2025-05-15T20:30:12-05:00 2024-06-30 910189318 MOSS ADAMS LLP 2882 PROSPECT PARK DR STE 300 RANCHO CORDOVA CA 95670 990 2023-07-01 942437106 COMMUNITY MEDICAL CENTERS INC COMM 2093732800 7210 MURRAY DRIVE STOCKTON CA 95210 JAIME ALLEN CFO 2093732800 2025-05-15 1 1 QI WEN LIANG P01270238 9165038100 2025-05-15 2023 2025-03-06 01:10:19Z GREG DIEDERICH 7210 MURRAY DRIVE STOCKTON CA 95210 136365522 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 1227 10 0 0 27097833 20769577 95715575 110624853 194017 1252842 37506 1479950 123044931 134127222 0 0 0 0 86596872 88036289 0 0 0 38392575 42823220 124989447 130859509 -1944516 3267713 101717051 100881435 71525383 67441918 30191668 33439517 WORKING TOGETHER TO IMPROVE HEALTH AND WELL-BEING IN OUR COMMUNITIES. 0 0 96704969 0 110624853 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 462,000 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. 96704969 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 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 1 130 0 1 1227 1 0 0 0 0 0 1 1 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 459461 0 1966 CHRISTINE NOGUERA CHIEF EXECUTIVE OFFICER 40.00 X 423566 0 16999 SHALINI MADUGUNDI INTERNAL MEDICINE (THRU 3/24) 40.00 X 424616 0 9719 EARL MCOMBER PHYSICIAN FP 40.00 X 391615 0 21380 BENJAMIN MORRISON CHIEF MEDICAL OFFICER 40.00 X 337881 0 20066 KUN HUANG PEDIATRICIAN 40.00 X 329523 0 20069 SHILPA SAMMETA PSYCHIATRIST 40.00 X 339113 0 6119 LINH DELUCA CHIEF DENTAL OFFICER 40.00 X 254404 0 16290 PREETHI RAGHU CHIEF OPERATING OFFICER 40.00 X 227554 0 16616 JAIME ALLEN CHIEF FINANCIAL OFFICER 40.00 X 225229 0 10714 MICAL CAYTON CHIEF INFORMATION OFFICER 40.00 X 187769 0 13733 ALFONSO APU CHIEF BEHAVIORAL HEALTH OFFICER 40.00 X 182694 0 8956 TANZI BUCKER - CHIEF NURSING OFFICER (AS OF 04/24) 40.00 X 0 0 0 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 (THRU 5/24) 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 COLLEEN H USTACH BOARD MEMBER (AS OF 04/24) 2.00 X 0 0 0 3783425 0 162627 149 0 1 0 PROVIDER HEALTHCARE LLC 2825 E COTTONWOOD PKWY STE 470 SALT LAKE CITY UT 84121 PROFESSIONAL SERVICES - MEDICAL 2411839 COMPHEALTH ASSOCIATES INC PO BOX 972651 DALLAS TX 753972651 PROFESSIONAL SERVICES - MEDICAL 955718 SAN JOAQUIN GENERAL HOSPITAL PO BOX 1439 FRENCH CAMP CA 952311439 PROFESSIONAL SERVICES - MEDICAL 831617 QUEST DIAGNOSTICS INCORPORATED PO BOX 912411 PASADENA CA 911102411 PROFESSIONAL SERVICES - LAB 561769 SCRIBE-X NORTHWEST LLC PO BOX 6590 PORTLAND OR 972286590 PROFESSIONAL SERVICES - MEDICAL 464782 31 7625 19418151 1343801 20769577 NET PATIENT SERVICE REVENUE 624100 90751921 90751921 340B PHARMACY REVENUE 456110 14029294 14029294 INCENTIVE/QI INCOME 624100 5413553 5413553 OTHER INCOME 900099 430085 430085 110624853 1252842 1252842 35364 0 35364 35364 35364 1437000 761948 1437000 761948 0 0 52726 7625 39352 13374 13374 LOSS SETTLEMENT REVENUE 900099 1431212 1431212 1431212 134127222 110624853 0 2732792 2104411 132586 1971825 66629789 53624562 13005227 667381 549378 118003 13703714 10111946 3591768 4930994 3799385 1131609 186875 186875 260568 260568 12996730 8702781 4293949 66894 10913 55981 3810339 2084460 1725879 2577926 326235 2251691 6730338 5895339 834999 298952 173668 125284 84876 69197 15679 276389 248979 27410 2564866 2008321 556545 684671 684671 MEDICAL SUPPLIES & DRUG 