2019-05-22T16:02:17-05:00 2018-06-30 910189318 MOSS ADAMS LLP 2882 PROSPECT PARK DR STE 300 RANCHO CORDOVA CA 95670 990 2017-07-01 942437106 COMMUNITY MEDICAL CENTERS INC COMM 2093732800 7210 MURRAY DRIVE STOCKTON CA 95210 JAMIE ALLEN CFO 2093732800 2019-05-22 1 TRACY S PAGLIA P00366884 9165038100 2019-05-22 68.189.2.138 2019-05-22 11:51:57 PD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 68BC8D16007A635797B63211188E0ACDDC1C3CBF 2017 2019-02-21 02:37:17Z CHRISTINE NOGUERA 7210 MURRAY DRIVE STOCKTON CA 95210 66952059 0 X WWW.COMMUNITYMEDICALCENTERS.ORG X 1978 CA THE ORGANIZATION PROVIDES PRIMARY MEDICAL AND DENTAL CARE TO THE POPULATION OF SAN JOAQUIN, SOLANO, AND YOLO COUNTIES WITHOUT REGARD TO PATIENT'S ABILITY TO PAY. 14 14 680 20 0 0 11180498 11555124 53208759 55344560 14161 44425 0 7950 64403418 66952059 0 0 0 0 39433049 42908209 35000 11093 11093 17691754 19101730 57159803 62021032 7243615 4931027 32398488 41469011 17199608 21339104 15198880 20129907 TO IMPROVE THE HEALTH AND QUALITY OF LIFE FOR MEMBERS OF THE COMMUNITY. 0 0 46956845 0 55344560 COMMUNITY MEDICAL CENTERS IS ONE OF THE LARGEST PROVIDERS OF HEALTH CARE SERVICES IN CENTRAL CALIFORNIA. WE OPERATE 18 FULL-TIME AND 4 SATELLITE CLINICS IN 3 CALIFORNIA COUNTIES. OUR CLINICIANS COMPLETE OVER 280,000 PATIENT ENCOUNTERS ANNUALLY, AND THE NUMBER INCREASES EACH YEAR. WE HAVE FULLY IMPLEMENTED AN INTEGRATED ELECTRONIC HEALTH RECORDS (EHR) SYSTEM IN ALL PRACTICES AT ALL SITES. WE ARE ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS, AND WE STRIVE TO BE THE PATIENT-CENTERED MEDICAL HOME FOR ALL FAMILY MEMBERS. WE OFFER AN EXTENSIVE ARRAY OF SERVICES TO ALL, REGARDLESS OF THEIR CIRCUMSTANCES. WE ALSO CONTINUE TO ADD NEW MEDICAL TECHNOLOGIES, RECRUIT OUTSTANDING PHYSICIANS IN NEW SPECIALTIES. 46956845 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 112 0 1 680 1 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 CA X JAIME ALLEN 2093732851 7210 MURRAY DRIVE STOCKTON CA 95210 ROBERT C SMITH PRESIDENT 2.00 X X 0 0 0 LILY AMAN VICE PRESIDENT 2.00 X X 0 0 0 MARTHA DUKES SECRETARY 2.00 X X 0 0 0 DOREEN HARTMANN TREASURER 2.00 X X 0 0 0 JASMINE LEEK BOARD MEMBER 2.00 X 0 0 0 ALMUS ALDRIDGE BOARD MEMBER 2.00 X 0 0 0 ROGER I SPEED BOARD MEMBER 2.00 X 0 0 0 PAM MAFFEI BOARD MEMBER 2.00 X 0 0 0 HEATHER QUILLEN BOARD MEMBER 2.00 X 0 0 0 JAIME MORRIS BOARD MEMBER 2.00 X 0 0 0 ANDRES GARCIA BOARD MEMBER 2.00 X 0 0 0 DOLORES BLACKMAN BOARD MEMBER 2.00 X 0 0 0 RUBY KING BOARD MEMBER 2.00 X 0 0 0 PETER RAGSDALE BOARD MEMBER 2.00 X 0 0 0 CHRISTINE NOGUERA CHIEF EXECUTIVE OFFICER 40.00 X 256960 0 13787 ARTHUR FEAGLES CHIEF FINANCIAL OFFICER 40.00 X 211790 0 5572 BENJAMIN MORRISON CHIEF MEDICAL OFFICER 40.00 X 301839 0 18086 PREETHI RAGHU CHIEF OPERATING OFFICER 40.00 X 149553 0 8604 MICAL CAYTON CHIEF INFORMATION OFFICER 40.00 X 21080 0 0 STANLEY CIAS JR CHIEF NURSING OFFICER 40.00 X 355 0 0 EARL MCOMBER PHYSICIAN, FP 40.00 X 314542 0 11165 ERNEST ALMENDAREZ PHYSICIAN 40.00 X 282367 0 