2023-10-05T12:43:12-05:00 2022-12-31 952302617 SINGERLEWAK LLP 2010 MAIN ST STE 300 IRVINE CA 92614 990 2022-01-01 330056551 COMMUNITY HEALTH SYSTEMS INC COMM 9515712300 21801 ALESSANDRO BLVD MORENO VALLEY CA 925538551 LORI HOLEMAN CEO 9515712300 2023-09-01 1 LORI HOLEMAN 999009999 0 LIOR TEMKIN P00748170 9492618600 2023-09-01 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z LORI HOLEMAN 21801 ALESSANDRO BLVD MORENO VALLEY CA 925538551 32270645 0 X WWW.CHSICA.ORG X 1984 CA TO IMPROVE AND STRENGTHEN THE HEALTH OF OUR DIVERSE COMMUNITIES BY PROVIDING COMPASSIONATE AND COMPREHENSIVE HEALTH SERVICES. 9 9 439 9 0 0 17507114 6308263 22669171 25950476 373 1700 227128 10206 40403786 32270645 0 0 0 0 22878369 26103010 0 0 0 8423758 8790966 31302127 34893976 9101659 -2623331 24146972 34129628 9847014 22453001 14299958 11676627 TO IMPROVE AND STRENGTHEN THE HEALTH OF OUR DIVERSE COMMUNITIES BY PROVIDING COMPASSIONATE AND COMPREHENSIVE HEALTH SERVICES. 0 0 26460817 25960682 COMMUNITY HEALTH SYSTEMS PROVIDED 124,273 MEDICAL, DENTAL, VISION, MENTAL HEALTH, AND OTHER PRIMARY CARE SERVICES, INCLUDING VIRTUAL VISITS, TO INDIVIDUALS IN THE TRI-COUNTY AREA OF SOUTHERN CALIFORNIA. APPROXIMATELY 24,556 PATIENTS WERE SERVED. A MAJORITY OF THOSE PATIENTS WERE LOW-INCOME AND UNDERINSURED WITH LIMITED MEANS FOR PAYMENT. 26460817 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 16 0 1 439 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X X ANNIE NGUYEN 9515712300 21801 ALESSANDRO BLVD MORENO VALLEY CA 92553 DR SANJEEV PURI FROM 822 CMO (FROM 8/22) 40.00 X 306858 0 2188 LORI HOLEMAN CEO 40.00 X 261382 0 31098 ANNIE NGUYEN CFO 40.00 X 207308 0 30047 DENIS VEGA TAPIA COO 40.00 X 192750 0 28940 MAHDI HEMATIAN-ASHRAFIAN CMO (UNTIL 8/22) 40.00 X 176373 0 20028 DR GEORGE SOLIMAN FAMILY PRACTICE PHYSICIAN 40.00 X 295658 0 28009 DR CALVIN LAMBERT HALL FAMILY PRACTICE PHYSICIAN 40.00 X 289000 0 27903 DR GORAN CVIJANOVIC PHYSICIAN 40.00 X 292053 0 16475 DR SHEILA LOHARUKA INTERNAL MEDICINE PHYSICIA 40.00 X 243379 0 13928 STANLEY YU PEDIATRICIAN 40.00 X 229885 0 9519 JONNATHAN BARAJAS CHAIR 1.50 X X 0 0 0 KIMBERLY JIMENEZ VICE CHAIR 1.00 X X 0 0 0 OSCAR ULRIC JONES TREASURER 1.00 X X 0 0 0 JENNIFER DOBROWOLSKY SECRETARY 1.00 X X 0 0 0 DRAYMOND CRAWFORD BOARD MEMBER 0.75 X 0 0 0 DENISE CULBERSON BOARD MEMBER 0.50 X 0 0 0 AMIR SADEGHIAN BOARD MEMBER 0.75 X 0 0 0 ALLISON MONTERROSA BOARD MEMBER 0.50 X 0 0 0 VERONICA HERNANDEZ BOARD MEMBER 0.50 X 0 0 0 2494646 0 208135 24 0 1 0 0 5288328 1019935 6308263 PATIENT SERVICE REVENU 621990 25950476 25950476 25950476 1700 1700 OTHER INCOME 621990 10206 10206 10206 32270645 25960682 0 1700 1256971 505446 751525 20652484 16553782 4098702 2489374 1774500 714874 1704181 1332774 371407 9339 9339 72910 72910 1979980 1748279 231701 1139167 663325 475842 706843 19784 687059 2134495 1655596 478899 92646 25870 66776 102560 18422 84138 286265 286265 635612 452627 182985 386398 264082 122316 MEDICAL SUPPLIES 1078940 