FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER (EIN 94-1156276)
- Tax period
- 2009-09-01 to 2010-08-31
- Filed
- 2011-07-13
- IRS object ID
- 201101949349300535
- Schema version
- 2009v1.7
- 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 D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-07-13T17:38:06-07:00 | Timestamp |
| Tax Period End Date | 2010-08-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Baker Peterson & Franklin CPA LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 970 W Alluvial 101 | AddressLine1 |
| City | Fresno | City |
| State | CA | State |
| ZIP Code | 93711 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-09-01 | 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 | BusinessNameLine1 |
| Business Name Line2 | AND MEDICAL CENTER | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | FRES | NameControl |
| Phone | 5594696000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O BOX 1232 | AddressLine1 |
| City | FRESNO | City |
| State | CA | State |
| ZIP Code | 93715 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Roger Fretwell | Name |
| Title | Controller | Title |
| Date Signed | 2011-07-13 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Edward J Hashim | Name |
| Phone | 5594322346 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | 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 | 2440 TULARE ST 4TH FLR | AddressLine1 |
| City | FRESNO | City |
| State | CA | State |
| ZIP Code | 93721 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 1027369935 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| All Affiliates Included | false | AllAffiliatesIncluded |
| Organization501c | X | Organization501c |
| 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 | 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. (See Schedule O for additional information.) | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 6293 | TotalNbrEmployees |
| Total Nbr Volunteers | 900 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 1399784 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1047226 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 1000574063 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 1012726037 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 4892372 | InvestmentIncomePriorYear |
| Investment Income Current Year | 10237869 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 3187787 | OtherRevenuePriorYear |
| Other Revenue Current Year | 3206501 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 1010054006 | TotalRevenuePriorYear |
| Total Revenue Current Year | 1027217633 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 474542973 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 496792999 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 469606593 | OtherExpensePriorYear |
| Other Expenses Current Year | 521099634 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 944149566 | TotalExpensesPriorYear |
| Total Expenses Current Year | 1017892633 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 65904440 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 9325000 | RevenuesLessExpensesCY |
| Total Assets BOY | 936661431 | TotalAssetsBOY |
| Total Assets EOY | 1184219492 | TotalAssetsEOY |
| Total Liabilities BOY | 469119262 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 705840026 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 467542169 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 478379466 | NetAssetsOrFundBalancesEOY |
| 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. (See Schedule O for additional information.) | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 933272738 | Expense |
| Grants | 1047226 | Grants |
| Revenue | 1012726037 | 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 health care needs of the community. | Description |
| Total Program Service Expense | 933272738 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | true | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | true | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | true | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | true | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | false | ComplianceWithBackupWitholding |
| Number Of Employees | 6293 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Form990-T Filed | false | Form990-TFiled |
| Foreign Financial Account | true | ForeignFinancialAccount |
| Name Of Foreign Country | CJ | NameOfForeignCountry |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Form8886 T Filed | false | Form8886TFiled |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Non Deductible Disclosure | false | NonDeductibleDisclosure |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Quid Pro Quo Disclosure | false | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | true | Form8899Filed |
| Form1098 C Filed | true | Form1098CFiled |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Filed Lieu1041 | false | FiledLieu1041 |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | true | LocalChapters |
