COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA (EIN 94-2864615)
- Tax period
- 2010-09-01 to 2011-08-31
- Filed
- 2012-07-12
- IRS object ID
- 201201949349301250
- Schema version
- 2010v3.4
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-07-12T20:46:23-05:00 | Timestamp |
| Tax Period End Date | 2011-08-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
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 | 2010-09-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 942864615 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | COMM | 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 | 2012-07-10 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | TRACY S PAGLIA | Name |
| Phone | 2099556100 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | 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 | CLOVIS | City |
| State | CA | State |
| ZIP Code | 93611 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 95734246 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.MEDWATCHTODAY.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1988 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | CHCC'S MISSION IS TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY AND TO PROMOTE MEDICAL EDUCATION. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 18 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 7175 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 89123647 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 88991813 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 64263 | InvestmentIncomePriorYear |
| Investment Income Current Year | -7438376 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1319896 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1429656 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 90507806 | TotalRevenuePriorYear |
| Total Revenue Current Year | 82983093 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 51326303 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 49928360 | 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 | 40996843 | OtherExpensePriorYear |
| Other Expenses Current Year | 40057468 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 92323146 | TotalExpensesPriorYear |
| Total Expenses Current Year | 89985828 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -1815340 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -7002735 | RevenuesLessExpensesCY |
| Total Assets BOY | 103729656 | TotalAssetsBOY |
| Total Assets EOY | 109412205 | TotalAssetsEOY |
| Total Liabilities BOY | 210730905 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 208734007 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -107001249 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -99321802 | NetAssetsOrFundBalancesEOY |
| Mission Description | COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA'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 | 82398799 | Expense |
| Revenue | 88991813 | Revenue |
| Description | MANAGEMENT FEES FROM AFFILIATED 501(C)(3) HOSPITALS AND FOUNDATION FOR EXECUTIVE MANAGEMENT AND GENERAL ADMINISTRATIVE COSTS. | Description |
| Total Program Service Expense | 82398799 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | 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 | 0 | 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 | 0 | 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 | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| 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 | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 1448 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 7175 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| 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 |
| Excess Business Holdings | 0 | ExcessBusinessHoldings |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 18 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | 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 | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | 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 | 1 | 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 | 1 | 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 (36 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 | 0.20 | X | 216971 | 0 | 0 | |||
