BETWEEN LOS ANGELES AND SACRAMENTO. 3. COMMUNITY CONTINUES TO SEEK THE VIEWS OF HEALTH CARE, SOCIAL JUSTICE, BUSINESS, EDUCATION AND POLITICAL LEADERS THROUGH MEETINGS WITH THE CHIEF EXECUTIVE OFFICER AND SENIOR LEADERSHIP. | ||
| PART VI, LINE 6: N/A | ||
| CA | REPORTS FILED WITH STATES | PART VI, LINE 7 |
| AMONG OTHER ACTIVITIES:1. COMMUNITY IS A MEMBER OF THE PARTNERSHIP FOR HEALTH PROFESSIONS EDUCATION OF THE UCSF FRESNO LATINO CENTER FOR MEDICAL EDUCATION AND RESEARCH, WHICH ADVANCES DEVELOPMENT OF HEALTH PROFESSIONALS AT THE JUNIOR HIGH, HIGH SCHOOL AND COLLEGE LEVELS. 2. COMMUNITY'S POST-GRADUATE YEAR ONE (PGY1) PHARMACY RESIDENCY PROGRAM CONTINUES TO HELP ADDRESS THE SHORTAGE OF PHARMACISTS IN THE CENTRAL VALLEY.(A) COMMUNITY HAS CONTINUED ACCREDITATION FROM THE AMERICAN SOCIETY OF HEALTH SYSTEM PHARMACISTS, THE NATIONAL ACCREDITING ORGANIZATION FOR PHARMACY RESIDENCY PROGRAMS.(B) COMMUNITY'S RESIDENCY PROGRAM ALLOWS RESIDENTS TO LEARN AND EXPAND THEIR CLINICAL KNOWLEDGE BASE BY WORKING WITH THE MOST EXPERIENCED PEOPLE IN A MULTI-DISCIPLINARY HEALTH CARE SYSTEM. PHARMACISTS ALSO SERVE AS PRECEPTORS TO HELP DEVELOP THE RESIDENTS' SKILLS, KNOWLEDGE BASE, AND MENTOR THEM WITH VARIOUS PROJECTS THAT HELP PATIENT CARE, AND GIVE POSITIVE EXPOSURE FOR COMMUNITY'S REPUTATION NATIONALLY THROUGH PHARMACY RESIDENCY SHOWCASES, RESEARCH POSTER SESSIONS AND PRESENTATIONS.(C) RESIDENTS ARE ENCOURAGED TO PARTICIPATE IN RESEARCH PROJECTS THAT DIRECTLY IMPACT PATIENT CARE, PROVIDING COST SAVINGS TO COMMUNITY, OR WORK ON PERFORMANCE IMPROVEMENTS WITHIN PHARMACY SERVICES. EACH RESIDENT IS REQUIRED TO PRESENT THESE FINDINGS AT A NATIONAL CONFERENCE POSTER PRESENTATION EACH DECEMBER, A FINAL SUMMATION OF THE PROJECT IS PRESENTED AT A REGIONAL CONFERENCE TOWARDS THE END OF THE RESIDENCY YEAR, AS WELL AS A "PLAN, DO, STUDY, ACT" PROJECT THAT IS SUBMITTED TO THE BEST PRACTICES SUMMIT. CURRENT RESEARCH PROJECT TITLES: "COMPARING THE COST OF TREATING ACUTE AGITATION IN THE EMERGENCY DEPARTMENT WITH AND WITHOUT THE USE OF A STANDARDIZED ORDER SET" AND "COST EFFECTIVENESS OF LEVETIRACETAM VERSUS PHENYTOIN FOR EARLY POST TRAUMATIC SEIZURE PROPHYLAXIS." (D) COMMUNITY CONTINUES TO USE A PATIENT SATISFACTION TOOL CALLED THE "MED CHECK" PROGRAM. PHARMACY RESIDENTS PROVIDE EDUCATION TO PATIENTS ABOUT SIDE EFFECTS ON SELECTED MEDICATIONS IN THE HOSPITAL. THIS INITIATIVE IS BENEFICIAL TO BOTH PHARMACY RESIDENTS AND PATIENTS, AS PHARMACY RESIDENTS GAIN EXPERIENCE IN COUNSELING PATIENTS, AND PATIENTS HAVE A BETTER UNDERSTANDING OF THEIR MEDICATIONS' SIDE EFFECTS.(E) A TOTAL OF 21 RESIDENTS HAVE SUCCESSFULLY COMPLETED THE RESIDENCY PROGRAM. COMMUNITY CURRENTLY EMPLOYS 9 OF THE 21 FOR AN EMPLOYMENT RATE OF 43%.(F) COMMUNITY ALSO GIVES BACK TO THE PHARMACY PROFESSION BY HAVING RESIDENTS AND CLINICAL PHARMACISTS PRECEPT AND MENTOR UNIVERSITY OF CALIFORNIA, SAN FRANCISCO AND THOMAS J. LONG, UNIVERSITY OF PACIFIC PHARMACY STUDENTS.