| Policies Reference Chapters | true | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | ROGER FRETWELL | NamePerson |
| Telephone Number | 5594596000 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1925 W DAKOTA STE 206 | AddressLine1 |
| City | Fresno | City |
| State | CA | State |
| ZIP Code | 937264821 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (31 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Highest Compensated EmployeeHighestCompensatedEmployee | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Individual Trustee Or DirectorIndividualTrusteeOrDirector |
|---|---|---|---|---|---|---|---|---|
| WANDA HOLDERMAN | ||||||||
| CEO, FRESNO HEART | 0. | X | 424629 | 0 | 44800 | |||
| TRACY KIRITANI | ||||||||
| CFO | 40.00 | X | 266402 | 0 | 9773 | |||
| TIM JOSLIN | ||||||||
| CEO | 40.00 | 0 | 980884 | 381821 | X | |||
| THOMAS UTECHT | ||||||||
| SENIOR VP | 40.00 | 0 | 390809 | 39505 | X | |||
| SUSAN ABUNDIS | ||||||||
| CHAIR WOMAN | 3.50 | 0 | 0 | 0 | X | |||
| STEPHEN WALTER | ||||||||
| SR VP & CFO | 40.00 | 0 | 632882 | 46384 | X | |||
| RALPH GARCIA | ||||||||
| BOARD MEMBER | 1.50 | 0 | 0 | 0 | X | |||
| PHYLLIS BALTZ | ||||||||
| COO | 40.00 | 0 | 397414 | 16464 | X | |||
| PATRICK RAFFERTY | ||||||||
| EXEC VP & COO | 40.00 | 0 | 631951 | 52471 | X | |||
| MICHAEL SYNN MD | ||||||||
| BOARD MEMBER | 3.00 | 0 | 188667 | 0 | X | |||
| MICHAEL PETERSON MD | ||||||||
| BOARD MEMBER | 2.00 | 0 | 0 | 0 | X | |||
| MARY CONTRERAS | ||||||||
| SENIOR VP | 40.00 | X | 276555 | 0 | 45600 | |||
| MARY CONTRERAS | ||||||||
| SENIOR VP | 40.00 | 0 | 0 | 0 | X | |||
| MARK MATHIESON | ||||||||
| SENIOR VP | 40.00 | 0 | 238605 | 9396 | X | |||
| MARK BORBA | ||||||||
| Secretary | 2.50 | 0 | 0 | 0 | X | |||
| MARIO GONZALEZ JR MD | ||||||||
| BOARD MEMBER | 2.50 | 0 | 119732 | 0 | X | |||
| MANUEL CUNHA JR | ||||||||
| BOARD MEMBER | 1.00 | 0 | 0 | 0 | X | |||
| LINZIE DANIEL | ||||||||
| BOARD MEMBER | 1.50 | 0 | 0 | 0 | X | |||
| KEVIN FOLLANSBEE | ||||||||
| BOARD MEMBER | 12.00 | 0 | 0 | 0 | X | |||
| KATHERINE FLORES MD | ||||||||
| BOARD MEMBER | 2.50 | 0 | 0 | 0 | X | |||
| JOSEPH NOWICKI | ||||||||
| CFO | 40.00 | X | 363422 | 0 | 9800 | |||
| JOHN ZELEZNY | ||||||||
| CCO | 40.00 | 0 | 360591 | 37872 | X | |||
| JACK CHUBB | ||||||||
| CEO CRMC | 40.00 | 0 | 501089 | 49728 | X | |||
| GREGORY RUBIOLO | ||||||||
| MANAGER | 40.00 | X | 273375 | 0 | 7467 | |||
| GINNY BURDICK | ||||||||
| SENIOR VP | 40.00 | 0 | 278419 | 33703 | X | |||
| GENE KALLSEN MD | ||||||||
| BOARD MEMBER | 2.00 | 0 | 0 | 0 | X | |||
| FLORENCE DUNN | ||||||||
| BOARD MEMBER | 1.50 | 0 | 0 | 0 | X | |||
| FARID ASSEMI | ||||||||
| BOARD MEMBER | 2.00 | 0 | 0 | 0 | X | |||
| CRAIG CASTRO | ||||||||
| CEO, CLOVIS | 40.00 | 0 | 476549 | 54961 | X | |||
| BRIAN PACHECO | ||||||||
| BOARD MEMBER | 2.50 | 0 | 0 | 0 | X | |||
| ABDUL KASSIR | ||||||||
| SENIOR VP | 40.00 | 0 | 363736 | 35860 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1604383 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 5561328 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 875605 | TotalOtherCompensation |
| Number Individuals GT100 K | 792 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| REGIONAL EMERGENCY MEDICAL GROUP | |||||
| 1180 E SHAW AVENUE SUITE 101 | FRESNO | CA | 93710 | MEDICAL | 2842332 |
| HAMMEL GREEN AND ABRAHAMSON INC | |||||
| 1918 MAIN STREET THIRD FLOOR | SANTA MONICA | CA | 90405 | ARCHITECTURE | 5562093 |
| COMMUNITY REGIONAL ANESTHESIA | |||||
| 1180 E SHAW AVENUE SUITE 101 | FRESNO | CA | 93710 | MEDICAL | 6106264 |
| COMMUNITY HOSPITAL MEDICAL GROUP | |||||
| 1180 E SHAW AVENUE SUITE 101 | FRESNO | CA | 93710 | MEDICAL | 13133344 |
| CENTRAL CALIFORNIA FACULTY MEDICAL | |||||
| PO BOX 5254 | FRESNO | CA | 93755 | MEDICAL | 26411267 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| Government Grants | 947556 | GovernmentGrants |
| All Other Contributions | 99670 | AllOtherContributions |
| Total Contributions | 1047226 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Other Revenues | 900009 | 13924969 | 13924969 |
| Medical service | 900099 | 993657742 | 993657742 |
| Captive Insurance Revenue | 900009 | 5143326 | 5143326 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 1012726037 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 10390171 | TotalRevenueColumn |
| Exclusion | $10,390,171 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 152302 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -152302 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -152302 | TotalRevenueColumn |
| Exclusion | -$152,302 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Hospital cafeteria rev | Description |
| Business Code | 722320 | BusinessCode |
| Total Revenue Column | 3206501 | TotalRevenueColumn |