| MARIO GONZALEZ JR MD | ||||||||
| BOARD MEMBER (THRU 12/31/10) | 0.20 | X | 166503 | 0 | 0 | |||
| BRIAN PACHECO | ||||||||
| BOARD MEMBER | 0.20 | X | 0 | 0 | 0 | |||
| DAVID SLATER MD | ||||||||
| BOARD MEMBER | 0.20 | X | 0 | 0 | 0 | |||
| FARID ASSEMI | ||||||||
| BOARD MEMBER | 0.20 | X | 0 | 0 | 0 | |||
| FLORENCE DUNN | ||||||||
| BOARD MEMBER | 0.20 | X | 0 | 0 | 0 | |||
| GENE KALLSEN MD | ||||||||
| BOARD MEMBER (THRU 12/31/10) | 0.20 | X | 0 | 0 | 0 | |||
| JEFFREY THOMAS MD | ||||||||
| BOARD MEMBER | 0.20 | X | 0 | 0 | 0 | |||
| JERRY COOK | ||||||||
| BOARD MEMBER | 0.20 | X | 0 | 0 | 0 | |||
| JOHN MCGREGOR ESQUIRE | ||||||||
| BOARD MEMBER | 0.20 | X | 0 | 0 | 0 | |||
| KATHERINE FLORES MD | ||||||||
| BOARD MEMBER | 0.20 | X | 0 | 0 | 0 | |||
| KEVIN FOLLANSBEE | ||||||||
| BOARD CHAIR (THRU 12/31/10) | 0.20 | X | 0 | 0 | 0 | X | ||
| LINZIE DANIEL | ||||||||
| BOARD MEMBER | 0.20 | X | 0 | 0 | 0 | |||
| MANUEL CUNHA JR | ||||||||
| BOARD MEMBER | 0.20 | X | 0 | 0 | 0 | |||
| MARK BORBA | ||||||||
| BOARD CHAIR-ELECT | 0.20 | X | 0 | 0 | 0 | X | ||
| MICHAEL PETERSON MD | ||||||||
| BOARD MEMBER | 0.20 | X | 0 | 0 | 0 | |||
| RALPH GARCIA | ||||||||
| SECRETARY | 0.20 | X | 0 | 0 | 0 | X | ||
| SUSAN ABUNDIS | ||||||||
| BOARD CHAIR | 0.20 | X | 0 | 0 | 0 | X | ||
| TIM JOSLIN | ||||||||
| CHIEF EXECUTIVE OFFICER | 5.00 | 967420 | 0 | 396576 | X | |||
| PATRICK RAFFERTY | ||||||||
| EVP CHIEF OPERATIONS OFFICER | 5.00 | 654474 | 0 | 66573 | X | |||
| STEPHEN WALTER | ||||||||
| SVP CHIEF FINANCIAL OFFICER | 5.00 | 550891 | 0 | 60231 | X | |||
| ROBERT WARD | ||||||||
| SVP CHIEF LEGAL OFFICER | 5.00 | 546774 | 0 | 64635 | X | |||
| JOHN ZELEZNY | ||||||||
| SVP COMMUNICATIONS | 5.00 | 355278 | 0 | 46916 | X | |||
| GINNY BURDICK | ||||||||
| SVP HUMAN RESOURCES | 4.00 | 313109 | 0 | 44211 | X | |||
| MARK MATHIESON TERM 1511 | ||||||||
| SVP CONSTRUCTION CRMC | 4.00 | 298685 | 0 | 6238 | X | |||
| JAMES FRANKLIN | ||||||||
| CHIEF PROGRAM MGMT OFFICER | 4.00 | 270020 | 0 | 8156 | X | |||
| GEORGE VASQUEZ | ||||||||
| CHIEF TECHNOLOGY OFFICER | 4.00 | 255184 | 0 | 18565 | X | |||
| DEBORAH MOFFETT | ||||||||
| VP FINANCE | 4.00 | 248255 | 0 | 16895 | X | |||
| PHYLLIS BALTZ | ||||||||
| ADMINISTRATOR SERVICE LINE | 5.00 | 435731 | 0 | 27961 | X | |||
| JOSEPH NOWICKI | ||||||||
| CHIEF FINANCIAL OFFICER FACILITY | 5.00 | 356261 | 0 | 21714 | X | |||
| TRACY KIRITANI | ||||||||
| CHIEF FINANCIAL OFFICER FACILITY | 4.00 | 284586 | 0 | 18055 | X | |||
| ROBERT SAROYAN | ||||||||
| VP FOUNDATION | 4.00 | 251904 | 0 | 17291 | X | |||
| BERJ APKARIAN | ||||||||
| VP MEDICAL AFFAIRS | 55.00 | 223317 | 0 | 18153 | X | |||
| JAMES VANDEVELDE | ||||||||
| ASSOC ADMIN BUSINESS DEVELOPMT | 4.00 | 229010 | 0 | 20340 | X | |||
| DAVID BOYD | ||||||||
| VP CHIEF NURSE INFORMATION OFF | 55.00 | 224128 | 0 | 19582 | X | |||
| VICKI ANDERSON | ||||||||
| VP MANAGED CARE | 55.00 | 209489 | 0 | 20694 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 7057990 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 892786 | TotalOtherCompensation |
| Number Individuals GT100 K | 81 | 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 |
|---|---|---|---|---|---|
| GUNNER & ANDROS | |||||
| 555 W SHAW AVENUE B4 | FRESNO | CA | 93704 | REAL ESTATE AGENT/MANAGER | 318536 |
| BRYN ALLISON FORHAN | |||||
| 7081 N MARKS NO 104 | FRESNO | CA | 93711 | LOBBYING | 224504 |
| STEPHENSON ACQUISTO & COLMAN | |||||
| 303 N GLENOAKS BOULEVARD 700 | BURBANK | CA | 91502 | LEGAL | 215476 |
| ERNST & YOUNG | |||||
| 200 PLAZA DRIVE | SECAUCUS | NJ | 97094 | ACCOUNTING AND AUDITING | 144287 |
| BAKER PETERSON & FRANKLIN | |||||
| 970 WEST ALLUVIAL SUITE 101 | FRESNO | CA | 93711 | ACCOUNTING AND AUDITING | 112371 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 6 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| MANAGEMENT FEES | 900099 | 86701056 | 86701056 |
| APPLICATION REVENUE | 900099 | 194637 | 194637 |
| SPECIAL SERVICES REVEN | 900099 | 192648 | 192648 |