(H) RESIDENTS ARE AFFORDED THE OPPORTUNITY TO GIVE A LECTURE WHICH PROVIDES CONTINUING EDUCATION CREDITS FOR PHARMACISTS, IN CONJUNCTION WITH THE UCSF SCHOOL OF PHARMACY. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 0 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SANTE HEALTH FOUNDATION | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1180 E SHAW AVENUE SUITE 125 | AddressLine1 |
| City | FRESNO | City |
| State | CA | State |
| ZIP Code | 93710 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 200517238 | EINOfRecipient |
| IRC Section | 501(C)(3) | IRCSection |
| Amount Of Cash Grant | 6187000 | AmountOfCashGrant |
| Purpose Of Grant | GENERAL SUPPORT | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: FCH&MC IS GOVERNED BY A BOARD OF TRUSTEES THAT SETS POLICY AND IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF GRANTS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 1 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 1 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 1 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 1 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (20 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MICHAEL SYNN MD | |||||||||||||
| 0 | 312990 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 312990 | 0 | 0 |
| TIM JOSLIN | |||||||||||||
| 0 | 648450 | 0 | 257138 | 0 | 61812 | 0 | 372207 | 0 | 11233 | 0 | 1350840 | 0 | 0 |
| PATRICK RAFFERTY | |||||||||||||
| 0 | 473564 | 0 | 196996 | 0 | 39968 | 0 | 44856 | 0 | 7245 | 0 | 762629 | 0 | 0 |
| STEPHEN WALTER | |||||||||||||
| 0 | 401558 | 0 | 155550 | 0 | 43731 | 0 | 38517 | 0 | 11216 | 0 | 650572 | 0 | 0 |
| THOMAS UTECHT | |||||||||||||
| 310855 | 0 | 117799 | 0 | 0 | 0 | 47876 | 0 | 6433 | 0 | 482963 | 0 | 0 | 0 |
| ABDUL KASSIR | |||||||||||||
| 273656 | 0 | 112663 | 0 | 21619 | 0 | 27554 | 0 | 11193 | 0 | 446685 | 0 | 0 | 0 |
| COLLEEN STROM | |||||||||||||
| 115680 | 0 | 148590 | 0 | 9773 | 0 | 0 | 0 | 4601 | 0 | 278644 | 0 | 0 | 0 |
| MARY CONTRERAS | |||||||||||||
| 260407 | 0 | 70200 | 0 | 0 | 0 | 26000 | 0 | 7987 | 0 | 364594 | 0 | 0 | 0 |
| CRAIG CASTRO | |||||||||||||
| 448709 | 0 | 163681 | 0 | 11250 | 0 | 45001 | 0 | 11225 | 0 | 679866 | 0 | 0 | 0 |
| JACK CHUBB | |||||||||||||
| 431442 | 0 | 125892 | 0 | 56593 | 0 | 42000 | 0 | 11221 | 0 | 667148 | 0 | 0 | 0 |
| WANDA HOLDERMAN | |||||||||||||
| 351692 | 0 | 125000 | 0 | 0 | 0 | 35000 | 0 | 8003 | 0 | 519695 | 0 | 0 | 0 |
| CRAIG WAGONER | |||||||||||||
| 290830 | 0 | 104167 | 0 | 0 | 0 | 0 | 0 | 11197 | 0 | 406194 | 0 | 0 | 0 |
| BRUCE KINDER | |||||||||||||
| 203387 | 0 | 38546 | 0 | 15880 | 0 | 0 | 0 | 7976 | 0 | 265789 | 0 | 0 | 0 |
| KAREN BUCKLEY | |||||||||||||
| 202751 | 0 | 42424 | 0 | 0 | 0 | 0 | 0 | 37 | 0 | 245212 | 0 | 0 | 0 |
| TRACY KIRITANI | |||||||||||||