| Exclusion | $3,206,501 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 3206501 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1027217633 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1012726037 | RelatedOrExemptFunctionIncome |
| Exclusion | $13,444,370 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7797933 | Total |
| Management And General | 7797933 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 394650528 | Total |
| Program Services | 362203615 | ProgramServices |
| Management And General | 32446913 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15225222 | Total |
| Program Services | 13702700 | ProgramServices |
| Management And General | 1522522 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 51060272 | Total |
| Program Services | 45954245 | ProgramServices |
| Management And General | 5106027 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28059044 | Total |
| Program Services | 25253140 | ProgramServices |
| Management And General | 2805904 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12782 | Total |
| Management And General | 12782 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 413791 | Total |
| Management And General | 413791 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 71308795 | Total |
| Program Services | 71308795 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 959041 | Total |
| Management And General | 959041 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4947720 | Total |
| Management And General | 4947720 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15015737 | Total |
| Program Services | 15015737 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 813276 | Total |
| Management And General | 813276 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17634121 | Total |
| Program Services | 17634121 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 39836000 | Total |
| Program Services | 33196667 | ProgramServices |
| Management And General | 6639333 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11552818 | Total |
| Program Services | 9627348 | ProgramServices |
| Management And General | 1925470 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Supplies expenses | 131848995 | 121795985 | 10053010 |
| Other services | 26432317 | 23495393 | 2936924 |
| Other expenses | 35260206 | 31258707 | 4001499 |
| Drug costs | 32928902 | 32928902 | |
| Bad debt | 111995384 | 111995384 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20139749 | Total |
| Program Services | 17901999 | ProgramServices |
| Management And General | 2237750 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1017892633 | Total |
| Program Services | 933272738 | ProgramServices |
| Management And General | 84619895 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32788365 | BOY |
| EOY | 74054664 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 155450458 | BOY |
| EOY | 128463458 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10245395 | BOY |
| EOY | 11109870 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2530034 | BOY |
| EOY | 1531271 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 817794013 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 308417645 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 453325204 | BOY |
| EOY | 509376368 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 148386345 | BOY |
| EOY | 158536004 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22080438 | BOY |
| EOY | 164187030 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5465153 | BOY |
| EOY | 6367148 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1334354 | BOY |
| EOY | 2693030 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 105055685 | BOY |
| EOY | 127900649 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 936661431 | BOY |
| EOY | 1184219492 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 98181358 | BOY |
| EOY | 107011088 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 336460964 | BOY |
| EOY | 533993101 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2896520 | BOY |
| EOY | 28681658 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31580420 | BOY |
| EOY | 36154179 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 469119262 | BOY |
| EOY | 705840026 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 467542169 | BOY |
| EOY | 478379466 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 467542169 | BOY |
| EOY | 478379466 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 936661431 | BOY |
| EOY | 1184219492 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
| Federal Grant Audit Performed | false | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 383593 | BeginningOfYearBalance |
| End Of Year Balance | 383593 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 383593 | BeginningOfYearBalance |
| End Of Year Balance | 383593 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | true | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | true | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 31953814 | OtherCostOrOtherBasis |
