2024-07-11T14:49:32-05:00 2023-08-31 910189318 MOSS ADAMS LLP 3121 W MARCH LN STE 200 STOCKTON CA 952192367 990 2022-09-01 942864615 COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA COMM 5594596000 1560 E SHAW AVENUE FRESNO CA 93710 DEBORAH MOFFETT VICE FINANCIAL OFFICER 5594596000 2024-07-09 1 DEBORAH MOFFETT 999009999 1 TRACY S PAGLIA P00366884 2099556100 2024-07-09 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z COMMUNITY MEDICAL CENTERS CRAIG S CASTRO 1560 E SHAW AVENUE FRESNO CA 93710 320601504 0 X WWW.COMMUNITYMEDICAL.ORG X 1982 CA CHCC EXISTS TO BETTER THE LIVES OF ALL THOSE WE SERVE. 14 11 1548 18 0 0 73994 693514 255790678 311431929 52607 31958 12120160 795263 268037439 312952664 100000 9360 0 0 154578810 176614364 0 0 0 112300239 136108567 266979049 312732291 1058390 220373 147149509 149190929 243966714 241172761 -96817205 -91981832 X MISSION - WHY WE EXIST (OUR PURPOSE) COMMUNITY HEALTH SYSTEM EXISTS TO BETTER THE LIVES OF ALL THOSE WE SERVE.VISION - WHAT WE ASPIRE TO ACHIEVE WE WILL BE THE TRUSTED HEALTH LEADER OPENING NEW DOORS TO EDUCATE INNOVATE AND EXPAND OUR CARE AND SERVICES ACROSS THE VALLEY. VALUES - WHAT WE STAND FOR HUMANITY - TO DO RIGHT BY ALL PEOPLE DUTY - TO CARE, TEACH AND SERVE IS OUR CALLING EXCELLENCE - TO REACH BEYOND EXPECTATIONS IN ALL WE DO INGENUITY - TO FEARLESSLY FORGE NEW PATHS FORWARD 0 0 236275916 9360 311431929 MANAGEMENT FEES FROM AFFILIATED 501(C)(3) HOSPITALS AND FOUNDATION FOR EXECUTIVE MANAGEMENT AND GENERAL ADMINISTRATIVE COSTS. 236275916 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 125 0 1 1548 1 0 0 0 0 0 0 0 0 0 0 1 0 X 14 11 1 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X DEBORAH MOFFETT 5594596000 1560 E SHAW AVENUE FRESNO CA 93710 WAGIH IBRAHIM MD BOARD MEMBER 0.20 1.70 X 0 78150 0 AMIR FATHI MD BOARD MEMBER THRU 09/22 0.20 1.70 X 0 52800 0 FARID ASSEMI CHAIR THRU 04/23 0.20 1.50 X X 0 0 0 GREG ESTEP CHAIR ELECT AS OF 04/23 0.20 3.60 X X 0 0 0 ROGER STURDEVANT CHAIR AS OF 04/23 0.20 3.60 X X 0 0 0 SUSAN ABUNDIS SECRETARY THRU 12/22, BOARD MEMBER 0.20 1.70 X X 0 0 0 KAREN MCCAFFREY SECRETARY AS OF 01/23 0.20 1.70 X X 0 0 0 LORI BENNETT EDD BOARD MEMBER 0.20 1.70 X 0 0 0 RONALD BIERMA MD BOARD MEMBER 0.20 1.70 X 0 0 0 KEITH BOONE MD BOARD MEMBER 0.20 1.70 X 0 0 0 MARK COELHO BOARD MEMBER AS OF 02/23 0.20 1.70 X 0 0 0 JERRY COOK BOARD MEMBER THRU 12/22 0.20 1.70 X 0 0 0 GERARDO HERNANDEZ BOARD MEMBER AS OF 06/23 0.20 1.70 X 0 0 0 JOHN MCGREGOR BOARD MEMBER THRU 12/22 0.20 1.70 X 0 0 0 LELAND PARNAGIAN BOARD MEMBER AS OF 02/23 0.20 1.70 X 0 0 0 JOSHUA PETERSON BOARD MEMBER 0.20 1.70 X 0 0 0 RUTHIE QUINTO BOARD MEMBER 0.20 1.70 X 0 0 0 CHANDRASEKAR VENUGOPAL MD BOARD MEMBER 0.20 1.70 X 0 0 0 CRAIG S CASTRO PRESIDENT, CHIEF EXECUTIVE OFFICER 5.00 55.00 X 1932845 0 669784 CHRISTOPHER NEUMAN SVP, CHIEF FINANCIAL OFFICER 5.00 55.00 X 1181654 0 37775 BRIANNE L MARRIOTT - SECOND VS THRU 12/22/SVP CHIEF LEGAL OFFICER 5.00 50.00 X 899455 0 37359 DEBORAH MOFFETT - VICE FINANCIAL