2024-11-01T13:32:46-05:00 2023-12-31 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2023-01-01 330056551 COMMUNITY HEALTH SYSTEM INC COMM 9515712300 21801 ALESSANDRO BLVD MORENO VALLEY CA 92553 LORI HOLEMAN CEO 9515712300 2024-10-24 1 1 MICHAEL J PETERSON CPA P01833529 2187224705 2024-10-14 2023 2024-10-15 13:58:12Z LORI HOLEMAN 21801 ALESSANDRO BLVD MORENO VALLEY CA 92553 54173439 0 X WWW.CHSICA.ORG X 1984 CA TO IMPROVE AND STRENGTHEN THE HEALTH OF OUR DIVERSE COMMUNITIES BY PROVIDING COMPASSIONATE AND COMPREHENSIVE HEALTH SERVICES. 9 9 475 9 0 0 6308263 10290799 25950476 42510624 1700 140461 10206 31459 32270645 52973343 0 0 0 0 26103010 32065858 0 0 0 8790966 11923010 34893976 43988868 -2623331 8984475 34129628 42691698 22453001 25006014 11676627 17685684 TO IMPROVE AND STRENGTHEN THE HEALTH OF OUR DIVERSE COMMUNITIES BY PROVIDING COMPASSIONATE AND COMPREHENSIVE HEALTH SERVICES. 0 0 31211335 0 42510624 COMMUNITY HEALTH SYSTEMS PROVIDED 134,520 MEDICAL, DENTAL, VISION, MENTAL HEALTH, AND OTHER PRIMARY CARE SERVICES, INCLUDING VIRTUAL VISITS, TO INDIVIDUALS IN THE TRI-COUNTY AREA OF SOUTHERN CALIFORNIA. APPROXIMATELY 25,214 PATIENTS WERE SERVED. A MAJORITY OF THOSE PATIENTS WERE LOW-INCOME AND UNDERINSURED WITH LIMITED MEANS FOR PAYMENT. 31211335 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 15 0 475 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X X ANNIE NGUYEN 9515712300 21801 ALESSANDRO BLVD MORENO VALLEY CA 92553 JONNATHAN BARAJAS CHAIR 1.50 X X 0 0 0 KIMBERLY JIMENEZ VICE CHAIR 1.00 X X 0 0 0 OSCAR ULRIC JONES TREASURER 1.00 X X 0 0 0 JENNIFER DOBROWOLSKY SECRETARY 1.00 X X 0 0 0 DRAYMOND CRAWFORD BOARD MEMBER 0.75 X 0 0 0 VERONICA HERNANDEZ BOARD MEMBER 0.50 X 0 0 0 MAYRA JACKSON BOARD MEMBER (FROM SEP 2023) 0.50 X 0 0 0 ALLISON MONTERROSA BOARD MEMBER 0.50 X 0 0 0 AMIR SADEGHIAN BOARD MEMBER 0.75 X 0 0 0 LORI HOLEMAN CEO 40.00 X 484559 0 31518 ANNIE NGUYEN CFO 40.00 X 371785 0 31456 DR SANJEEV PURI CMO 40.00 X 425029 0 9868 DR GORAN CVIJANOVIC INTERNAL MED. PHYS. TEAM LEAD 40.00 X 350491 0 16493 DENIS VEGA TAPIA CSO 40.00 X 336168 0 8827 DR GEORGE SOLIMAN FAMILY PRACTICE PHYSICIAN 40.00 X 321508 0 27132 DR CALVIN LAMBERT HALL FAMILY PRACTICE PHYSICIAN 40.00 X 299505 0 28764 2589045 0 154058 71 0 1 0 HARBOR BUILDING MAINT 5011 ANGOSY AVE SUITE 11 HUNTINGTON BEACH CA 92649 JANITORIAL SERVICE 381375 DIRECT GUARD 4193 FLAT ROCK DRIVE SUITE 200 RIVERSIDE CA 92505 SECURITY GUARD SERVICES 338997 PROVIDER HEALTHCARE 2455 E PARLEYS WAY SUITE 310 SALT LAKE CITY CA 84109 PROVIDER SERVICES 257265 LABCORP PO BOX 12140 BURLINGTON NC 27216 LAB SERVICES 184997 4 9296838 993961 697000 10290799 PATIENT SERVICE REVENUE 621990 38162857 38162857 340B PHARMACY REVENUE 456110 2821533 2821533 INCENTIVE REVENUE 621990 1526234 1526234 42510624 88673 88673 4618 0 4618 4618 4618 1251884 1200096 51788 51788 51788 OTHER INCOME 900999 26841 26841 26841 52973343 42510624 0 171920 919318 390792 528526 25007225 19058537 5948688 1790039 604096 1185943 2321793 1712360 609433 2027483 1509021 518462 3015 3015 82947 82947 1281044 877583 403461 998918 641414 357504 954437 67163 887274 3530674 2726731 803943 154587 50629 103958 152381 5286 147095 239992 239992 779715 566254 213461 622897 281657 341240 MEDICAL SUPPLIES 2287379 2287379 STAFF RECRUITMENT 221920 1360 220560 DUES & SUBSCRIPTIONS 176301 60843 115458 BAD DEBT EXPENSE 134127 134127 302676 236103 66573 43988868 31211335 12777533 0 1928864 4603078 3565324 10663 1426091 4151077 0 84393 893680 385493 29604321 9536646 10429102 20067675 1201536 1440 14685031 13387879 34129628 42691698 2578349 4082655 5446912 7216379 