| 235502 | 0 | 78387 | 0 | 9327 | 0 | 0 | 0 | 4361 | 0 | 327577 | 0 | 0 | 0 |
| GREGORY RUBIOLO | |||||||||||||
| 194481 | 0 | 5774 | 0 | 22044 | 0 | 0 | 0 | 11187 | 0 | 233486 | 0 | 0 | 0 |
| PHYLLIS STARK | |||||||||||||
| 51447 | 0 | 78827 | 0 | 107661 | 0 | 0 | 0 | 9453 | 0 | 247388 | 0 | 0 | 0 |
| JULIE CLEELAND | |||||||||||||
| 121400 | 0 | 0 | 0 | 111607 | 0 | 6990 | 0 | 10104 | 0 | 250101 | 0 | 0 | 0 |
| VERNICE EMAS | |||||||||||||
| 38946 | 0 | 82859 | 0 | 108868 | 0 | 0 | 0 | 6129 | 0 | 236802 | 0 | 0 | 0 |
| KHAJA AHMED | |||||||||||||
| 170135 | 0 | 37843 | 0 | 17340 | 0 | 0 | 0 | 11175 | 0 | 236493 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART I, LINE 4B | TIM JOSLIN, THE CEO, HAS A SERP. THE SENIOR V.P.S PARTICIPATE IN A SERP STRUCTURED TO PROMOTE RETENTION. THE FOLLOWING CONTRIBUTIONS WERE MADE IN 2011: - TIM JOSLIN $372,207 - PATRICK RAFFERTY $44,856 - STEPHEN WALTER $38,517 - CRAIG CASTRO $45,001 - JACK CHUBB $42,000 - WANDA HOLDERMAN $35,000 - THOMAS UTECHT $47,876 - ABDUL KASSIR $27,554 - MARY CONTRERAS $26,000 - JULIE CLEELAND $6,990 | |
| PART I, LINE 5 | THE COMMUNITY MEDICAL CENTERS 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 OF THE PLAN 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 EXECTUVIES THAT ARE CRITICALLY IMPORTANT TO THE SUCCESS OF CMC. | |
| PART I, LINE 6 | SEE RESPONSE FOR QUESTION 5. | |
| PART III | PART I, LINE 3: THE ORGANIZATION RELIED ON A RELATED ORGANIZATION THAT USED ONE OR MORE OF THE METHODS TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION. | SUPPLEMENTAL INFORMATION |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| CENTRAL CALIF JOINT POWERS FINANCING AUTHORITY | |||||||
| 201563466 | 130493BL2 | 2009-10-08 | 206029314 | CONSTRUCT & EQUIP FACILITY | 0 | 0 | 0 |
| COMMUNITY MUNICIPAL FINANCE AUTHORITY | |||||||
| 201563466 | 130493AT6 | 2007-05-16 | 330722470 | CONSTRUCTION | 0 | 0 | 0 |
| COMMUNITY MUNICIPAL FINANCE AUTHORITY | |||||||
| 201563466 | 2009-04-23 | 20515304 | CONSTRUCT & EQUIP FACILITY | 0 | 0 | 0 | |
Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)
| Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Capitalized InterestCapitalizedInterest | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Refunding EscrowRefundingEscrow | Other Spent ProceedsOtherSpentProceeds | Year Of Subst CompletionYearOfSubstCompletion |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 206077695 | 14394516 | 25493130 | 4120586 | 162069463 | 0 | 0 | 0 | 1 | |||
| 353798592 | 19270988 | 4344512 | 50958244 | 1 | 1 | 1 | 1 | 265588353 | 13636495 | 2008 | |
| 20669057 | 402261 | 20266796 | 0 | 0 | 1 | 1 | 2010 |
Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 1 |
| 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 1 |
| 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Exception To RebateExceptionToRebate | Term Of GICTermOfGIC | Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied | Gross Proceeds InvestedGrossProceedsInvested |