10094 ANDY ZHU PHYSICIAN 40.00 X 276121 0 13450 KUN J HUANG PEDIATRICIAN 40.00 X 276686 0 9890 MARINETTE GONZALES BERNARDO PHYSICIAN 40.00 X 279223 0 7803 2370516 0 98451 78 0 1 0 WL BUTLER 1629 MAIN STREET REDWOOD CITY CA 94063 CONSTRUCTION SERVICES 4138146 MID-CAL CONSTRUCTORS INC 3416 NEWTON ROAD STOCKTON CA 95205 CONSTRUCTION SERVICES 1048764 SAN JOAQUIN GENERAL HOSPITAL PO BOX 1439 FRENCH CAMP CA 95231 PROFESSIONAL MEDICAL SERVICES 1040562 MERINO COMPUTER CONCEPTS 1822 W KETTLEMAN LN SUITE 4 LODI CA 95242 IT CONSULTING 681292 QUALITY SYSTEMS INC PO BOX 511449 LOS ANGELES CA 90051 IT CONSULTING 432789 9 19315 10638557 897252 11555124 NET PATIENT SERVICE REVENUE 624100 43397345 43397345 PHARMACY REVENUE 446110 8397966 8397966 INCENTIVE/QI INCOME 624100 3008666 3008666 OTHER INCOME 900099 489583 489583 EHR INCENTIVE REVENUE 624100 51000 51000 55344560 43875 43875 550 0 550 550 550 2708 19315 0 2708 2708 MISCELLANEOUS INCOME 900099 5242 5242 5242 66952059 55344560 0 52375 953922 587757 366165 33759314 27144836 6614478 29712 16465 13247 5849419 4631013 1218406 2315842 1823989 491853 103324 862 102462 86147 86147 11093 11093 3989545 2745503 1244042 1126134 366834 759300 789897 46247 743650 3989761 3452970 536791 317622 162886 154736 96233 96192 41 115924 29104 86820 1828674 766519 1062155 136310 45638 90672 MEDICAL SUPPLIES & DRUG 5154081 4158004 996077 MINOR EQUIPMENT 427464 378651 48813 RECRUITING 305792 162724 143068 LICENSES, DUES & SUBSCR 215974 57146 158828 418848 283505 135343 62021032 46956845 15053094 11093 40700 67113 2726253 2716026 2990445 2532442 6737539 11107832 39139 35048 505856 683864 25055948 8761567 11263717 16294381 3753023 4498907 4341816 3533398 32398488 41469011 8926400 12046196 182638 613942 1321286 1336537 4111147 5205973 2658137 2136456 17199608 21339104 X 15198880 20129907 15198880 20129907 32398488 41469011 4931027 0 X 0 1 X 1 1 1 X 7712995 9460708 10631547 11180498 11555124 50540872 7712995 9460708 10631547 11180498 11555124 50540872 50540872 16496 10412 10761 16786 43875 98330 2708 2708 5242 5242 50647152 214600457 0.99790 0.99830 X 1069758 1069758 8220817 2473957 5746860 3221517 1029147 2192370 9917686 5258463 4659223 2626170 2626170 16294381 THIRD PARTY SETTLEMENTS - STATE 3533398 3533398 THIRD PARTY SETTLEMENT PAYABLE - STATE 2136456 2136456 66952059 0 66952059 0 66952059 62021032 0 62021032 0 62021032 SPONSORSHIP & TICKET SALES 22023 19315 2708 22023 19315 2708 2708 X X X X 0 0 0 0 0 0 0 1 0 CHRISTINE NOGUERA CHIEF EXECUTIVE OFFICER 242960 0 14000 0 0 0 7261 0 6526 0 270747 0 0 0 ARTHUR FEAGLES CHIEF FINANCIAL OFFICER 194062 0 10312 0 7416 0 5006 0 566 0 217362 0 0 0 BENJAMIN MORRISON CHIEF MEDICAL OFFICER 291527 0 10312 0 0 0 8753 0 9333 0 319925 0 0 0 PREETHI RAGHU CHIEF OPERATING OFFICER 149553 0 0 0 0 0 1750 0 6854 0 158157 0 0 0 EARL MCOMBER PHYSICIAN, FP 289402 0 25140 0 0 0 6975 0 4190 0 325707 0 0 0 ERNEST ALMENDAREZ PHYSICIAN 244222 0 31770 0 6375 0 728 0 9366 0 292461 0 0 0 ANDY ZHU PHYSICIAN 257973 0 13898 0 4250 0 7517 0 5933 0 289571 0 0 0 KUN J HUANG PEDIATRICIAN 260033 0 11340 0 5313 0 7148 0 2742 0 286576 0 0 0 MARINETTE GONZALES BERNARDO PHYSICIAN 275083 0 4140 0 0 0 7803 0 0 0 287026 0 0 0 PART I, LINE 7 NON-FIXED PAYMENTS: COMMUNITY MEDICAL CENTERS INC. PAID INCENTIVE AWARDS TO PROVIDERS. PROVIDERS ARE ELIGIBLE TO RECEIVE TWO TYPES OF INCENTIVE AWARDS. THE FIRST IS QUALITY INCENTIVE, WHICH IS PAID FOR REACHING GOALS ESTABLISHED BY THE ORGANIZATION. THE SECOND INCENTIVE IS FOR PRODUCTIVITY, BASED ON BILLED ENCOUNTERS. THE SPECIFIC EXPECTATION IS SET BY PRACTICE SPECIALTY, ADJUSTED FOR EXPECTED SCHEDULE TIME, AND FOR TIME ALLOCATED FOR ADMINISTRATIVE DUTIES AND COMMUNITY INVOLVEMENT ON BEHALF OF THE ORGANIZATION. A CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13033FVU1 2005-04-12 3220000 REDEEM 1994 SERIES B BONDS 0 0 0 A 3220000 2948679 63125 208196 2005 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 0 A 0 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 04/12/2013 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND REVIEWED INTERNALLY BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S LEGAL COUNSEL HAS PROVIDED ASSISTANCE TO THE BOARD TO ENSURE COMPLIANCE WITH THE CONFLICT OF INTEREST AND THE ORGANIZATION'S BY LAWS. WHEN CONFLICT OF INTEREST ISSUES ARISE, THE BOARD OF DIRECTORS WITH THE DIRECTOR OF THEIR LEGAL COUNSEL ADDRESSES THE ISSUES ACCORDINGLY. THE BOARD HAS BEEN MADE AWARE OF THE CONFLICT OF INTEREST REQUIREMENTS BY THEIR LEGAL COUNSEL. NO DIRECTOR, OFFICER, EMPLOYEE OR AGENT SHALL PARTICIPATE IN THE SELECTION, AWARD OR ADMINISTRATION OF ANY CONTRACT OR OTHER AFFILIATION RELATING TO OPERATIONS CONDUCTED BY THE CORPORATION OR FOR THE FURNISHING OF SERVICES OR SUPPLIES TO THE CORPORATION, IN WHICH HE OR SHE OR HIS/HER IMMEDIATE FAMILY OR BUSINESS PARTNER HAS A REAL OR POTENTIAL CONFLICT OF INTEREST OR INVOLVING AN ORGANIZATION WITH WHOM HE OR SHE IS NEGOTIATING OR HAS ANY ARRANGEMENT CONCERNING EMPLOYMENT. IF A CONTRACT OR AFFILIATION EXISTS, IT MAY BE APPROVED OR AUTHORIZED BY A MAJORITY OF THE DISINTERESTED DIRECTORS. IF THE FACTS OF ANY SUCH INTEREST BY A DIRECTOR SHALL HAVE BEEN DISCLOSED TO THE BOARD BY THE INTERESTED DIRECTOR SUCH INTERESTED DIRECTOR ABSTAINS FROM VOTING IN THAT REGARD. FORM 990, PART VI, SECTION B, LINE 15 INDUSTRY COMPENSATION SURVEYS FOR LIKE ORGANIZATIONS IN SIMILAR GEOGRAPHIC AREAS ARE REVIEWED BY THE BOARD AND THE CEO TO DETERMINE KEY EMPLOYEE COMPENSATION. THE LAST REVIEW WAS DONE IN 2017. THE BOARD OF DIRECTORS ESTABLISHED THE CEO'S SALARY. SIMILAR METHODOLOGIES WERE USED TO DETERMINE THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES. THREE REVIEWS WERE DONE. ONE WAS PERFORMED BY CORPORATE COUNSEL, ONE WAS COMPLETED BY THE HUMAN RESOURCES DEPARTMENT, AND ONE WAS CONTRACTED BY THE BOARD TO BE DONE BY A HEALTH CARE CONSULTING AGENCY. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST TO THE ADMINISTRATIVE OFFICES. LATE FILED RETURN DUE TO CCH SOFTWARE OUTAGE.