2024-05-15T10:56:42-05:00 2023-06-30 910189318 MOSS ADAMS LLP 2882 PROSPECT PARK DR STE 300 RANCHO CORDOVA CA 95670 990 2022-07-01 942437106 COMMUNITY MEDICAL CENTERS INC COMM 2093732800 7210 MURRAY DRIVE STOCKTON CA 95210 JAIME ALLEN CFO 2093732800 2024-05-13 1 JAIME ALLEN 999009999 0 TRACY S PAGLIA P00366884 9165038100 2024-05-13 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z CHRISTINE NOGUERA 7210 MURRAY DRIVE STOCKTON CA 95210 129037501 0 X WWW.COMMUNITYMEDICALCENTERS.ORG X 1978 CA THE ORGANIZATION PROVIDES PRIMARY MEDICAL, BEHAVIOR HEALTH, AND DENTAL CARE TO THE POPULATION OF SAN JOAQUIN, AND SOLANO COUNTIES WITHOUT REGARD TO PATIENTS' ABILITY TO PAY. 10 10 1336 11 0 0 28382429 27097833 79120274 95715575 77110 194017 32748 37506 107612561 123044931 0 0 0 0 76983265 86596872 0 0 0 33373003 38392575 110356268 124989447 -2743707 -1944516 76696644 101717051 44560460 71525383 32136184 30191668 WORKING TOGETHER TO IMPROVE HEALTH AND WELL-BEING IN OUR COMMUNITIES. 0 0 93085476 95715575 COMMUNITY MEDICAL CENTERS IS ONE OF THE LARGEST PROVIDERS OF HEALTH CARE SERVICES IN CENTRAL CALIFORNIA. WE OPERATE 14 FULLY LICENSED AND 21 INTERMITTENT CLINICS IN 2 CALIFORNIA COUNTIES. OUR CLINICIANS COMPLETE OVER 454,000 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. 93085476 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 142 0 1 1336 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 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 (THRU 04/23) 2.00 X 0 0 0 CHRISTINE NOGUERA CHIEF EXECUTIVE OFFICER 40.00 X 385012 0 16885 BENJAMIN MORRISON CHIEF MEDICAL OFFICER 40.00 X 345822 0 19735 LINH DELUCA CHIEF DENTAL OFFICER 40.00 X 246510 0 17086 JAIME ALLEN CHIEF FINANCIAL OFFICER 40.00 X 216952 0 10229 PREETHI RAGHU CHIEF OPERATING OFFICER 40.00 X 207947 0 16004 MICAL CAYTON CHIEF INFORMATION OFFICER 40.00 X 194105 0 13246 ALFONSO APU CHIEF BEHAVIORAL HEALTH OFFICER 40.00 X 179656 0 9322 GINGER MANSS - CHIEF NURSING OFFICER (THRU 07/22) 40.00 X 143472 0 7091 TARSHA ADDISON - CHIEF EQUITY PEOPLE OFFICER (THRU 02/23) 40.00 X 119894 0 4725 CESAR PABUSTAN PEDIATRICIAN 40.00 X 668537 0 2434 EARL MCOMBER PHYSICIAN FP 40.00 X 396316 0 20377 SHALINI MADUGUNDI INTERNAL MEDICINE 40.00 X 342406 0 9200 SHILPA SAMMETA PSYCHIATRIST 40.00 X 324358 0 7852 MARINETTE GONZALES BERNARDO INTERNAL MEDICINE 40.00 X 299792 0 8579 4070779 0 162765 138 0 1 0 SAN JOAQUIN GENERAL HOSPITAL PO BOX 1439 FRENCH CAMP CA 95231 MEDICAL SERVICES 1119660 COMPHEALTH ASSOCIATES INC PO BOX 972651 DALLAS TX 75397 MEDICAL SERVICES 1022182 PROVIDER HEALTHCARE LLC 2455 E PARLEYS WAY SUITE 310 SALT LAKE CITY UT 84109 MEDICAL SERVICES 875639 QUEST DIAGNOSTICS INCORPORATED PO BOX 912411 PASADENA CA 91110 LAB SERVICES 519204 SCRIBE-X NORTHWEST LLC PO BOX 6590 PORTLAND OR 97228 MEDICAL SERVICES 509788 24 24759761 2338072 27097833 NET PATIENT SERVICE REVENUE 624100 80606606 80606606 PHARMACY REVENUE 456110 10665308 10665308 INCENTIVE/QI INCOME 624100 3353643 3353643 OTHER INCOME 900099 1090018 1090018 95715575 194017 194017 37506 0 37506 37506 37506 5410000 582570 5410000 582570 0 0 123044931 95715575 0 231523 2027670 134940 1892730 65167879 52808614 12359265 419912 398230 21682 13980097 10401591 3578506 5001314 3910418 1090896 254119 254119 