| Book Value | 31953814 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 456282275 | OtherCostOrOtherBasis |
| Depreciation | 135007561 | Depreciation |
| Book Value | 321274714 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1187927 | OtherCostOrOtherBasis |
| Depreciation | 613448 | Depreciation |
| Book Value | 574479 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 256425759 | OtherCostOrOtherBasis |
| Depreciation | 172796636 | Depreciation |
| Book Value | 83629123 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 71944238 | OtherCostOrOtherBasis |
| Book Value | 71944238 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 509376368 | TotalOfBookValueLandBuildings |
| Total Of Book Value Securities | 164187030 | TotalOfBookValueSecurities |
Investments Program Related InvestmentsProgramRelated (5 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| Investments - CII | 84000 | C |
| Investment - CHS, LLC | 1000 | C |
| Investment - AMI Realty | 210000 | C |
| Investment - AMI Operating | 4695659 | C |
| Investment - C.H.E | 1376489 | C |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Reserve for professional liability | 12132268 |
| Receivable from affiliates | 105406691 |
| Other assets | 1542140 |
| Debt issuance costs | 8819550 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 127900649 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Workers compensation reserve | $24,646,400 |
| Physician Guarantee Payable | $2,162,732 |
| Malpractice - IBNR | $3,075,720 |
| Group Health | $2,527,524 |
| Asset retirement obligation | $3,741,803 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 36154179 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part V, Line 4 | Identifier |
| Return Reference | Part V, Line 4: Intended uses of the endowment fund. | ReturnReference |
| Explanation | Donor Gifts:Unconditional promises to give cash and other assets to CHCC, FCH or SHF are reported at fair market value at the date the promise is received. Conditional promises to give and indications of intentions to give are reported at fair market value at the date the gift is received and any conditions are substantially met. The gifts are reported as either temporarily or permanently restricted if they are received with donor stipulations that limit the use of the donated assets. CHCC, FCH and SHF receive contributions from donors through the Community Hospitals of Central California Foundation (FND). When donor-imposed restrictions are met, either of time or specific purpose, the funds are released from restriction and transferred to the entity for which they were intended.Endowment Funds, Part V:Form 990 Part IV, Line 10, asks if the organization held endowment funds. The instructions indicate that the question should be interpreted to include endowment funds held by related organizations. Community Hospitals of Central California, Foundation (FND) maintains an endowment fund for this and other related entities. Accordingly, this question is answered "Yes" and the amount of the fund is disclosed above in Part V. It should be understood, however, that the fund exists only on FND's balance sheet. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | false | FPGReferenceDiscountedCare |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 16355000 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 16355000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01610 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 170300000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 52978000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 117322000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.11530 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 186655000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 52978000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 133677000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.13130 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 950000 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 950000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00090 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 39761000 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 39761000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03910 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 40711000 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 40711000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04000 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 227366000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 52978000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 174388000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.17130 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $111,995,384 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 198243871 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 201985224 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -3741353 | 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 | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)