| PROGRAM SERVICE RENTAL | 900099 | 108366 | 108366 |
| INCOME FROM SANTE | 900099 | 37133 | 37133 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1757973 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1757973 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 88991813 | TotalProgramServiceRevenue |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 22992 | TotalRevenueColumn |
| Exclusion | $22,992 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 3587258 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 2157602 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1429656 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1429656 | TotalRevenueColumn |
| Exclusion | $1,429,656 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 3132183 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 10593551 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -7461368 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -7461368 | TotalRevenueColumn |
| Exclusion | -$7,461,368 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 82983093 | TotalRevenueColumn |
| Related Or Exempt Function Income | 88991813 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | -$6,008,720 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 413088 | Total |
| Management And General | 413088 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37050097 | Total |
| Program Services | 31110609 | ProgramServices |
| Management And General | 5939488 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1860995 | Total |
| Program Services | 1860995 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7855934 | Total |
| Program Services | 7855934 | ProgramServices |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2748246 | Total |
| Program Services | 2378208 | ProgramServices |
| Management And General | 370038 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 685237 | Total |
| Management And General | 685237 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 179178 | Total |
| Management And General | 179178 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 416051 | Total |
| Program Services | 416051 | ProgramServices |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12425027 | Total |
| Program Services | 12425027 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 508261 | Total |
| Program Services | 508261 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4033087 | Total |
| Program Services | 4033087 | ProgramServices |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10545456 | Total |
| Program Services | 10545456 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3270150 | Total |
| Program Services | 3270150 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 886683 | Total |
| Program Services | 886683 | ProgramServices |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 200729 | Total |
| Program Services | 200729 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5541825 | Total |
| Program Services | 5541825 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 268326 | Total |
| Program Services | 268326 | ProgramServices |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| MEALS & ENTERTAINMENT | 426258 | 426258 |
| DUES & SUBSCRIPTIONS | 216963 | 216963 |
| LICENSES & TAXES | 82731 | 82731 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 371506 | Total |
| Program Services | 371506 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 89985828 | Total |
| Program Services | 82398799 | ProgramServices |
| Management And General | 7587029 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 259209 | BOY |
| EOY | 199265 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1491850 | BOY |
| EOY | 776632 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 908848 | BOY |
| EOY | 629745 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2380094 | BOY |
| EOY | 3563633 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 151105512 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 75834084 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 54990078 | BOY |
| EOY | 75271428 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18844230 | BOY |
