CHG FOUNDATION: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- CHG FOUNDATION (EIN 33-0586911)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-15
- IRS object ID
- 202243199349331054
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-15T19:47:48-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 910189318 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 21700 OXNARD ST STE 300 | AddressLine1Txt |
| City | WOODLAND HILLS | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91367 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 330586911 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHG FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CHGF | BusinessNameControlTxt |
| Phone | 6194220422 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2420 FENTON STREET 100 | AddressLine1Txt |
| City | CHULA VISTA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91914 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SCOTT CARROLL | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 6194220422 | PhoneNum |
| Signature | 2022-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | SCOTT | PersonFirstNm |
| Person Last | CARROLL | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LAUREN HAVERLOCK | PreparerPersonNm |
| PTIN | P00545829 | PTIN |
| Phone | 8185771900 | PhoneNum |
| Preparation | 2022-11-15 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HEALTH GROUP PARTNERSHIP PLAN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | NORMA DIAZ | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2420 FENTON STREET 100 | AddressLine1Txt |
| City | CHULA VISTA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91914 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,200,137,221 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CHGSD.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1994 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | CHG FOUNDATION IS DEDICATED TO MAINTAINING AND IMPROVING THE HEALTH OF OUR MEMBERS BY PROVIDING ACCESS TO QUALITY CARE AND OFFERING EXCEPTIONAL SERVICE TO DIVERSE POPULATIONS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 419 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,000 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $974,217,788 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,195,859,294 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,960,118 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,153,404 | CYInvestmentIncomeAmt |
| PY Other Revenue | $909,904 | PYOtherRevenueAmt |
| CY Other Revenue | $2,976,267 | CYOtherRevenueAmt |
| PY Total Revenue | $978,092,810 | PYTotalRevenueAmt |
| CY Total Revenue | $1,199,988,965 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $12,360 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,266,330 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $23,049,630 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $23,170,549 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $968,699,912 | PYOtherExpensesAmt |
| CY Other Expenses | $1,242,324,053 | CYOtherExpensesAmt |
| PY Total Expenses | $991,761,902 | PYTotalExpensesAmt |
| CY Total Expenses | $1,266,760,932 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$13,669,092 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$66,771,967 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $637,171,330 | TotalAssetsBOYAmt |
| Total Assets EOY | $603,263,204 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $211,816,569 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $244,680,410 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $425,354,761 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $358,582,794 | NetAssetsOrFundBalancesEOYAmt |
| Mission | CHG FOUNDATION IS DEDICATED TO MAINTAINING AND IMPROVING THE HEALTH OF OUR MEMBERS BY PROVIDING ACCESS TO QUALITY CARE AND OFFERING EXCEPTIONAL SERVICE TO DIVERSE POPULATIONS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,218,870,592 | ExpenseAmt |
| Grant | $1,266,330 | GrantAmt |
| Revenue | $1,195,859,294 | RevenueAmt |
| Desc | TO ARRANGE FOR, MAKE AVAILABLE, AND ASSUME FINANCIAL RISK FOR THE PROVISION OF HEALTH CARE SERVICES TO ENROLLED MEMBERS ELIGIBLE FOR MEDI-CAL IN SAN DIEGO COUNTY UNDER THE CALIFORNIA MEDI-CAL PREPAID HEALTH PLAN PROGRAM. | Desc |
| Total Program Service Expenses | $1,218,870,592 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | Yes (1) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 2100 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 419 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SCOTT CARROLL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6194986591 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2420 FENTON STREET SUITE 100 | AddressLine1Txt |
| City | CHULA VISTA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91914 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ALBERT VITELA | ||||||||||
| CHAIR OF THE BOARD OF DIRECTORS | 3.00 | 1.00 | Yes (X) | Yes (X) | $0 | $36,955 | $0 | |||
| CARLOS CESENA | ||||||||||
| VICE CHAIRMAN OF THE BOARD | 3.00 | 1.00 | Yes (X) | Yes (X) | $0 | $28,150 | $0 | |||
| TITO CALSADA | ||||||||||
| BOARD MEMBER | 3.00 | 1.00 | Yes (X) | $0 | $24,450 | $0 | ||||
| GRACE KOJIMA | ||||||||||
| BOARD MEMBER | 3.00 | 1.00 | Yes (X) | $0 | $22,300 | $0 | ||||
| DOMENIC D'ALESSIO | ||||||||||
| BOARD MEMBER | 3.00 | 1.00 | Yes (X) | $0 | $24,550 | $0 | ||||