8892177 7246616 1645561 MINOR EQUIPMENT 1049980 765752 284228 LICENSES, DUES & SUBSCR 854761 102379 752382 RECRUITING 387967 79281 308686 1098911 773191 325720 130859509 96704969 34154540 0 3835692 1725226 8307934 7897220 4536597 5364669 6620923 7718532 73596 91393 1537485 2001085 63753221 20915105 33994549 42838116 34407611 26700045 705555 638889 7697109 5906260 101717051 100881435 9148696 9479734 777918 190114 26783474 26783474 5534034 4871943 29281261 26116653 71525383 67441918 X 30191668 33439517 30191668 33439517 101717051 100881435 X 3267713 -19864 X 0 1 X 1 1 1 X 15645075 31910338 28382429 27097833 20769577 123805252 15645075 31910338 28382429 27097833 20769577 123805252 123805252 109996 60486 103618 231523 1288206 1793829 625 0 0 0 52726 53351 746 1431212 1431958 127084390 429494667 0.97420 0.99500 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2019 AMOUNT: $ 746. 2020 AMOUNT: $ 0. 2021 AMOUNT: $ 0. 2022 AMOUNT: $ 0. 2023 AMOUNT: $ 1,431,212. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 9648242 9648242 15345035 5945893 9399142 9561486 4268920 5292566 10343468 8356504 1986964 18854990 2343788 16511202 42838116 ROU OPERATING LEASE 5906260 5906260 THIRD PARTY SETTLEMENT PAYABLE - STATE 14934906 DEFERRED COMPENSATION - LONG TERM PORTION 11181747 26116653 X 133744683 39352 39352 133705331 421891 421891 134127222 130496834 39352 39352 130457482 402027 402027 130859509 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, 2024 AND 2023, 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 39,352. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT 402,027. REFUND OF CONTRIBUTION 19,864. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 39,352. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT 402,027. GALA 60351 7625 52726 2032 4526 18700 2900 11194 60351 7625 52726 2032 4526 18700 2900 11194 39352 13374 X X X X X 0 0 0 0 0 1 0 1 0 CESAR PABUSTAN PEDIATRICIAN 294285 0 152890 0 12286 0 1038 0 928 0 461427 0 0 0 CHRISTINE NOGUERA CHIEF EXECUTIVE OFFICER 324413 0 1000 0 98153 0 9732 0 7267 0 440565 0 0 0 SHALINI MADUGUNDI INTERNAL MEDICINE (THRU 3/24) 336069 0 80750 0 7797 0 8212 0 1507 0 434335 0 0 0 EARL MCOMBER PHYSICIAN FP 331672 0 32020 0 27923 0 8533 0 12847 0 412995 0 0 0 BENJAMIN MORRISON CHIEF MEDICAL OFFICER 333663 0 1746 0 2472 0 9955 0 10111 0 357947 0 0 0 KUN HUANG PEDIATRICIAN 286682 0 39176 0 3665 0 8200 0 11869 0 349592 0 0 0 SHILPA SAMMETA PSYCHIATRIST 334077 0 2569 0 2467 0 845 0 5274 0 345232 0 0 0 LINH DELUCA CHIEF DENTAL OFFICER 240811 0 10039 0 3554 0 6619 0 9671 0 270694 0 0 0 PREETHI RAGHU CHIEF OPERATING OFFICER 219625 0 1846 0 6083 0 6589 0 10027 0 244170 0 0 0 JAIME ALLEN CHIEF FINANCIAL OFFICER 218565 0 1846 0 4818 0 413 0 10301 0 235943 0 0 0 MICAL CAYTON CHIEF INFORMATION OFFICER 183852 0 1745 0 2172 0 467 0 13266 0 201502 0 0 0 ALFONSO APU CHIEF BEHAVIORAL HEALTH OFFICER 170952 0 1745 0 9997 0 2859 0 6097 0 191650 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 893893 534988 1463855 8568953 14787751 0 0 0 0 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 BY THE CEO AND CFO 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 DELIBERATION AND FINAL DECISIONS ARE CONTEMPORANEOUSLY DOCUMENTED AS PART OF THE PROCESS. THE LAST REVIEW WAS DONE IN 2023. 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: REFUND OF CONTRIBUTION -19,864.