OFFICER/VP, FINANCE 5.00 50.00 X 468322 0 32293 ISABEL MARTINEZ - FIRST VS MANAGER CORP GOVERNANCE 5.00 40.00 X 126103 0 26770 KATHY MELENDEZ SECOND VICE-SECRETARY AS OF 01/23 5.00 35.00 X 70116 0 164 LINZIE DANIEL PAST CHAIR 0.20 1.70 X 0 0 0 CRAIG WAGONER EVP, CHIEF OPERATING OFFICER 5.00 51.90 X 1624136 0 32940 ROGER LARSEN - SVP CHIEF FINANCIAL OFFICER THRU 08/22 5.00 50.00 X 897209 0 31648 ALDO DE LA TORRE - SVP NETWORK DEVELOPMENT & INSURANCE SVC 5.00 51.90 X 868799 0 37706 CARLA MILTON SVP, CHIEF HUMAN RESOURCES OFFICER 5.00 51.90 X 736225 0 40071 JAMES FRANKLIN SVP, CHIEF INFORMATION OFFICER 5.00 50.00 X 727568 0 34725 PANAGIOTIS LYKIDIS SVP, PLANNING AND DEVELOPMENT 5.00 50.00 X 673607 0 1243 JUDI BINDERMAN - VP MEDICAL INFO OFFICER THRU 12/23 5.00 50.00 X 592834 0 31487 MICHELLE VON TERSCH SVP, COMMUN & LEGIS AFFAIRS 5.00 50.00 X 451032 0 46022 ERIC SAFF SVP, CHIEF INFORMATION OFFICER 5.00 50.00 X 417088 0 28078 JOSEPH NOWICKI - FORMER SVP, CORPORATE CFO THRU 04/21 0.00 0.00 X 569995 0 15297 TIM JOSLIN - FORMER PRESIDENT CHIEF EXECUTIVE OFFICER THRU 07/20 0.00 0.00 X 482216 0 5567 JUANITA HERNANDEZ - FRMR FIRST VS/SECOND VS/DIR CORP GOV THRU 02/22 5.00 50.00 X 290852 0 6233 13010056 130950 1115162 420 1 1 0 PHYSICIAN NETWORK ADVANTAGE 7255 N FIRST STREET SUITE 103 FRESNO CA 93720 TECHNOLOGY 6371912 CDW GOVERNMENT CDW-G 75 REMITTANCE DRIVE SUITE 1515 CHICAGO IL 606751515 TECHNOLOGY 6360708 MICROSOFT CORPORATION SERVICES ONE MICROSOFT WAY REDMOND WA 98052 TECHNOLOGY 5710028 CONVERGENT REVENUE CYCLE MGMT 13575 HEATHCOTE BLVD STE 300 GAINESVILLE VA 20155 FINANCIAL SERVICES 4200831 EPIC SYSTEMS CORPORATION 1979 MILKY WAY VERONA WI 53593 TECHNOLOGY 4065515 160 693514 693514 MANAGEMENT FEES 541610 306232761 306232761 APPLICATION REVENUE 561000 279550 279550 PROGRAM SERVICE RENTAL 532000 269737 269737 SPECIAL SERVICES REVEN 561499 157080 157080 4492801 4492801 311431929 31958 31958 7725097 7648840 76257 76257 76257 CHANGE IN PENSION 900099 719006 719006 719006 312952664 311431929 0 827221 X 9360 9360 939152 939152 93401 93401 143816933 120806224 23010709 4195147 3523923 671224 18151346 15247131 2904215 9418385 7911443 1506942 17059294 17059294 303696 303696 655429 655429 37358911 16056225 21302686 6100451 6100451 10998930 7919230 3079700 38982091 38982091 4094365 3439267 655098 731436 731436 387074 387074 10517616 8834797 1682819 3734821 3734821 OTHER OPERATING EXPENSE 4206281 2103357 2102924 REPAIRS & MAINTENANCE 749065 374533 374532 LEASE & RENTAL PAYMENTS 229107 114553 114554 312732291 236275916 76456375 0 459797 880470 2628036 1941472 851429 765984 18756128 20507363 348132073 230646070 123098921 117486003 1355198 2110423 0 5499214 147149509 149190929 40811699 39918084 214642 296930 5463920 5317089 6692295 5400594 190784158 190240064 243966714 241172761 X -96817205 -91981832 -96817205 -91981832 147149509 149190929 X 220373 4615000 X 0 1 X 1 0 X X 1 FRESNO COMMUNITY HOSPITAL & MEDICAL CENTER 941156276 3 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 