| EOY | 22498921 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23897528 | BOY |
| EOY | 3341110 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 957819 | BOY |
| EOY | 3131471 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 103729656 | BOY |
| EOY | 109412205 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12876721 | BOY |
| EOY | 16688384 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 830960 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6653680 | BOY |
| EOY | 6769346 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12922268 | BOY |
| EOY | 198404 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 178278236 | BOY |
| EOY | 184246913 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 210730905 | BOY |
| EOY | 208734007 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -107001249 | BOY |
| EOY | -99321802 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -107001249 | BOY |
| EOY | -99321802 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 103729656 | BOY |
| EOY | 109412205 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -7002735 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 14682182 | 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) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type2 | X | SupportingOrg509a3Type2 |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | 0 | ContribByControllingIndividual |
| Contribution By Related Party | 0 | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | 0 | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation (2 entries)
| EINEIN | Type Of OrganizationTypeOfOrganization | Listed In Governing DocListedInGoverningDoc | Supported Organization NotifiedSupportedOrganizationNotified | Organized In USOrganizedInUS | AmountAmount |
|---|---|---|---|---|---|
| FRESNO COMMUNITY HOSPITAL & MEDICAL CENTER | |||||
| 941156276 | 3 | 1 | 1 | 1 | $0 |
| SIERRA HOSPITAL FOUNDATION | |||||
| 941431181 | 3 | 1 | 1 | 1 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 2 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 0 | SumOfAmounts |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 1 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $416,051 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 416051 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF OTHER LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1I: | ReturnReference |
| Explanation | CHCC MAINTAINS A GOVERNMENT RELATIONS DEPARTMENT TO MONITOR PENDING LEGISLATION AND TO INFLUENCE LEGISLATORS AND PUBLIC OPINION ON HEALTH CARE ISSUES. THE DEPARTMENT'S INTERNAL COSTS FOR THESE ACTIVITIES WERE $416,051. PAYMENTS MADE TO LOBBYISTS ARE DISCLOSED BELOW. THE FORHAN COMPANY: PROFESSIONAL FEES OF $220,000 PAID FOR FEDERAL, STATE OF CALIFORNIA, COUNTY OF FRESNO AND CITY OF FRESNO FOR GOVERNMENT RELATIONS AND ADVOCACY SERVICES. SIFF & LAKE, LLP: PROFESSIONAL FEES AND MISCELLANEOUS EXPENSES OF $122,678 PAID FOR FEDERAL GOVERNMENT RELATIONS AND ADVOCACY SERVICES. CALIFORNIA HOSPITAL COUNCIL: PORTION OF DUES DIRECTLY RELATED TO LOBBYING EXPENSES WERE $64,173; ADDITIONAL MISCELLANEOUS EXPENDITURES WERE $9,200. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7428147 | OtherCostOrOtherBasis |
| Book Value | 7428147 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 34991953 | OtherCostOrOtherBasis |
| Depreciation | 25055770 | Depreciation |
| Book Value | 9936183 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2381132 | OtherCostOrOtherBasis |
| Depreciation | 1665274 | Depreciation |
| Book Value | 715858 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 72439591 | OtherCostOrOtherBasis |
| Depreciation | 49113040 | Depreciation |
| Book Value | 23326551 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 33864689 | OtherCostOrOtherBasis |
| Book Value | 33864689 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 75271428 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| PAYABLES TO AFFILIATES | $116,984,977 |
| PENSION LIABILITY | $67,261,936 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 184246913 | TotalOfAmounts |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | X | FirstClassOrCharterTravel |
