2023-05-10T10:18:50-05:00 2022-06-30 910189318 MOSS ADAMS LLP 2882 PROSPECT PARK DR STE 300 RANCHO CORDOVA CA 95670 990 2021-07-01 942437106 COMMUNITY MEDICAL CENTERS INC COMM 2093732800 7210 MURRAY DRIVE STOCKTON CA 95210 JAIME ALLEN CFO 2093732800 2023-05-04 1 JAIME ALLEN 999009999 TRACY S PAGLIA P00366884 9165038100 2023-05-04 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z CHRISTINE NOGUERA 7210 MURRAY DRIVE STOCKTON CA 95210 111205439 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 PATIENTS' ABILITY TO PAY. 11 11 1205 11 0 0 31910338 28382429 76056051 79120274 60486 77110 0 32748 108026875 107612561 0 0 0 0 65933540 76983265 0 0 0 29149439 33373003 95082979 110356268 12943896 -2743707 80924319 76696644 41887069 40420634 39037250 36276010 TO IMPROVE THE HEALTH AND QUALITY OF LIFE FOR MEMBERS OF THE COMMUNITY. 0 0 81167222 0 79120274 COMMUNITY MEDICAL CENTERS IS ONE OF THE LARGEST PROVIDERS OF HEALTH CARE SERVICES IN CENTRAL CALIFORNIA. WE OPERATE 14 FULLY LICENSED AND 17 INTERMITTENT CLINICS IN 3 CALIFORNIA COUNTIES. OUR CLINICIANS COMPLETE OVER 419,000 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. 81167222 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 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 1 113 0 1 1205 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 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 703692 0 2601 EARL MCOMBER PHYSICIAN FP 40.00 X 411466 0 19756 BENJAMIN MORRISON CHIEF MEDICAL OFFICER 40.00 X 355124 0 19222 SHALINI MADUGUNDI INTERNAL MEDICINE 40.00 X 338056 0 8847 MANDEEP DHINDSA - ADULT ASSOCIATE MEDICAL DIRECTOR 40.00 X 295292 0 17279 MARINETTE GONZALES BERNARDO INTERNAL MEDICINE 40.00 X 296858 0 8245 CHRISTINE NOGUERA CHIEF EXECUTIVE OFFICER 40.00 X 288077 0 15689 GINGER MANSS CHIEF NURSING OFFICER 40.00 X 200858 0 12515 PREETHI RAGHU CHIEF OPERATING OFFICER 40.00 X 194439 0 10002 MICAL CAYTON CHIEF INFORMATION OFFICER 40.00 X 184536 0 12543 JAIME ALLEN CHIEF FINANCIAL OFFICER 40.00 X 185584 0 10115 JASMINE LEEK PRESIDENT 2.00 X X 0 0 0 ROBERT C SMITH VICE PRESIDENT 2.00 X X 0 0 0 PETER W RAGSDALE TREASURER 2.00 X X 0 0 0 LILY AMAN SECRETARY 2.00 X X 0 0 0 PANDORA J CROWDER BOARD MEMBER 2.00 X 0 0 0 MARTHA DUKES BOARD MEMBER 2.00 X 0 0 0 JAMIE GUERRERO 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 MARTHA ROBLES BOARD MEMBER 2.00 X 0 0 0 ROGER I SPEED BOARD MEMBER 2.00 X 0 0 0 3453982 0 136814 131 0 1 0 PROVIDER HEALTHCARE LLC 2455 E PARLEYS WAY SUITE 310 SALT LAKE CITY UT 84109 MEDICAL SERVICES 783978 SAN JOAQUIN GENERAL HOSPITAL PO BOX 1439 FRENCH CAMP CA 95231 MEDICAL SERVICES 730783 QUEST DIAGNOSTICS INCORPORATED PO BOX 912411 PASADENA CA 91110 LAB SERVICES 481458 COMPHEALTH ASSOCIATES INC PO BOX 972651 DALLAS TX 75397 MEDICAL SERVICES 346981 SCRIBE-X NORTHWEST LLC PO BOX 6590 PORTLAND OR 97228 MEDICAL SERVICES 270393 22 6500 26330256 2045673 17533 28382429 NET PATIENT SERVICE REVENUE 624100 68040818 68040818 PHARMACY REVENUE 446110 7748746 7748746 INCENTIVE/QI INCOME 624100 2849497 2849497 OTHER INCOME 900099 481213 481213 79120274 69130 69130 34488 0 34488 34488 34488 1829000 1770118 1829000 1762138 0 7980 7980 7980 0 6500 1740 -1740 -1740 107612561 79120274 0 109858 1537686 1537686 59639691 48160812 11478879 524258 455199 69059 10838041 8047345 2790696 4443589 3482740 960849 30470 30470 286717 286717 7901599 3962040 3939559 40307 6530 33777 3353250 1662942 1690308 876174 193850 682324 6163252 5378697 784555 230941 128283 102658 246424 176224 70200 315942 263248 52694 3236778 2472068 764710 549791 29119 520672 