PART IV, SECTION A, LINE 1: COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA'S (CHCC) BOARD APPROVED MISSION IS TO BETTER THE LIVES OF ALL THOSE WE SERVE. CHCC IS THE CENTRALIZED SHARED SERVICES ENTITY FOR THE AFFILIATED GROUP, WHICH ARE UNDER COMMON CONTROL. CHCC HAS HAD A HISTORIC AND CONTINUING RELATIONSHIP WITH FCH&MC. PART IV, SECTION A, LINE 6: CHCC PROVIDED ONE GRANT TO A NON-SUPPORTED ORGANIZATION DURING THE YEAR TO SUPPORT THE COMMUNITY AT LARGE. THE GRANT MADE WAS IN FURTHERANCE OF HEALTH CARE PURPOSES CONSISTENT WITH FCH&MC'S EXEMPT PURPOSE, AND WOULD HAVE BEEN MADE DIRECTLY BY FCH&MC IF IT HAD NOT BEEN MADE BY CHCC. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 655429 0 0 655429 0 PART II-B, LINE 1: CHCC MAINTAINS A GOVERNMENT RELATIONS FUNCTION TO MONITOR PENDING LEGISLATION AND TO INFLUENCE LEGISLATORS AND PUBLIC OPINION ON HEALTH CARE ISSUES. PAYMENTS MADE TO LOBBYISTS ARE DISCLOSED BELOW. THE FORHAN COMPANY: PROFESSIONAL FEES WERE PAID FOR FEDERAL, STATE OF CALIFORNIA, COUNTY OF FRESNO AND CITY OF FRESNO FOR GOVERNMENT RELATIONS AND ADVOCACY SERVICES. CJ LAKE: PROFESSIONAL FEES WERE PAID FOR FEDERAL GOVERNMENT RELATIONS AND ADVOCACY SERVICES. CALIFORNIA HOSPITAL COUNCIL: A PORTION OF DUES PAID DIRECTLY RELATE TO LOBBYING ACTIVITY. VILLINES GROUP, LLP: FEES RELATE DIRECTLY TO LOBBYING/GOVERNMENTAL RELATIONS ACTIVITY. PEACH INC: PORTION OF DUES PAID DIRECTLY RELATED TO LOBBYING ACTIVITY. 16875538 12638260 29513798 115225028 52575881 62649147 1736262 1736262 0 194360821 176333927 18026894 7296164 7296164 117486003 PAYABLES TO AFFILIATES 168917080 PENSION LIABILITY 21322984 190240064 X PART X, LINE 2: THERE IS NO FOOTNOTE FOR FIN 48 IN THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS DUE TO IMMATERIALITY. 0 VALLEY HEALTHCARE EDUCATION FOUNDATION 7255 N FIRST ST SUITE 103 FRESNO CA 93720 832884533 501(C)(3) 9360 0 ACCESS TO HIGHER EDUCATION IN HEALTH SCIENCES WITHIN CENTRAL VALLEY 1 0 PART I, LINE 2: THE ORGANIZATION DOES NOT HAVE A GRANT PROCEDURE FOR MONITORING THE USE OF FUNDS. X 1 1 X X X X 1 1 0 0 0 0 0 1 0 CRAIG S CASTRO PRESIDENT, CHIEF EXECUTIVE OFFICER 1578019 0 125000 0 229826 0 645288 0 24496 0 2602629 0 0 0 CRAIG WAGONER EVP, CHIEF OPERATING OFFICER 1034804 0 474123 0 115209 0 18300 0 14640 0 1657076 0 0 0 CHRISTOPHER NEUMAN SVP, CHIEF FINANCIAL OFFICER 734005 0 356140 0 91509 0 18300 0 19475 0 1219429 0 0 0 BRIANNE L MARRIOTT - SECOND VS THRU 12/22/SVP CHIEF LEGAL OFFICER 598724 0 248075 0 52656 0 18300 0 19059 0 936814 0 0 0 ROGER LARSEN - SVP CHIEF FINANCIAL OFFICER THRU 08/22 722767 0 66667 0 107775 0 15250 0 16398 0 928857 0 0 0 ALDO DE LA TORRE - SVP NETWORK DEVELOPMENT & INSURANCE SVC 568941 0 248782 0 51076 0 15250 0 22456 0 906505 0 0 0 CARLA MILTON SVP, CHIEF HUMAN RESOURCES OFFICER 480169 0 211088 0 44968 0 21350 0 18721 0 776296 0 0 0 JAMES FRANKLIN SVP, CHIEF INFORMATION OFFICER 500660 0 191660 0 35248 0 21350 0 13375 0 762293 0 0 0 PANAGIOTIS LYKIDIS SVP, PLANNING AND DEVELOPMENT 