| Housing Allowance Or Residence | X | HousingAllowanceOrResidence |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| 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 | |||||||||||||
| 216971 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 216971 | 0 | 0 | 0 |
| MARIO GONZALEZ JR MD | |||||||||||||
| 166503 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 166503 | 0 | 0 | 0 |
| TIM JOSLIN | |||||||||||||
| 710282 | 0 | 257138 | 0 | 0 | 0 | 384662 | 0 | 11914 | 0 | 1363996 | 0 | 0 | 0 |
| PATRICK RAFFERTY | |||||||||||||
| 480038 | 0 | 174436 | 0 | 0 | 0 | 54659 | 0 | 11914 | 0 | 721047 | 0 | 0 | 0 |
| STEPHEN WALTER | |||||||||||||
| 414585 | 0 | 136306 | 0 | 0 | 0 | 48317 | 0 | 11914 | 0 | 611122 | 0 | 0 | 0 |
| ROBERT WARD | |||||||||||||
| 425029 | 0 | 121745 | 0 | 0 | 0 | 56274 | 0 | 8361 | 0 | 611409 | 0 | 0 | 0 |
| JOHN ZELEZNY | |||||||||||||
| 274838 | 0 | 80440 | 0 | 0 | 0 | 41900 | 0 | 5016 | 0 | 402194 | 0 | 0 | 0 |
| GINNY BURDICK | |||||||||||||
| 244645 | 0 | 68464 | 0 | 0 | 0 | 35850 | 0 | 8361 | 0 | 357320 | 0 | 0 | 0 |
| MARK MATHIESON TERM 1511 | |||||||||||||
| 201016 | 0 | 0 | 0 | 97669 | 0 | 6238 | 0 | 0 | 0 | 304923 | 0 | 97669 | 0 |
| JAMES FRANKLIN | |||||||||||||
| 223124 | 0 | 46896 | 0 | 0 | 0 | 8156 | 0 | 0 | 0 | 278176 | 0 | 0 | 0 |
| GEORGE VASQUEZ | |||||||||||||
| 208243 | 0 | 46941 | 0 | 0 | 0 | 10204 | 0 | 8361 | 0 | 273749 | 0 | 0 | 0 |
| DEBORAH MOFFETT | |||||||||||||
| 197696 | 0 | 50559 | 0 | 0 | 0 | 11879 | 0 | 5016 | 0 | 265150 | 0 | 0 | 0 |
| PHYLLIS BALTZ | |||||||||||||
| 377467 | 0 | 58264 | 0 | 0 | 0 | 19600 | 0 | 8361 | 0 | 463692 | 0 | 0 | 0 |
| JOSEPH NOWICKI | |||||||||||||
| 306535 | 0 | 49726 | 0 | 0 | 0 | 9800 | 0 | 11914 | 0 | 377975 | 0 | 0 | 0 |
| TRACY KIRITANI | |||||||||||||
| 228134 | 0 | 56452 | 0 | 0 | 0 | 13039 | 0 | 5016 | 0 | 302641 | 0 | 0 | 0 |
| ROBERT SAROYAN | |||||||||||||
| 205778 | 0 | 46126 | 0 | 0 | 0 | 10204 | 0 | 7087 | 0 | 269195 | 0 | 0 | 0 |
| BERJ APKARIAN | |||||||||||||
| 183435 | 0 | 39882 | 0 | 0 | 0 | 13872 | 0 | 4281 | 0 | 241470 | 0 | 0 | 0 |
| JAMES VANDEVELDE | |||||||||||||
| 205011 | 0 | 23999 | 0 | 0 | 0 | 8426 | 0 | 11914 | 0 | 249350 | 0 | 0 | 0 |
| DAVID BOYD | |||||||||||||
| 182038 | 0 | 42090 | 0 | 0 | 0 | 14566 | 0 | 5016 | 0 | 243710 | 0 | 0 | 0 |
| VICKI ANDERSON | |||||||||||||
| 170366 | 0 | 39123 | 0 | 0 | 0 | 13607 | 0 | 7087 | 0 | 230183 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINE 1A | FIRST-CLASS TRAVEL ON CERTAIN LONG-TERM OR OVERNIGHT FLIGHTS IS ALLOWED. AS A RECRUITING TOOL, CHCC WILL PAY A TEMPORARY HOUSING ALLOWANCE TO CERTAIN NEW EMPLOYEES UNDER SPECIAL CIRCUMSTANCES. |
| PART I, LINE 4B | TIM JOSLIN, THE CEO, HAS A SERP. THE SENOR V.P.S PARTICIPATE IN A SERP STRUCTURED TO PROMOTE RETENTION. THE FOLLOWING CONTRIBUTIONS WERE MADE IN 2010: - TIM JOSLIN $372,412 - PATRICK RAFFERTY $44,859 - STEPHEN WALTER $38,517 - ROBERT WARD $41,574 - JOHN ZELEZNY $27,200 - GINNY BURDICK $23,900 MARK MATHIESON, WHO WAS TERMINATED BEFORE THE START OF THE FISCAL YEAR, RECEIVED A SERP CASH OUT PAYMENT OF $97,669 ON 9/10/2010. |
| 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 EXECUTIVES THAT ARE CRITICALLY IMPORTANT TO THE SUCCESS OF CMC. |
| PART I, LINE 6 | SEE RESPONSE FOR QUESTION 5. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | FORM 990 IS PREPARED BY A CPA FIRM. A DRAFT COPY IS PRESENTED TO THE BOARD OF TRUSTEES PRIOR TO FILING. | |
| ANNUALLY EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF COMMITTEE WITH BOARD DELEGATED POWERS SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON: 1) HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY; 2) HAS READ AND UNDERSTANDS THE POLICY; 3) HAS AGREED TO COMPLY WITH THE POLICY; AND 4) UNDERSTANDS THAT THE CORPORATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. TO ENSURE THAT THE CORPORATION OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES AND THAT IT DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS STATUS AS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX, PERIODIC REVIEWS ARE