| Description Ent Primary ActivityDescriptionEntPrimaryActivity | Organization Profit Or OwnershipOrganizationProfitOrOwnership | Physicans Profit Or OwnershipPhysicansProfitOrOwnership |
|---|---|---|
| AMI Realty Partners LP | ||
| Real Estate Investing | 0.50000 | 0.50000 |
| CA Imaging Institute LLC | ||
| Medical Imaging | 0.50000 | 0.50000 |
Form990 Schedule H Part V Form990ScheduleHPartV (3 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | OtherOther | Er24 HoursEr24Hours | Teaching HospitalTeachingHospital | Critical Access HospitalCriticalAccessHospital |
|---|---|---|---|---|---|---|---|---|---|
| Fresno Heart and Surgical | |||||||||
| 15 E Audubon Dr | Fresno | CA | 93720 | X | X | SEE PART VI | |||
| Clovis Community Medical | |||||||||
| 2755 Herndon | Clovis | CA | 93612 | X | X | SEE PART VI | X | ||
| Community Regional Medical | |||||||||
| 2823 Fresno St | Fresno | CA | 93721 | X | X | SEE PART VI | X | X | X |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Income Based Criteria | other | IncomeBasedCriteria |
| Bad Debt Footnote | CMCs 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. | BadDebtFootnote |
| Debt Collection Policy | Collection Practices: CMC or outside collection agencies operating on behalf of the hospital shall not, in dealing with low-income uninsured and under-insured patients who are at or below 400% of the FPL, use wage garnishments or foreclosure of liens on primary residences as a means of collecting unpaid hospital bills. | DebtCollectionPolicy |
| General Explanation | Clinical research and trials: There were a total of 155 research studies conducted by UCSF-Fresno faculty/fellows/residents last fiscal year. Thirty-seven are funded by outside organizations. Studies include: Emergency Medicine: testing an experimental antivenin for Black Widow spider bites; placing patient education computer/interactive kiosks in the emergency department providing information about urinary tract infections, Chlamydia and family planning; and the cause and diagnosis of methicillin-resistant Staphylococcus aureus (MRSA). Surgery: utilizing an experimental vascular access graft for hemodialysis; examining the correlation of venous and arterial blood gases for trauma patients; and utilizing a medical device for early operative fixation vs. non-operative management of severe rib fractures in trauma patients. Pediatrics: evaluating an infant and toddler developmental curriculum for residents. Neurology: two experimental medications for amyotrophic lateral sclerosis (Lou Gehrigs Disease), and one for myasthenia gravis; one for the secondary prevention of small subcortical strokes; and one for insulin resistance intervention after stroke. Pediatrics: an evaluation of an early childhood asthma program. Family Medicine: an evaluation of the California statewide area health education center program. OB/GYN: testing the use of a new fetal monitor. Internal Medicine: 10 studies testing the safety and efficacy of experimental medications for asthma, chronic obstructive pulmonary disease, emphysema, deep venous thrombosis, acute lung injury, HIV, and pulmonary arterial hypertension; a study evaluates trophic vs. enteral feeding for patients with acute lung injury; one testing extravascular lung water in patients with acute lung injury; three are surveillance registries for patients with H1N1 (swine flu) and asthma and pediatric HIV/AIDS; and two examining the possible relationship between pesticide exposure and breast cancer. Gastroenterology: one study testing medications for hepatitis C, and two testing medications for hepatic encephalopathy. Cardiology: evaluating a small- vs. large-bore needle for vascular access for angiograms/percutaneous intervention. | GeneralExplanation |
| Needs Assessment | Fresno Community Hospital and Medical Center is governed by a volunteer board of trustees comprised of local civic leaders and physicians. The trustees provide vision and policy direction. This process includes an annual review of the prior fiscal year and a community-needs evaluation to prioritize operational issues and provide direction in meeting the regions growing and changing health demands. | NeedsAssessment |