489640 0 130458 0 53509 0 0 0 1243 0 674850 0 0 0 JUDI BINDERMAN - VP MEDICAL INFO OFFICER THRU 12/23 437221 0 147257 0 8356 0 18300 0 13187 0 624321 0 0 0 JOSEPH NOWICKI - FORMER SVP, CORPORATE CFO THRU 04/21 0 0 0 0 569995 0 0 0 15297 0 585292 0 0 0 DEBORAH MOFFETT - VICE FINANCIAL OFFICER/VP, FINANCE 354173 0 106851 0 7298 0 24400 0 7893 0 500615 0 0 0 MICHELLE VON TERSCH SVP, COMMUN & LEGIS AFFAIRS 293943 0 148102 0 8987 0 24400 0 21622 0 497054 0 0 0 TIM JOSLIN - FORMER PRESIDENT CHIEF EXECUTIVE OFFICER THRU 07/20 0 0 0 0 482216 0 0 0 5567 0 487783 0 0 0 ERIC SAFF SVP, CHIEF INFORMATION OFFICER 320163 0 92188 0 4737 0 15250 0 12828 0 445166 0 0 0 JUANITA HERNANDEZ - FRMR FIRST VS/SECOND VS/DIR CORP GOV THRU 02/22 29257 0 0 0 261595 0 2508 0 3725 0 297085 0 0 0 ISABEL MARTINEZ - FIRST VS MANAGER CORP GOVERNANCE 97505 0 26699 0 1899 0 9236 0 17534 0 152873 0 0 0 PART I, LINE 1A FIRST-CLASS TRAVEL ON CERTAIN LONG-TERM OR OVERNIGHT FLIGHTS IS ALLOWED FOR THE CEO, COO, AND CFO. THIS IS NOT CONSIDERED TAXABLE TO THE EMPLOYEE. PART I, LINES 4A-B LINE 4A: SEVERANCE AGREEMENTS WERE MADE BETWEEN THE ORGANIZATION AND THREE EMPLOYEES: TIM JOSLIN, JOSEPH NOWICKI, AND JUANITA HERNANDEZ. UNDER THESE AGREEMENTS, PAYMENTS WERE MADE DURING 2022 FOR ALL THREE EMPLOYEES. DETAILS OF THE TERMS AND CONDITIONS OF THE SEVERANCE AGREEMENTS ARE AVAILABLE TO THE IRS UPON REQUEST. LINE 4B: DURING THE YEAR, CRAIG S. CASTRO PARTICIPATED IN A SERP PLAN. A CONTRIBUTION OF $620,888 WAS MADE IN 2022. PART I, LINE 7 IF FUNDING IS AVAILABLE, THE CHS BOARD WILL PROVIDE THE CHS PRESIDENT & CHIEF EXECUTIVE OFFICER WITH A DISCRETIONARY BONUS POOL TO RECOGNIZE CHS SENIOR LEADERS WHO HAVE DEMONSTRATED EXCEPTIONAL PERFORMANCE. DURING THE YEAR, THE FOLLOWING INDIVIDUALS RECEIVED A DISCRETIONARY BONUS: - ALDO DE LA TORRE - PANAGIOTIS LYKIDIS - BRIANNE L. MARRIOTT - CARLA MILTON - CHRISTOPHER NEUMAN - CRAIG WAGONER - MICHELLE VON TERSCH KATHARINE MCGREGOR FAMILY MEMBER OF JOHN MCGREGOR, A MEMBER OF CHCC'S BOARD OF TRUSTEES. 68898 EMPLOYMENT 0 FORM 990, PART VI, SECTION A, LINE 2 FARID ASSEMI, SUSAN ABUNDIS, AND JOHN MCGREGOR, ESQ. - BUSINESS RELATIONSHIP FARID ASSEMI AND JOSHUA PETERSON - BUSINESS RELATIONSHIP FORM 990, PART VI, SECTION A, LINE 4 DURING FY 2023, THE BOARD OF TRUSTEES AMENDED ITS BYLAWS TO: A) ELIMINATE CERTAIN NON-VOTING EX OFFICIO GUEST POSITIONS; B) CONVERT THE PAST CHAIR INTO A NON-OFFICER POSITION; C) CLARIFY THAT THE BOARD SELECTS THE MEMBERS OF EACH BOARD COMMITTEE AFTER RECEIPT OF NON-BINDING RECOMMENDATIONS FROM THE BOARD CHAIR, D) REMOVE THE EXECUTIVE COMMITTEE'S DUTY TO REVIEW THE FORM 990 PRIOR TO FILING, AS THE FULL BOARD REVIEWS THE FORM 990; AND E) REDUCE OVERLAP IN THE MEMBERSHIP OF THE AUDIT & COMPLIANCE COMMITTEE AND THE FINANCE AND PLANNING COMMITTEE. FORM 990, PART VI, SECTION B, LINE 11B UPON COMPLETION OF AN INITIAL REVIEW BY SENIOR MANAGEMENT, THE FORM IS REVIEWED BY THE BOARD OF TRUSTEES. THE FINALIZED FORM 990 THEN BECOMES A RECORD OF THE ORGANIZATION'S BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF COMMITTEE WITH BOARD DELEGATED POWERS SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON: 1) HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY; 2) HAS READ AND UNDERSTANDS THE POLICY; 3) HAS AGREED TO COMPLY WITH THE POLICY; AND 4) UNDERSTANDS THAT THE CORPORATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER COMMITTEE WITH BOARD DELEGATED POWERS ALSO COMPLETES A CONFLICT OF INTEREST DISCLOSURE STATEMENT PRIOR TO THE ASSIGNMENT OF THEIR DUTIES AND THEREAFTER ON AN ANNUAL BASIS. THE STATEMENT ASKS SPECIFIC QUESTIONS THAT WOULD DETERMINE IF THERE ARE CONFLICTS OF INTERESTS. CHS'S CHIEF ETHICS & COMPLIANCE OFFICER, AND CHIEF LEGAL OFFICER REVIEW THE RESPONSES AND DETERMINE WHETHER THERE IS A CONFLICT BASED ON POLICY. IF A CONFLICT OF INTEREST IS IDENTIFIED, THE DIRECTOR, PRINCIPAL OFFICER, OR MEMBER COMMITTEE WITH BOARD DELEGATED POWERS WILL BE REMOVED FROM DECISION MAKING AS IT PERTAINS TO THAT CONFLICT. 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 ARRANGEMENTS FOR PHYSICIAN AND OTHER PROVIDER SERVICES RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT; 3) WHETHER PARTNERSHIP AND JOINT VENTURE ARRANGEMENTS AND ARRANGEMENTS WITH MANAGEMENT SERVICE ORGANIZATIONS AND PHYSICIAN HOSPITAL ORGANIZATIONS CONFORM TO WRITTEN POLICIES, ARE PROPERLY RECORDED, REFLECT REASONABLE PAYMENTS FOR GOODS AND SERVICES, FURTHER THE CORPORATION'S CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT; AND 4) WHETHER AGREEMENTS TO PROVIDE HEALTH CARE AND AGREEMENTS WITH OTHER HEALTH CARE PROVIDERS, EMPLOYEES, AND THIRD PARTY PAYORS FURTHER THE CORPORATION'S CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT. FORM 990, PART VI, SECTION B, LINE 15 RESPONSIBILITY FOR OVERSIGHT OF EXECUTIVE COMPENSATION RESTS WITH THE BOARD'S EXECUTIVE COMPENSATION SUBCOMMITTEE. THE COMMITTEE WILL "CONSIDER ALL MATTERS INVOLVING COMPENSATION AND BENEFITS OF (I) CORPORATE OFFICERS WHO ARE CLASSIFIED AS "DISQUALIFIED PERSONS" PURSUANT TO INTERNAL REVENUE CODE SECTION 4958; (II) ALL OTHER CORPORATE OFFICERS WHO ARE SENIOR VICE PRESIDENTS AND EXECUTIVE VICE PRESIDENTS AND (III) THE PRESIDENT/CHIEF EXECUTIVE OFFICER." THROUGH THE EXECUTIVE COMPENSATION SUBCOMMITTEE, THE BOARD HAS ENGAGED SULLIVAN, COTTER AND ASSOCIATES, INC. TO CONDUCT A TOTAL COMPENSATION REVIEW FOR THOSE INDIVIDUALS IDENTIFIED IN THEIR SCOPE OF RESPONSIBILITY WHICH INCLUDED THE USE OF COMPARABILITY DATA AND DOCUMENTATION OF THE FINDINGS REPORTED TO THE COMMITTEE. FOR TAX YEAR 2023, THIS PROCESS WAS COMPLETED NOVEMBER, 2022. FORM 990, PART VI, SECTION C, LINE 19 FEDERAL TAX LAWS DO NOT REQUIRE THAT THE ORGANIZATION'S GOVERNING DOCUMENTS AND POLICIES RELATED TO CONFLICTS OF INTEREST BE MADE AVAILABLE FOR PUBLIC INSPECTION. THE CONSOLIDATED FINANCIAL STATEMENTS OF COMMUNITY HEALTH SYSTEM, OF WHICH FILING ENTITY IS A PART, ARE ATTACHED TO THE FORM 990 OF FILING ENTITY'S AFFILIATE, FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER AND ARE THEREFORE PUBLICLY AVAILABLE. FORM 990, PART IX, LINE 11G HBP FEES: PROGRAM SERVICE EXPENSES 12,475. MANAGEMENT AND GENERAL EXPENSES 16,537. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 29,012. MD SUPERVISORY FEES: PROGRAM SERVICE EXPENSES 537,846. MANAGEMENT AND GENERAL EXPENSES 712,958. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,250,804. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,490,922. MANAGEMENT AND GENERAL EXPENSES 1,976,338. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,467,260. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 13,839,959. MANAGEMENT AND GENERAL EXPENSES 18,364,845. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,204,804. COLLECTION AGENCIES: PROGRAM SERVICE EXPENSES 157,232. MANAGEMENT AND GENERAL EXPENSES 208,424. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 365,656. CONSULT & MGMT FEES: PROGRAM SERVICE EXPENSES 17,791. MANAGEMENT AND GENERAL EXPENSES 23,584. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 41,375. FORM 990, PART XI, LINE 9: CHANGE IN UNFUNDED ACCUMULATED PENSION BENEFIT OBLIGATION 4,615,000. FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER 1560 E SHAW AVENUE FRESNO CA 93710 941156276 HOSPITAL CA 501(C)(3) LINE 3 COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA 1 COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA FOUNDATION 1560 E SHAW AVENUE FRESNO CA 93710 770191730 SUPPORTING ORGANIZATION CA 501(C)(3) LINE 7 COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA 1 COMMUNITY HEALTH PARTNERS 45 RIVER PARK PLACE WEST SUITE 507 FRESNO CA 93720 852103299 HEALTHCARE CA 501(C)(3) LINE 3 FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER 1 AMI REALTY PARTNERS LP 1560 E SHAW AVENUE FRESNO CA 93710 203709876 REAL PROPERTY RENTAL CA N/A 0 0 AMSURG CMC ASC VENTURES LLC 1A BURTON HILLS BOULEVARD SUITE 300 NASHVILLE TN 37215 883433826 HOLDING COMPANY TN N/A 0 0 COMMUNITY HEALTH ENTERPRISES INC 789 N MEDICAL CENTER DRIVE EAST CLOVIS CA 93611 770175659 PHARMACY SALES CA COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA C 6971882 1843358 1.00000 1 COMMUNITY CARE HEALTH PLAN INC 789 N MEDICAL CENTER DRIVE EAST CLOVIS CA 93611 770246798 HEALTH CARE PLAN CA FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER C 63520794 15410380 1.00000 1 COMMUNITY INSURANCE SERVICES COMPANY 789 N MEDICAL CENTER DRIVE EAST CLOVIS CA 93611 980674776 INSURANCE CJ FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER C 9924077 37844941 1.00000 1 COMMUNITY CHOICE IPA 789 N MEDICAL CENTER DRIVE EAST CLOVIS CA 93611 NONE CA COMMUNITY HEALTH PARTNERS C 1.00000 1 0 0 1 1 0 0 0 0 0 1 1 1 1 1 1 1 1 0 0 FRESNO COMMUNITY HOSPITAL & MEDICAL CENTER Q 303753512 COST COMMUNITY HEALTH ENTERPRISES INC Q 768436 COST COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA FOUNDATION Q 649489 COST COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA FOUNDATION C 693514 COST COMMUNITY HEALTH PARTNERS J 3699874 COST COMMUNITY CARE HEALTH PLAN INC Q 4661049 COST