|---|---|---|---|---|---|---|---|
| (no name) | |||||||
| 0 | 0 | 0 | 0 | 0 | |||
| SOCIETE GENERAL | |||||||
| 0 | 0 | 0 | 1 | 0 | 69.000000000000 | 1 | 1 |
| (no name) | |||||||
| 0 | 0 | 0 | 0 | 0 | |||
Form990 Schedule K Part VI Form990ScheduleKPartVI (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SCHEDULE K, PART I, LINE 3, COLUMN A: | EXPLANATION OF DIFFERENCE BETWEEN LINE 3 AND ISSUE PRICE IN PART I. | ISSUE PRICE PLUS PROJECT FUND EARNINGS OF $48,381 EQUAL PROCEEDS AVAILABLE FOR USE. |
| SCHEDULE K, PART I, LINE 3, COLUMN B: | EXPLANATION OF DIFFERENCE BETWEEN LINE 3 AND ISSUE PRICE IN PART I. | ISSUE PRICE $330,722,470; FUNDS RECEIVED FROM RESERVE FUNDS OF DEFEASANCE ISSUES $21,760,612; EARNINGS ON PROJECT FUND $1,315,510. |
| SCHEDULE K, PART I, LINE 3, COLUMN C: | EXPLANATION OF DIFFERENCE BETWEEN LINE 3 AND ISSUE PRICE IN PART I. | ISSUE PRICE PLUS PROJECT FUND EARNINGS OF $153,753 EQUAL PROCEEDS AVAILABLE FOR USE. |
| SCHEDULE K COMBINED SUPPLEMENTAL INFORMATION: | THE ORGANIZATION AND COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA HAVE ESTABLISHED AN OBLIGATED GROUP TO ACCESS CAPITAL MARKETS. THE OBLIGATED GROUP MEMBERS ARE JOINTLY AND SEVERALLY LIABLE FOR LONG-TERM DEBT OUTSTANDING UNDER THE OBLIGATED GROUPS MASTER TRUST INDENTURE. THE ORGANIZATION IS THE PRIMARY BENEFICIARY OF THE TAX-EXEMPT BOND PROCEEDS AND FILES SCHEDULE K FOR THE BENEFIT OF ALL MEMBERS OF THE OBLIGATED GROUP. |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CENTRAL CALIFORNIA FACULTY MEDICAL GROUP | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | ENTITY OF WHICH DR. KALLSEN, DR. PETERSON AND MR. CHUBB ARE OFFICERS | Relationship |
| Amount Of Transaction | 30255080 | AmountOfTransaction |
| Description Of Transaction | MEDICAL SERVICES | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE L, PART IV | Identifier |
| Explanation | MEDICAL STAFF REPRESENTATION ON HOSPITAL BOARDS IS EMBODIED IN HOSPITAL ACCREDITATION REQUIREMENTS. THE CURRENT JOINT COMMISSION STANDARDS ON LEADERSHIP CALL FOR THE GOVERNING BODY TO PROVIDE THE MEDICAL STAFF WITH THE "OPPORTUNITY TO PARTICIPATE IN GOVERNANCE" AND BE "ELIGIBLE FOR FULL MEMBERSHIP" ON THE HOSPITAL BOARDS. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART V, LINES 1 & 2: | COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA IS THE COMMON PAYMASTER FOR THE ORGANIZATION, COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA, FOUNDATION, AND ITSELF. | |
| FORM 990, PART VI, SECTION A, LINE 6 | COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA (CHCC) IS THE SOLE MEMBER. IT HAS THE SOLE AND EXCLUSIVE RIGHT TO ELECT ALL MEMBERS OF THE BOARD OF DIRECTORS. CHCC IS THE SOLE MEMBER OF THIS ENTITY. AS SUCH, IT HAS THE RIGHTS OF MEMBERS CONFERRED BY CHAPTER 3 OF THE NONPROFIT PUBLIC BENEFIT CORPORATION LAW, SECTIONS 5310 - 5354, WHICH INCLUDES THE RIGHTS TO APPROVE AMENDMENTS TO THE ARTICLES, BYLAWS AND SALE OF ASSETS OUTSIDE THE NORMAL COURSE OF BUSINESS. THE MOST RECENT AMENDED ARTICLES OF INCORPORATION PROVIDES THAT UPON DISSOLUTION ALL REMAINING ASSETS WILL BE DISTRIBUTED TO CHCC OR ITS SUCCESSOR. | |