1078702 238 DUES AND SUBSCRIPTIONS 138328 54073 84255 REPAIRS AND MAINTENANCE 27483 27290 193 34893976 26460817 8433159 0 4137361 1928864 6657295 3565324 2379110 1426091 324693 893680 19186032 8756930 10528801 10429102 1201536 119712 14685031 24146972 34129628 3909235 2578349 5865773 5446912 72006 14427740 9847014 22453001 X 8148130 8692875 6151828 2983752 14299958 11676627 24146972 34129628 -2623331 0 X X 0 1 X 1 1 1 X 6701325 6828716 9002113 17507114 6308263 46347531 6701325 6828716 9002113 17507114 6308263 46347531 46347531 32323 4819 107 373 1700 39322 16894 39464 73253 227128 10206 366945 46753798 100979454 0.99130 0.97840 X PART II, LINE 10: OTHER INCOME INCLUDES: INSURANCE REFUND, TAX REFUND, AND PRIOR PAID INVOICE CANCELLATION BY VENDOR. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 230000 230000 4549720 1479820 3069900 9979659 3893117 6086542 2474624 2015025 459599 1952029 1368968 583061 10429102 SECURITY DEPOSITS 365712 RIGHT-OF-USE ASSETS 14319319 14685031 RIGHT-OF-USE LIABILITIES 14427740 14427740 X 35426815 3168076 3168076 32258739 11906 11906 32270645 34607711 0 34607711 286265 286265 34893976 PART X, LINE 2: THE ORGANIZATION HAS BEEN DESIGNATED AS TAX-EXEMPT UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND IS ALSO EXEMPT FROM STATE FRANCHISE TAXES UNDER SECTION 23701(D) OF THE CALIFORNIA REVENUE AND TAXATION CODE AND IS NOT GENERALLY SUBJECT TO FEDERAL OR STATE INCOME TAXES. HOWEVER, THE ORGANIZATION IS SUBJECT TO INCOME TAXES ON ANY NET INCOME THAT IS DERIVED FROM A TRADE OR BUSINESS, REGULARLY CARRIED ON, AND NOT IN FURTHERANCE OF THE PURPOSES FOR WHICH IT WAS GRANTED EXEMPTION. NO INCOME TAX PROVISION HAS BEEN RECORDED AS THE NET INCOME, IF ANY, FROM ANY UNRELATED TRADE OR BUSINESS, IN THE OPINION OF MANAGEMENT, IS NOT MATERIAL TO THE BASIC FINANCIAL STATEMENTS TAKEN AS A WHOLE. DEFERRED TAXES ARE PROVIDED ON A LIABILITY METHOD WHEREBY DEFERRED TAX ASSETS ARE RECOGNIZED FOR DEDUCTIBLE TEMPORARY DIFFERENCES AND DEFERRED TAX LIABILITIES ARE RECOGNIZED FOR TAXABLE TEMPORARY DIFFERENCES. TEMPORARY DIFFERENCES ARE THE DIFFERENCES BETWEEN THE REPORTED AMOUNTS OF ASSETS AND LIABILITIES AND THEIR TAX BASES. DEFERRED TAX ASSETS ARE REDUCED BY A VALUATION ALLOWANCE WHEN, IN THE OPINION OF MANAGEMENT, IT IS MORE LIKELY THAN NOT THAT SOME PORTION OF ALL OF THE DEFERRED TAX ASSETS WILL NOT BE REALIZED. DEFERRED TAX ASSETS AND LIABILITIES ARE ADJUSTED FOR THE EFFECTS OF CHANGES IN TAX LAWS AND RATES ON THE DATE OF ENACTMENT. THERE ARE NO DEFERRED TAX ASSETS OR LIABILITIES AS OF DECEMBER 31, 2022. THE ORGANIZATION WILL RECOGNIZE THE IMPACT OF TAX POSITIONS IN THE FINANCIAL STATEMENTS IF THAT POSITION IS MORE LIKELY THAN NOT OF BEING SUSTAINED ON AUDIT, BASED ON THE TECHNICAL MERITS OF THE POSITION. TO DATE, THE ORGANIZATION HAS NOT RECORDED ANY UNCERTAIN TAX POSITIONS. THE ORGANIZATION RECOGNIZES POTENTIAL ACCRUED INTEREST AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS IN INCOME TAX EXPENSE. DURING