MEDICAL SUPPLIES & DRUG 6138041 5403513 734528 MINOR EQUIPMENT 1947890 886070 1061820 LICENSES, DUES & SUBSCR 900826 55014 845812 RECRUITING 507085 163197 343888 647516 240331 407185 110356268 81167222 29189046 0 375233 628260 11617556 15317228 14893576 6704732 6562974 5740805 43147 64827 1313163 1243843 50494329 19359572 28625917 31134757 9295078 8629126 838889 772222 7358786 6460844 80924319 76696644 19824089 18245484 1930410 2424728 512018 0 14789527 13771996 4831025 5978426 41887069 40420634 X 39037250 36276010 39037250 36276010 80924319 76696644 X -2743707 -17533 X 0 1 X 1 1 1 X 11555124 13681357 15645075 31910338 28382429 101174323 11555124 13681357 15645075 31910338 28382429 101174323 101174323 43875 71992 109996 60486 103618 389967 2708 6451 625 0 0 9784 5242 6326 746 12314 101586388 344241812 0.99590 0.99610 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2017 AMOUNT: $ 5,242. 2018 AMOUNT: $ 6,326. 2019 AMOUNT: $ 746. 2020 AMOUNT: $ 0. 2021 AMOUNT: $ 0. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 9648242 9648242 13278325 4420755 8857570 9153392 3181186 5972206 9951363 8082639 1868724 8463007 3674992 4788015 31134757 ROU OPERATING LEASE 6460844 6460844 THIRD PARTY SETTLEMENT PAYABLE - STATE 5978426 5978426 X 107300482 6150 1740 7890 107292592 319969 319969 107612561 110061722 6150 1740 7890 110053832 302436 302436 110356268 PART X, LINE 2: THE ORGANIZATION HAS BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501 OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, THE ORGANIZATION IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. AS OF JUNE 30, 2022 AND 2021, THE ORGANIZATION HAD NO UNRECOGNIZED TAX POSITIONS OR UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED IN THE FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 1,740. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT 302,436. NON-CASH CONTRIBUTION NOT RECORDED IN AFS 17,533. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 1,740. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT 302,436. X X X X X 0 0 0 0 0 1 0 1 0 CESAR PABUSTAN PEDIATRICIAN 279103 0 416281 0 8308 0 1712 0 889 0 706293 0 0 0 EARL MCOMBER PHYSICIAN FP 331313 0 31034 0 49119 0 7800 0 11956 0 431222 0 0 0 BENJAMIN MORRISON CHIEF MEDICAL OFFICER 329122 0 8333 0 17669 0 9287 0 9935 0 374346 0 0 0 SHALINI MADUGUNDI INTERNAL MEDICINE 282339 0 35594 0 20123 0 7440 0 1407 0 346903 0 0 0 MANDEEP DHINDSA - ADULT ASSOCIATE MEDICAL DIRECTOR 249231 0 8084 0 37977 0 7296 0 9983 0 312571 0 0 0 MARINETTE GONZALES BERNARDO INTERNAL MEDICINE 270101 0 6254 0 20503 0 8245 0 0 0 305103 0 0 0 CHRISTINE NOGUERA CHIEF EXECUTIVE OFFICER 274485 0 0 0 13592 0 8235 0 7454 0 303766 0 0 0 GINGER MANSS CHIEF NURSING OFFICER 190732 0 8333 0 1793 0 5722 0 6793 0 213373 0 0 0 PREETHI RAGHU CHIEF OPERATING OFFICER 176086 0 8333 0 10020 0 2481 0 7521 0 204441 0 0 0 MICAL CAYTON CHIEF INFORMATION OFFICER 176203 0 8333 0 0 0 461 0 12082 0 197079 0 0 0 JAIME ALLEN CHIEF FINANCIAL OFFICER 176402 0 8333 0 849 0 0 0 10115 0 195699 0 0 0 PART I, LINE 6 A PORTION OF THE EXECUTIVE TEAM'S ANNUAL BONUS IS CONTINGENT ON PROFIT MARGIN. 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. 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 FEBRUARY 2022. THE BOARD OF DIRECTORS ESTABLISHED THE CEO'S SALARY. SIMILAR METHODOLOGIES WERE USED TO DETERMINE THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES. TWO REVIEWS WERE DONE. 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. FORM 990, PART XI, LINE 9: NON-CASH CONTRIBUTION NOT RECORDED ON BOOKS -17,533.