14427740 13706980 22453001 25006014 X 8692875 17646934 2983752 38750 11676627 17685684 34129628 42691698 X 8984475 -2975418 X X 0 1 X 1 1 1 X 6828716 9002113 17507114 6308263 10260383 49906589 6828716 9002113 17507114 6308263 10260383 49906589 892325 49014264 4819 107 373 1700 93291 100290 39464 73253 227128 10206 26841 376892 50383771 125837265 0.97280 0.99130 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 230000 230000 13284720 1630039 11654681 10638649 4107192 6531457 4439379 2173644 2265735 1011573 1625771 -614198 20067675 RIGHT-OF-USE ASSETS 13156003 SECURITY DEPOSITS 231876 13387879 RIGHT-OF-USE LIABILITIES 13565325 RELATED PARTY NOTE PAYABLE 141655 13706980 52839216 0 52839216 134127 134127 52973343 43854741 0 43854741 134127 134127 43988868 PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 134,127. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 134,127. X X X X 0 0 0 0 0 0 0 0 0 LORI HOLEMAN CEO 316231 0 168328 0 0 0 0 0 31518 0 516077 0 0 0 DR SANJEEV PURI CMO 338905 0 86124 0 0 0 0 0 9868 0 434897 0 0 0 ANNIE NGUYEN CFO 245440 0 126345 0 0 0 0 0 31456 0 403241 0 0 0 DR GORAN CVIJANOVIC INTERNAL MED. PHYS. TEAM LEAD 331792 0 18699 0 0 0 0 0 16493 0 366984 0 0 0 DR GEORGE SOLIMAN FAMILY PRACTICE PHYSICIAN 306759 0 14749 0 0 0 0 0 27132 0 348640 0 0 0 DENIS VEGA TAPIA CSO 222332 0 113836 0 0 0 0 0 8827 0 344995 0 0 0 DR CALVIN LAMBERT HALL FAMILY PRACTICE PHYSICIAN 293525 0 5980 0 0 0 0 0 28764 0 328269 0 0 0 X MEDICATION 1 697000 FAIR MARKET VALUE 0 0 0 0 PART I, COLUMN (B): THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS IN PART I, COLUMN (B). FORM 990, PART VI, SECTION B, LINE 11B A DRAFT COPY OF FORM 990 (INCLUDING ALL PERTINENT SCHEDULES) WAS PROVIDED TO THE ORGANIZATION'S FINANCE COMMITTEE TO REVIEW AND APPROVE BEFORE IT WAS FILED WITH THE INTERNAL REVENUE SERVICE. A COPY WAS ALSO PROVIDED TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A REPORTING CHAIN FOR ADMINISTRATION AND CLINICAL POLICIES. POLICIES ARE ADDRESSED AT THE LOWEST LEVEL POSSIBLE AND ISSUES ARE RAISED UP THROUGH THE REPORTING CHAIN AS NEEDED. FORM 990, PART VI, SECTION B, LINE 15 TO DETERMINE THE COMPENSATION OF THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER, THE HUMAN RESOURCES DEPARTMENT RESEARCH COMPARABILITY DATA FOR THE SALARY ANALYSIS; THE HUMAN RESOURCES DIRECTOR MAKES A RECOMMENDATION TO THE BOARD OF DIRECTORS AND THE BOARD VOTES ON THAT RECOMMENDATION. THIS PROCESS IS DOCUMENTED IN THE MEETING MINUTES. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION MAKES ITS FORM 1023 AND 990 AVAILABLE TO THE PUBLIC UPON REQUEST IN THE CORPORATE OFFICE IN MORENO VALLEY AND ON GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST FOR VIEWING IN THE CORPORATE OFFICE IN MORENO VALLEY. IN ADDITION, UPON REQUEST, THE FINANCIAL STATEMENTS ARE PROVIDED TO VARIOUS FUNDING AGENCIES AS REQUIRED. FORM 990, PART XI, LINE 9: CHANGE IN ACCOUNTING METHOD (PRINCIPLE) -2,975,418. FORM 990, PART XII, LINE 1: IN 2023, THE ORGANIZATION CHANGED ITS ACCOUNTING POLICY REGARDING THE RECOGNITION OF GRANT REVENUE. THE CHANGE IN POLICY MORE ACCURATELY REFLECTS THE ALLOWABLE USES OF PRIMARILY FEDERAL, STATE, AND OTHER LOCAL GOVERNMENTAL GRANTS WITHIN DESIGNATED PERIODS OF AVAILABILITY ARE CONDITIONS THAT MUST BE MET BEFORE REVENUE IS RECOGNIZED RATHER THAN BEING DONOR RESTRICTIONS THAT MUST BE SATISFIED AFTER REVENUE HAS BEEN RECOGNIZED. THE CHANGE IN ACCOUNTING POLICY REDUCED BEGINNING NET ASSETS WITH DONOR RESTRICTIONS BY $2,975,419 FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS A FINANCE COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.