THE YEAR ENDED DECEMBER 31, 2022, THE ORGANIZATION DID NOT RECOGNIZE ANY AMOUNT IN POTENTIAL INTEREST AND PENALTIES ASSOCIATED WITH UNCERTAIN TAX POSITIONS. THE FOLLOWING TABLE SUMMARIZES THE OPEN TAX YEARS FOR EACH MAJOR JURISDICTION: JURISDICTION OPEN TAX YEAR FEDERAL 2019 - 2022 STATE 2018 - 2022 PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGES IN TEMPORARILY RESTRICTED NET ASSETS 3,168,076. PART XI, LINE 4B - OTHER ADJUSTMENTS: OTHER INCOME 10,206. RENTAL INCOME INTEREST INCOME 164. INVESTMENT INCOME 1,536. PART XII, LINE 4B - OTHER ADJUSTMENTS: INTEREST EXPENSE 286,265. X X X X 0 0 0 0 0 0 0 0 0 DR SANJEEV PURI FROM 822 CMO (FROM 8/22) 306858 0 0 0 0 0 0 0 2188 0 309046 0 0 0 LORI HOLEMAN CEO 261382 0 0 0 0 0 0 0 31098 0 292480 0 0 0 ANNIE NGUYEN CFO 207308 0 0 0 0 0 0 0 30047 0 237355 0 0 0 DENIS VEGA TAPIA COO 192750 0 0 0 0 0 0 0 28940 0 221690 0 0 0 MAHDI HEMATIAN-ASHRAFIAN CMO (UNTIL 8/22) 176373 0 0 0 0 0 0 0 20028 0 196401 0 0 0 DR GEORGE SOLIMAN FAMILY PRACTICE PHYSICIAN 295658 0 0 0 0 0 0 0 28009 0 323667 0 0 0 DR CALVIN LAMBERT HALL FAMILY PRACTICE PHYSICIAN 289000 0 0 0 0 0 0 0 27903 0 316903 0 0 0 DR GORAN CVIJANOVIC PHYSICIAN 292053 0 0 0 0 0 0 0 16475 0 308528 0 0 0 DR SHEILA LOHARUKA INTERNAL MEDICINE PHYSICIA 243379 0 0 0 0 0 0 0 13928 0 257307 0 0 0 STANLEY YU PEDIATRICIAN 229885 0 0 0 0 0 0 0 9519 0 239404 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B A DRAFT COPY OF FORM 990 (INCLUDING ALL PERTINENT SCHEDULES) WAS PROVIDED TO THE ORGANIZATION'S FINANCE COMMITTEE TO REVIEW AND APPROVE BEFORE IT WAS FILED WITH THE INTERNAL REVENUE SERVICE. A COPY WAS ALSO PROVIDED TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A REPORTING CHAIN FOR ADMINISTRATION AND CLINICAL POLICIES. POLICIES ARE ADDRESSED AT THE LOWEST LEVEL POSSIBLE AND ISSUES ARE RAISED UP THROUGH THE REPORTING CHAIN AS NEEDED. FORM 990, PART VI, SECTION B, LINE 15 TO DETERMINE THE COMPENSATION OF THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER, THE HUMAN RESOURCES DEPARTMENT RESEARCHES COMPARABILITY DATA FOR THE SALARY ANALYSIS; THE HUMAN RESOURCES DIRECTOR MAKES A RECOMMENDATION TO THE BOARD OF DIRECTORS AND THE BOARD VOTES ON THAT RECOMMENDATION. THIS PROCESS IS DOCUMENTED IN THE MEETING MINUTES. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION MAKES ITS FORM 1023 AND 990 AVAILABLE TO THE PUBLIC UPON REQUEST IN THE CORPORATE OFFICE IN MORENO VALLEY AND ON GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST FOR VIEWING IN THE CORPORATE OFFICE IN MORENO VALLEY. IN ADDITION, UPON REQUEST, THE FINANCIAL STATEMENTS ARE PROVIDED TO VARIOUS FUNDING AGENCIES AS REQUIRED. FORM 990, PART XI, LINE 2C: THE ORGANIZATION HAS A FINANCE COMMITTEE THAT ASSUMES RESPONSIBILTY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM PRIOR YEAR. FORM 990, PART I, LINE 8: THE LARGE REDUCTION IN THE CONTRIBUTIONS/GRANTS BETWEEN PRIOR YEAR AND CURRENT YEAR IS DUE IN GREAT PART TO THE SBA PPP LOAN AMOUNT OF $3,500,000 IN 2021.