| Community Information | Community continues to seek creative solutions and partnerships that offer health benefits to Valley residents, ever conscious of the regions unique and growing needs. For example, last fiscal year Community partnered with the Hospital Council of Northern and Central California, area hospitals, emergency services and county staff to address the growing public-health crisis brought on by cutbacks in Fresno Countys services to the behavioral health, so-called 5150 patients. Community has also collaborated with the Hospital Council with respect to care of homeless patients and those who lack access to primary care physicians and, as a result, repeatedly use the emergency department for their care. In response to increasing numbers of inappropriate frequent users of the ED as well as patients who have multiple readmissions, Community Connections was implemented September 2009.The voluntary program provides outreach, engagement and intensive case management services to such patients. Community Connections Outreach Specialists (CCORS) provides direct client services such as monitoring and support, linkage to an array of social services, healthcare services, and community based organizations in efforts to connect patients to more appropriate services in the community that better address the issues of substance abuse, mental health, homelessness and chronic disease management.CCORS assist patients in applying for benefits such as Social Security, Fresno County benefits (General Relief, MISP, Food Stamps), and Medi-Cal. They attend appointments with patients at the Social Security office, primary care providers, mental health, substance abuse services and elsewhere, often assisting with completion of forms and follow-up as well as providing supportive counseling. Community Connections has established a partnership with the Housing Authorities of the City and County of Fresno securing housing vouchers for individuals who have a disability and are homeless. Community Connections also collaborates with the Fresno County Department of Behavioral Health, Holy Cross Clinic, Community Regional Diabetes Care Center, and the Community Regional Chronic Airway Disease Management programs. Community Connections enrolled 80 clients in the 2009-2010 implementation year. Of these 80 enrolled clients, 1% were homeless and linked to housing, 25% did not have a primary care provider and were linked to either the Deran Koligian Ambulatory Care Center or a community provider. The following outcomes have been reported for patients enrolled for one year: 60% decrease in ED visitsSignificant decrease in re-admissions and length of stayPatient linkage to Medi-Cal benefits enabling Community Regional to apply for retroactive reimbursement | CommunityInformation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | X | FirstClassOrCharterTravel |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | 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 | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | true | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | true | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | true | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
| Rebuttable Presumption Procedure | false | RebuttablePresumptionProcedure |
Form990 Schedule J Part II Form990ScheduleJPartII (17 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Related OrgsBonusRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|
| WANDA HOLDERMAN | ||||||||||
| 333864 | 90765 | 35000 | 9800 | 469429 | ||||||
| TRACY KIRITANI | ||||||||||
| 222150 | 44252 | 9773 | 276175 | |||||||
| TIM JOSLIN | ||||||||||
| 780843 | 200041 | 372413 | 9408 | 1362705 | ||||||
| THOMAS UTECHT | ||||||||||
| 302880 | 87929 | 30097 | 9408 | 430314 | ||||||
| STEPHEN WALTER | ||||||||||
| 524128 | 108754 | 36976 | 9408 | 679266 | ||||||
| PHYLLIS BALTZ | ||||||||||
| 325319 | 72095 | 16464 | 413878 | |||||||
| PATRICK RAFFERTY | ||||||||||
| 484191 | 147760 | 43062 | 9409 | 684422 | ||||||
| MICHAEL SYNN MD | ||||||||||
| 188667 | 188667 | |||||||||
| MARY CONTRERAS | ||||||||||
| 204795 | 71760 | 26000 | 19600 | 322155 | ||||||
| MARK MATHIESON | ||||||||||
| 238605 | 9396 | 248001 | ||||||||
| JOSEPH NOWICKI | ||||||||||
| 292404 | 71018 | 363422 | 9800 | 9800 | ||||||
| JOHN ZELEZNY | ||||||||||
| 279498 | 81093 | 26112 | 11760 | 398463 | ||||||
| JACK CHUBB | ||||||||||
| 396580 | 104509 | 40320 | 9408 | 550817 | ||||||
| GREGORY RUBIOLO | ||||||||||
| 273375 | 273375 | 7467 | 7467 | |||||||
| GINNY BURDICK | ||||||||||
| 215441 | 62978 | 22944 | 10759 | 312122 | ||||||
| CRAIG CASTRO | ||||||||||
| 381236 | 95313 | 43201 | 11760 | 531510 | ||||||
| ABDUL KASSIR | ||||||||||
| 285936 | 77800 | 26452 | 9408 | 399596 | ||||||
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Sch J, Part I, Line 6b | Part I, Line 6b: Explanation of organization compensation contingent on net earnings from related or | 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; andAttract and retain highly talented Executives that are critically important to the success of CMC. |
| Sch J, Part I, Line 5b | Part I, Line 5b: Explanation of organization compensation based on revenues of related organization | |
| Sch J, Part I, Line 1a | Part I, Line 1a: Relevant information in regards to selections on 1a. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (5 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer |
|---|---|---|---|---|---|---|
| Central Calif joint powers financing authority | ||||||
| 954314760 | 152757bh2 | 2000-09-27 | 126089376 | Construct & equip facility | true | false |