| FORM 990, PART VI, SECTION A, LINE 7A | CHCC IS THE SOLE MEMBER. IT HAS THE SOLE AND EXCLUSIVE RIGHT TO ELECT ALL MEMBERS OF THE BOARD OF DIRECTORS. | |
| FORM 990, PART VI, SECTION A, LINE 7B | CHCC IS THE SOLE MEMBER OF THIS ENTITY. AS SUCH, IT HAS THE RIGHTS OF MEMBERS CONFERRED BY CHAPTER 3 OF THE NONPROFIT PUBLIC BENEFIT CORPORATION LAW, SECTIONS 5310 - 5354, WHICH INCLUDES THE RIGHTS TO APPROVE AMENDMENTS TO THE ARTICLES, BYLAWS AND SALE OF ASSETS OUTSIDE THE NORMAL COURSE OF BUSINESS. | |
| FORM 990, PART VI, SECTION B, LINE 11 | UPON COMPLETION OF AN INITIAL REVIEW BY SENIOR MANAGEMENT, THE CHAIRMAN OF THE BOARD OF TRUSTEES FORWARDS THE FORM TO THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES FOR FINAL REVIEW. 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 ARMS-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 CORPORATIONS 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 CORPORATIONS CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT. FORM 990, PART VI, SECTION B, LINE 15A: CHCC, THE SOLE MEMBER OF FCH&MC, ESTABLISHES COMPENSATION FOR THE CEO. | |
| FORM 990, PART VI, SECTION B, LINE 15B | 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 INTEGRATED HEALTHCARE STRATEGIES (IHS) 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 FOR-PROFIT 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/SEARCH/SEARCH.ASPX. GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. | |
| FORM 990, PART VII, SECTION A, COLUMN B: | ALL BOARD MEMBERS' TIME IS DIVIDED AS FOLLOWS: - COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA - .2 HOURS - FRESNO COMMUNITY HOSPITAL & MEDICAL CENTER - 1.4 HOURS - COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA FOUNDATION - .3 HOURS - SIERRA HOSPITAL FOUNDATION - 0 HOURS TIM JOSLIN, PATRICK RAFFERTY, STEPHEN WALTER, CRAIG CASTRO, JACK CHUBB, WANDA HOLDERMAN, THOMAS UTECHT, ABDUL KASSIR AND COLLEEN STROM'S TIME IS DIVIDED AS FOLLOWS: - COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA - 5 HOURS - FRESNO COMMUNITY HOSPITAL & MEDICAL CENTER - 70 HOURS MARY CONTRERAS, CRAIG WAGONER, TRACY KIRITANI, AND BRUCE KINDER'S TIME IS DIVIDED AS FOLLOWS: - COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA - 4 HOURS - FRESNO COMMUNITY HOSPITAL & MEDICAL CENTER - 61 HOURS KAREN BUCKLEY, JULIE CLEELAND, PHYLLIS STARK, VERNICE EMAS, KHAJA AHMED AND GREGORY RUBIOLO'S TIME IS DIVIDED AS FOLLOWS: - COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA - 4 HOURS - FRESNO COMMUNITY HOSPITAL & MEDICAL CENTER - 51 HOURS | HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: |
| FORM 990, PART XI, LINE 5: | NET UNREALIZED GAINS ON INVESTMENTS: 1,012,699. PRIOR YEAR ACCOUNTING OF CONSOLIDATED ENTITY 5,471,757. INTERCOMPANY TRANSFERS -21,120,000. TOTAL TO FORM 990, PART XI, LINE 5: -14,635,544. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| STATEMENT PURSUANT TO SECTION 1.351-3(A) | FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER DBA COMMUNITY MEDICAL CENTERS, ON OCTOBER 2011, JANUARY 2012, APRIL 2012, AND JULY 2012, TRANSFERRED CASH WITH AN AGGREGATE FAIR MARKET VALUE AND A BASIS OF $6,700,099 TO COMMUNITY INSURANCE SERVICES COMPANY, 98-0674776. NO PRIVATE LETTER RULINGS WERE ISSUED BY THE INTERNAL REVENUE SERVICE IN CONNECTION WITH THE SECTION 351 EXCHANGE. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Total IncomeTotalIncome | EOY AssetsEOYAssets | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|
| FRESNO HEART HOSPITAL | |||||||||
| 15 E AUDUBON DRIVE | FRESNO | CA | 93720 | 770513288 | HOSPITAL | CA | 5502000 | 74152000 | N/A |
| DERAN KOLOGIAN AMBULATORY CARE CENTER | |||||||||
| 2440 TULARE STREET STE 400 | FRESNO | CA | 93721 | 263813822 | LEASING | CA | -1247000 | 23703000 | N/A |
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA | |||||||||||
| PO BOX 1232 | FRESNO | CA | 93715 | 942864615 | HOSPITAL | CA | 501(C)(3) | LINE 11B, II | N/A | 0 | |
| COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA FOUNDATION | |||||||||||
| PO BOX 1232 | FRESNO | CA | 93715 | 770191730 | SUPPORTING ORGANIZATION | CA | 501(C)(3) | LINE 11B, II | 1 | COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA | |
| SIERRA HOSPITAL FOUNDATION | |||||||||||
| PO BOX 1232 | FRESNO | CA | 93715 | 941431181 | INACTIVE | CA | 501(C)(3) | LINE 3 | 1 | COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Direct Controlling Entity NADirectControllingEntityNA | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COMMUNITY HEALTH ENTERPRISES INC | |||||||||||||
| 1925 E DAKOTA AVE STE 211 | FRESNO | CA | 93715 | 770175659 | PHARMACY SALES | CA | FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER | C | -595000 | 13782000 | 1.00000 | ||
| COMMUNITY CARE HEALTH PLAN INC | |||||||||||||
| 1925 E DAKOTA AVE STE 211 | FRESNO | CA | 93715 | 770246798 | INACTIVE | CA | FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER | C | 100000 | 1.00000 | |||
| SANTE HEALTH SERVICES INC | |||||||||||||
| 6051 N FRESNO STREET | FRESNO | CA | 93710 | 200382364 | INACTIVE | CA | C | N/A | |||||
| COMMUNITY INSURANCE SERVICES COMPANY | |||||||||||||
| PO BOX 1232 | FRESNO | CA | 93715 | 980674776 | INSURANCE | FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER | C | 2177000 | 13148000 | 1.00000 | CJ | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | C | TransactionType |
| Amount Involved | 4445200 | AmountInvolved |
| Method Of Amt Determination | CASH | MethodOfAmtDetermination |