375631 375631 10790847 6805864 3984983 113034 11693 101341 3876674 1929956 1946718 1913290 238786 1674504 6840104 5979289 860815 261372 144983 116389 220887 148908 71979 538354 529707 8647 2482675 2042869 439806 645384 2443 642941 MEDICAL SUPPLIES & DRUG 7163059 5870933 1292126 MINOR EQUIPMENT 1146006 828595 317411 LICENSES, DUES & SUBSCR 621006 105439 515567 RECRUITING 321907 59043 262864 828226 733175 95051 124989447 93085476 31903971 0 628260 3835692 15317228 8307934 6704732 4536597 5740805 6620923 64827 73596 1243843 1537485 53922784 19928235 31134757 33994549 8629126 34407611 772222 705555 6460844 7697109 76696644 101717051 18245484 18744789 2424728 777918 0 26783474 13771996 5534034 10118252 19685168 44560460 71525383 X 32136184 30191668 32136184 30191668 76696644 101717051 -1944516 0 X 0 1 X 1 1 1 X 13681357 15645075 31910338 28382429 27097833 116717032 13681357 15645075 31910338 28382429 27097833 116717032 116717032 71992 109996 60486 103618 231523 577615 6451 625 0 0 0 7076 6326 746 7072 117308795 381448884 0.99500 0.99590 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2018 AMOUNT: $ 6,326. 2019 AMOUNT: $ 746. 2020 AMOUNT: $ 0. 2021 AMOUNT: $ 0. 2022 AMOUNT: $ 0. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 9648242 9648242 15165702 5183200 9982502 9486138 3747719 5738419 9912604 7862018 2050586 9710098 3135298 6574800 33994549 ROU OPERATING LEASE 7697109 7697109 THIRD PARTY SETTLEMENT PAYABLE - STATE 19685168 19685168 X 122531368 0 122531368 513563 513563 123044931 124475884 0 124475884 513563 513563 124989447 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, 2023 AND 2022, 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 4B - OTHER ADJUSTMENTS: BAD DEBT 513,563. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT 513,563. X X X X X 0 0 0 0 0 1 0 1 0 CESAR PABUSTAN PEDIATRICIAN 290097 0 369051 0 9389 0 1545 0 889 0 670971 0 0 0 EARL MCOMBER PHYSICIAN FP 333961 0 24856 0 37499 0 8091 0 12286 0 416693 0 0 0 CHRISTINE NOGUERA CHIEF EXECUTIVE OFFICER 315811 0 30000 0 39201 0 9312 0 7573 0 401897 0 0 0 BENJAMIN MORRISON CHIEF MEDICAL OFFICER 337565 0 8257 0 0 0 9638 0 10097 0 365557 0 0 0 SHALINI MADUGUNDI INTERNAL MEDICINE 306503 0 26705 0 9198 0 7723 0 1477 0 351606 0 0 0 SHILPA SAMMETA PSYCHIATRIST 315427 0 8931 0 0 0 811 0 7041 0 332210 0 0 0 MARINETTE GONZALES BERNARDO INTERNAL MEDICINE 279207 0 2585 0 18000 0 8579 0 0 0 308371 0 0 0 LINH DELUCA CHIEF DENTAL OFFICER 239078 0 6842 0 590 0 6508 0 10578 0 263596 0 0 0 JAIME ALLEN CHIEF FINANCIAL OFFICER 207879 0 8257 0 816 0 0 0 10229 0 227181 0 0 0 PREETHI RAGHU CHIEF OPERATING OFFICER 199690 0 8257 0 0 0 5991 0 10013 0 223951 0 0 0 MICAL CAYTON CHIEF INFORMATION OFFICER 184496 0 8257 0 1352 0 485 0 12761 0 207351 0 0 0 ALFONSO APU CHIEF BEHAVIORAL HEALTH OFFICER 170378 0 1732 0 7546 0 3235 0 6087 0 188978 0 0 0 GINGER MANSS - CHIEF NURSING OFFICER (THRU 07/22) 134023 0 8257 0 1192 0 3091 0 4000 0 150563 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. A CALIFORNIA MUNICIPAL FINANCE AUTHORITY 201563466 13048VJ90 2023-06-08 26936120 CONSTRUCTION FINANCING 0 0 0 A 26936120 853244 534988 1463855 24084033 0 0 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 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.