| Central Calif joint powers financing authority | ||||||
| 954314760 | 152757by5 | 2001-08-02 | 67746763 | Construct & equip facility | true | false |
| Central Calif joint powers financing authority | ||||||
| 201563466 | 130493bl2 | 2009-10-08 | 206029314 | Construct & equip facility | false | false |
| Community municipal finance authority | ||||||
| 201563466 | 130493at6 | 2007-05-16 | 330722470 | Construction | false | false |
| Community municipal finance authority | ||||||
| 201563466 | 2009-04-23 | 20515304 | Construct & equip facility | false | false | |
Form990 Schedule K Part II Form990ScheduleKPartII (5 entries)
| Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Amount UnspentAmountUnspent | Amount DefeasedAmountDefeased |
|---|---|---|---|---|---|---|---|---|---|---|
| 126089376 | 8483750 | 1732626 | 115873000 | 2001 | false | false | true | true | ||
| 67746763 | 6331504 | 1354935 | 60060324 | 2002 | false | false | true | true | ||
| 206069836 | 14237125 | 4120586 | 74099882 | 2012 | false | false | false | true | 113612243 | |
| 332032982 | 11489808 | 4345349 | 50953245 | 2008 | true | true | true | true | 265244580 | |
| 20669057 | 402261 | 20266796 | 2010 | false | false | true | true |
Form990 Schedule K Part III Form990ScheduleKPartIII (5 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|
| false | false | false | false | true | true |
| false | false | false | false | true | true |
| false | false | false | false | true | true |
| false | false | false | false | true | true |
| false | false | false | false | true | true |
Form990 Schedule K Part IV Form990ScheduleKPartIV (5 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate | Term Of GICTermOfGIC |
|---|---|---|---|---|---|---|---|
| (no name) | |||||||
| false | false | false | false | true | false | false | |
| (no name) | |||||||
| false | false | false | false | true | false | false | |
| (no name) | |||||||
| false | false | false | false | true | false | false | |
| Societe Generale | |||||||
| false | false | false | false | true | false | false | 69.0000 |
| (no name) | |||||||
| false | false | false | false | true | false | false | |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| Mario Gonzalez jr MD | |||
| Board member | 119732 | Medical staff payments | false |
| Michael Synn MD | |||
| Board member | 188667 | Medical directorship fees | false |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Form 990, Part VI, Line 19 | Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | See Schedule O attached |
| Form 990, Part VI, Line 15b | Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | See Schedule O attached |
| Form 990, Part VI, Line 12c | Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | See Schedule O attached |
| Form 990, Part VI, Line 11 | Form 990, Part VI, Line 11: Form 990 Review Process | See Schedule O attached |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Total IncomeTotalIncome | EOY AssetsEOYAssets | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Legal Domicile StateLegalDomicileState |
|---|---|---|---|---|---|---|---|---|---|
| Community Insurance Services Company | |||||||||
| PO Box 1232 | Fresno | CA | 93715 | 980674776 | Insurance | 3805000 | 12140000 | FCH&MC | |
| Fresno Heart Hospital LLC | |||||||||
| 15 E Audubon Dr | Fresno | CA | 93720 | 770513288 | Hospital (supported) | 6797000 | 67733000 | FCH&MC | CA |
| Deran Koligian Ambulatory Care Center | |||||||||
| 2440 Tulare Street Ste 400 | Fresno | CA | 93721 | 263813822 | Leasing | -357000 | 26179000 | FCH&MC | CA |
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 |
|---|---|---|---|---|---|---|---|---|---|
| Fresno Community Hospital & Medical Cent | |||||||||
| PO Box 1232 | Fresno | CA | 93715 | 941156276 | Hospital | CA | 501(C)(3) | 170(b)(1)(A)(iii) | NA |
| Community Hospitals of Cen Ca Fndation | |||||||||
| PO Box 1232 | Fresno | CA | 93715 | 770191730 | Supporting 509(a)(3) | CA | 501(C)(3) | 170(b)(1)(A)(lll) | NA |
| Community Hospitals of Central CA | |||||||||
| PO Box 1232 | Fresno | CA | 93715 | 942864615 | Supporting 509(a)(3) | CA | 501(C)(3) | 170(b)(1)(A)(lll) | NA |
Form990 Schedule R Part IV Form990ScheduleRPartIV (3 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Sante Health System | |||||||||||
| 1180 E Shaw Ave Suite 101 | Fresno | CA | 93710 | 770382381 | Mgmt services | CA | FCH&MC | C CORP | 960050 | 22344037 | 1.00000 |
| Community Health Plan Inc | |||||||||||
| 1925 E Dakota Avenue | Fresno | CA | 93715 | 770246798 | Inactive | CA | CHCC | C CORP | 1.00000 | ||
| Community Health Enterprises Inc | |||||||||||
| 1925 E Dakota Avenue | Fresno | CA | 93715 | 770175659 | Pharmacy sales | CA | FCH&MC | C CORP | -953026 | 6101820 | 1.00000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | true | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | true | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | true | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |