2021-05-17T18:59:19-05:00 2020-06-30 910189318 MOSS ADAMS LLP 2882 PROSPECT PARK DR STE 300 RANCHO CORDOVA CA 95670 990 2019-07-01 942437106 COMMUNITY MEDICAL CENTERS INC COMM 2093732800 7210 MURRAY DRIVE STOCKTON CA 95210 JAIME ALLEN CFO 2093732800 2021-05-17 1 TRACY S PAGLIA P00366884 9165038100 2021-05-17 2019 2022-09-23 18:48:47Z CHRISTINE NOGUERA 7210 MURRAY DRIVE STOCKTON CA 95210 87205209 0 X WWW.COMMUNITYMEDICALCENTERS.ORG X 1978 CA THE ORGANIZATION PROVIDES PRIMARY MEDICAL, BEHAVIOR HEALTH AND DENTAL CARE TO THE POPULATION OF SAN JOAQUIN, SOLANO, AND YOLO COUNTIES WITHOUT REGARD TO PATIENT'S ABILITY TO PAY. 10 10 1074 10 0 0 13681357 15645075 62579070 71448767 71992 109996 12777 -34999 76345196 87168839 0 0 0 0 50422364 57510025 45697 0 0 23423238 26149264 73891299 83659289 2453897 3509550 48286534 53700515 25702730 27607161 22583804 26093354 TO IMPROVE THE HEALTH AND QUALITY OF LIFE FOR MEMBERS OF THE COMMUNITY. 0 0 63410316 71448767 COMMUNITY MEDICAL CENTERS IS ONE OF THE LARGEST PROVIDERS OF HEALTH CARE SERVICES IN CENTRAL CALIFORNIA. WE OPERATE 24 FULL-TIME AND 9 SATELLITE CLINICS IN 3 CALIFORNIA COUNTIES. OUR CLINICIANS COMPLETE OVER 320,000 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. 63410316 1 1 0 0 0 0 0 0 0 0 1 0 0 0 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 1 107 0 1 1074 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 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 CESAR PABUSTAN PEDIATRICIAN 40.00 X 833920 0 2146 EARL MCOMBER PHYSICIAN FP 40.00 X 355726 0 8055 BENJAMIN MORRISON CHIEF MEDICAL OFFICER 40.00 X 314666 0 9988 CHRISTINE NOGUERA CHIEF EXECUTIVE OFFICER 40.00 X 296635 0 8558 ANDY ZHU PHYSICIAN FP 40.00 X 293040 0 8286 AZIZ KHAMBATTI INTERNAL MEDICINE 40.00 X 287862 0 6608 ERNEST ALMENDAREZ PHYSICIAN FP 40.00 X 283781 0 9746 GINGER MANSS CHIEF NURSING OFFICER 40.00 X 188271 0 6215 MICAL CAYTON CHIEF INFORMATION OFFICER 40.00 X 178501 0 1579 PREETHI RAGHU CHIEF OPERATING OFFICER 40.00 X 173960 0 4031 JAIME ALLEN CHIEF FINANCIAL OFFICER 40.00 X 173728 0 1828 JASMINE LEEK PRESIDENT 2.00 X X 0 0 0 ROBERT C SMITH VICE PRESIDENT 2.00 X X 0 0 0 LILY AMAN SECRETARY 2.00 X X 0 0 0 PETER W RAGSDALE TREASURER 2.00 X X 0 0 0 BONNIE BROWNLEE BOARD MEMBER 2.00 X 0 0 0 MARTHA DUKES BOARD MEMBER 2.00 X 0 0 0 RUBY V KING BOARD MEMBER 2.00 X 0 0 0 PAM MAFFEI BOARD MEMBER 2.00 X 0 0 0 JAIME H MORRIS BOARD MEMBER (THRU 08/19) 2.00 X 0 0 0 MARTHA ROBLES BOARD MEMBER 2.00 X 0 0 0 ROGER I SPEED BOARD MEMBER 2.00 X 0 0 0 3380090 0 67040 114 0 1 0 SAN JOAQUIN GENERAL HOSPITAL PO BOX 1439 FRENCH CAMP CA 95231 PROFESSIONAL MEDICAL SERVICES 1509797 ALPHAGUARD 1717 S UNION ST STOCKTON CA 95206 SECURITY SERVICES 284516 LPM HEALTHCARE INC 1001 10TH COURT PALM BEACH GARDENS FL 33410 PROFESSIONAL MEDICAL SERVICES 194892 LIMITELESS BLUE SKIES SECURITY COMPANY 2912 ANGEL DRIVE STOCKTON CA 95209 SECURITY SERVICES 180499 HEALTH INFORMATION TECHNOLOGY 1310 REDWOOD WAY SUITE 125 PETALUMA CA 94954 IT CONSULTING 177401 12 22500 14588667 1033908 15645075 NET PATIENT SERVICE REVENUE 624100 58535201 58535201 PHARMACY REVENUE 446110 10520292 10520292 INCENTIVE/QI INCOME 624100 2148397 2148397 OTHER INCOME 900099 244877 244877 71448767 109996 109996 625 22500 36370 -35745 -35745 MISCELLANEOUS INCOME 900099 746 746 746 87168839 71448767 0 74997 2767918 1591153 1176765 43341544 35929662 7411882 245217 200297 44920 7930310 5910165 2020145 3225036 2595671 629365 92335 600 91735 94130 94130 5071098 3118782 1952316 46516 12271 34245 2067499 958288 1109211 696685 174062 522623 5087489 4489280 598209 282054 156272 125782 176445 131924 44521 254576 104703 149873 3345050 2115473 1229577 325158 124844 200314 MEDICAL SUPPLIES & DRUG 6416337 4747687 1668650 LICENSES, DUES & SUBSCR 756759 60372 696387 MINOR EQUIPMENT 547116 417464 129652 RECRUITING 492426 281293 211133 397591 290053 107538 83659289 63410316 20248973 0 96580 397768 3446988 9889973 2583388 4490484 6691495 5157168 57898 33391 1251239 966340 40362575 14963721 24542296 25398854 5616932 6460982 972222 905555 3027496 0 48286534 53700515 12639141 14608038 537611 3299146 711788 494403 10619628 8812713 1194562 392861 25702730 27607161 X 22583804 26093354 22583804 26093354 48286534 53700515 3509550 0 X 0 1 X 1 1 1 X 10631547 11180498 11555124 13681357 15645075 62693601 10631547 11180498 11555124 13681357 15645075 62693601 62693601 10761 16786 43875 71992 109996 253410 2708 6451 625 9784 5242 6326 746 12314 62969109 284358392 0.99560 0.99690 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2017 AMOUNT: $ 5,242. 2018 AMOUNT: $ 6,326. 2019 AMOUNT: $ 746. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5370420 5370420 8808100 3313072 5495028 9081174 2047255 7033919 14383178 9528072 4855106 2719703 75322 2644381 25398854 THIRD PARTY SETTLEMENT PAYABLE - STATE 392861 392861 86956988 -248221 -248221 87205209 -36370 -36370 87168839 83447438 36370 36370 83411068 248221 248221 83659289 PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT -248,221. PART XI, LINE 4B - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES -36,370. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 36,370. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT 248,221. SPONSORSHIP & TICKET SALES 23125 22500 625 1250 12319 1625 21176 23125 22500 625 1250 12319 1625 21176 36370 -35745 X X X X 0 0 0 0 0 0 0 1 0 CESAR PABUSTAN PEDIATRICIAN 205936 0 541577 0 86407 0 2077 0 69 0 836066 0 0 0 EARL MCOMBER PHYSICIAN FP 255876 0 22845 0 77005 0 7649 0 406 0 363781 0 0 0 BENJAMIN MORRISON CHIEF MEDICAL OFFICER 294635 0 8867 0 11164 0 8855 0 1133 0 324654 0 0 0 CHRISTINE NOGUERA CHIEF EXECUTIVE OFFICER 250706 0 20000 0 25929 0 7797 0 761 0 305193 0 0 0 ANDY ZHU PHYSICIAN FP 246173 0 7050 0 39817 0 7593 0 693 0 301326 0 0 0 AZIZ KHAMBATTI INTERNAL MEDICINE 255827 0 10865 0 21170 0 6539 0 69 0 294470 0 0 0 ERNEST ALMENDAREZ PHYSICIAN FP 214510 0 17205 0 52066 0 7950 0 1796 0 293527 0 0 0 GINGER MANSS CHIEF NURSING OFFICER 175619 0 4433 0 8219 0 5454 0 761 0 194486 0 0 0 MICAL CAYTON CHIEF INFORMATION OFFICER 162203 0 5172 0 11126 0 444 0 1135 0 180080 0 0 0 PREETHI RAGHU CHIEF OPERATING OFFICER 159052 0 8867 0 6041 0 3374 0 657 0 177991 0 0 0 JAIME ALLEN CHIEF FINANCIAL OFFICER 157691 0 5172 0 10865 0 672 0 1156 0 175556 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 2465000 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 2019. 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.