CONDUCTED. THE PERIODIC REVIEWS, AT A MINIMUM, INCLUDE THE FOLLOWING SUBJECTS: 1) WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE AND ARE THE RESULT OF ARM'S-LENGTH BARGAINING; 2) WHETHER ACQUISITIONS OF PHYSICIAN PRACTICES AND OTHER PROVIDER SERVICES RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT; 3) WHETHER PARTNERSHIP AND JOINT VENTURE ARRANGEMENTS AND ARRANGEMENTS WITH MANAGEMENT SERVICE ORGANIZATIONS AND PHYSICIAN HOSPITAL ORGANIZATIONS CONFORM TO WRITTEN POLICIES, ARE PROPERLY RECORDED, REFLECT REASONABLE PAYMENTS FOR GOODS AND SERVICES, FURTHER THE CORPORATION'S CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT; AND 4) WHETHER AGREEMENTS TO PROVIDE HEALTH CARE AND AGREEMENTS WITH OTHER HEALTH CARE PROVIDERS, EMPLOYEES, AND THIRD PARTY PAYORS FURTHER THE CORPORATION'S CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT. | FORM 990, PART VI, SECTION B, LINE 12C | |
| 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." CORPORATE GENERAL COUNSEL ENGAGED THE SERVICES OF OUTSIDE COUNSEL IN 2007 TO ASSIST IN THE DETERMINATION OF "DISQUALIFIED PERSONS". 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. THE LAST TOTAL COMPENSATION STUDY BY IHS WAS COMPLETED IN 2011. | FORM 990, PART VI, SECTION B, LINE 15 | |
| 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 VI, SECTION C, LINE 19 | |
| HOURS DEVOTED TO AFFILIATED ORGANIZATIONS: | 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 - .1 HOURS TIM JOSLIN, PATRICK RAFFERTY, STEPHEN WALTER, ROBERT WARD, JOHN ZELEZNY, PHYLLIS BALTZ AND JOSEPH NOWICKI'S TIME IS DIVIDED AS FOLLOWS: - COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA - 5 HOURS - FRESNO COMMUNITY HOSPITAL & MEDICAL CENTER - 70 HOURS GINNY BURDICK, MARK MATHIESON, JAMES FRANKLIN, GEORGE VASQUEZ, DEBORAH MOFFETT, TRACY KIRITANI AND JAMES VANDEVELDE'S TIME IS DIVIDED AS FOLLOWS: - COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA - 4 HOURS - FRESNO COMMUNITY HOSPITAL & MEDICAL CENTER - 61 HOURS ROBERT SAROYAN'S TIME IS DIVIDED AS FOLLOWS: - COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA - 4 HOURS - COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA FOUNDATION - 61 HOURS | FORM 990, PART VII, SECTION A, COLUMN B: |
| CHANGES IN NET ASSETS OR FUND BALANCES: | CHANGE IN UNFUNDED ACCUMULATED PENSION BENEFIT OBLIGATION 14,682,182. TOTAL TO FORM 990, PART XI, LINE 5: 14,682,182. | FORM 990, PART XI, LINE 5: |
Schedule R IRS990ScheduleR
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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER | ||||||||||
| PO BOX 1232 | FRESNO | CA | 93715 | 941156276 | HOSPITAL | CA | 501(C)(3) | LINE 3 | COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA | 1 |
| SIERRA HOSPITAL FOUNDATION | ||||||||||
| PO BOX 1232 | FRESNO | CA | 93715 | 941431181 | INACTIVE | CA | 501(C)(3) | LINE 3 | COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA | 1 |
| COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA FOUNDATION | ||||||||||
| PO BOX 1232 | FRESNO | CA | 93715 | 770191730 | SUPPORTING ORGANIZATION | CA | 501(C)(3) | LINE 11B, II | COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA | 1 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|
| COMMUNITY HEALTH ENTERPRISES INC | |||||||||
| 1925 E DAKOTA AVE STE 211 | FRESNO | CA | 93715 | 770175659 | PHARMACY SALES | CA | N/A | C | |
| COMMUNITY CARE HEALTH PLAN INC | |||||||||
| 1925 E DAKOTA AVE STE 211 | FRESNO | CA | 93715 | 770246798 | INACTIVE | CA | N/A | C | |
| SANTE HEALTH SERVICES INC | |||||||||
| 6051 N FRESNO STREET | FRESNO | CA | 93710 | 200382364 | INACTIVE | CA | N/A | C | |
| COMMUNITY INSURANCE SERVICES COMPANY | |||||||||
| PO BOX 1232 | FRESNO | CA | 93715 | 980674776 | INSURANCE | N/A | C | 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 | 0 | 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 | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| FRESNO COMMUNITY HOSPITAL & MEDICAL CENTER | ||
| P | 86253012 | COST |
| COMMUNITY HEALTH ENTERPRISES INC | ||
| P | 324759 | COST |
| COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA FOUNDATION | ||
| P | 123285 | COST |