| JOSE LUIS VALDIVIA | ||||||||||
| BOARD MEMBER | 3.00 | 1.00 | Yes (X) | $0 | $28,150 | $0 | ||||
| CARLOTA SALAS | ||||||||||
| SECRETARY OF THE BOARD OF DIRECTORS | 3.00 | 1.00 | Yes (X) | Yes (X) | $0 | $26,850 | $0 | |||
| JONATHAN BALL | ||||||||||
| BOARD MEMBER | 3.00 | 1.00 | Yes (X) | $0 | $22,750 | $0 | ||||
| ANITA HOLT | ||||||||||
| BOARD MEMBER | 3.00 | 1.00 | Yes (X) | $0 | $3,625 | $0 | ||||
| NORMA DIAZ | ||||||||||
| CHIEF EXECUTIVE OFFICER | 38.00 | 2.00 | Yes (X) | $0 | $859,748 | $33,361 | ||||
| JOSEPH A GARCIA | ||||||||||
| CHIEF OPERATING OFFICER | 38.00 | 2.00 | Yes (X) | $0 | $667,333 | $0 | ||||
| SCOTT CARROLL | ||||||||||
| CHIEF FINANCIAL OFFICER | 37.00 | 3.00 | Yes (X) | $0 | $334,498 | $21,575 | ||||
| PATRICK TELLEZ | ||||||||||
| CHIEF MEDICAL OFFICER | 20.00 | 20.00 | $0 | $428,794 | $25,803 | Yes (X) | ||||
| ANN WARREN | ||||||||||
| ASSOCIATE CHIEF EXECUTIVE | 16.00 | 24.00 | $0 | $379,269 | $23,763 | Yes (X) | ||||
| ALLAN SOMBILLO | ||||||||||
| CHIEF INFORMATION OFFICER | 20.00 | 20.00 | $0 | $303,091 | $20,941 | Yes (X) | ||||
| ALEJANDRO HINOJOSA-VALENCIA | ||||||||||
| IHA PHYSICIAN | 20.00 | 20.00 | $0 | $546,246 | $46,092 | Yes (X) | ||||
| MANISHA SHARMA | ||||||||||
| MEDICAL DIRECTOR | 20.00 | 20.00 | $0 | $292,329 | $37,542 | Yes (X) | ||||
| YOUSAF FAROOK | ||||||||||
| SENIOR DIRECTOR OF HEALTH | 20.00 | 20.00 | $0 | $213,627 | $44,922 | Yes (X) | ||||
| FRANCISCA CHAVEZ | ||||||||||
| SENIOR DIRECTOR OF OPERATIONS | 38.00 | 2.00 | $0 | $270,875 | $42,544 | Yes (X) | ||||
| ANDREW GREGOR | ||||||||||
| CHIEF CORPORATE COUNSEL | 38.00 | 2.00 | $0 | $211,455 | $19,151 | Yes (X) | ||||
| HEIDI ARNDT | ||||||||||
| SENIOR COMPLIANCE OFFICER | 16.00 | 24.00 | $0 | $247,754 | $29,701 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,972,799 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $345,395 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MEDIMPACT HEALTHCARE SYSTEMS INC | |||||
| 10181 SCRIPPS GATEWAY CT | SAN DIEGO | CA | 92131 | PHARMACY SERVICES | $255,699,282 |
| UCSD MEDICAL CENTER | |||||
| 200 W ARBOR DR | SAN DIEGO | CA | 92103 | MEDICAL/HEALTHCARE SERVICES | $102,260,774 |
| SCRIPPS HEALTH | |||||
| 4077 FIFTH AVE | SAN DIEGO | CA | 92103 | MEDICAL/HEALTHCARE SERVICES | $54,879,559 |
| GROSSMONT HOSPITAL CORPORATION | |||||
| 5555 GROSSMONT CENTER DR | LA MESA | CA | 91942 | MEDICAL/HEALTHCARE SERVICES | $53,688,113 |
| PALOMAR HEALTH | |||||
| 2185 CITRICADO PKWY | SAN DIEGO | CA | 92029 | MEDICAL/HEALTHCARE SERVICES | $42,284,015 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 518 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MEDI-CAL PREMIUMS | Desc |
| Business | 524114 | BusinessCd |
| Total Revenue Column | $1,195,859,294 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,195,859,294 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,195,859,294 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,153,404 | TotalRevenueColumnAmt |
| Exclusion | $1,153,404 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $101,900 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $148,256 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$46,356 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$46,356 | TotalRevenueColumnAmt |
| Exclusion | -$46,356 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| DIRECTED PAYMENT ADMIN FEE | 524114 | $3,003,311 | $3,003,311 |
| STATE RESTITUTION | 561000 | $19,312 | $19,312 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,022,623 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,199,988,965 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,195,859,294 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,129,671 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,263,330 | TotalAmt |
| Program Services | $1,263,330 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,000 | TotalAmt |
| Program Services | $3,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,606,549 | TotalAmt |
| Program Services | $113,649 | ProgramServicesAmt |
| Management And General | $2,492,900 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,982 | TotalAmt |
| Management And General | $110,982 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,109,675 | TotalAmt |
| Program Services | $3,342,224 | ProgramServicesAmt |
| Management And General | $11,767,451 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $493,961 | TotalAmt |
| Program Services | $147,677 | ProgramServicesAmt |
| Management And General | $346,284 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,535,250 | TotalAmt |
| Program Services | $940,003 | ProgramServicesAmt |
| Management And General | $2,595,247 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,314,132 | TotalAmt |
| Program Services | $392,878 | ProgramServicesAmt |
| Management And General | $921,254 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,695,742 | TotalAmt |
| Management And General | $12,695,742 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $194,968 | TotalAmt |
| Management And General | $194,968 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $613,793 | TotalAmt |
| Management And General | $613,793 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,209,644,991 | TotalAmt |
| Program Services | $1,207,337,936 | ProgramServicesAmt |
| Management And General | $2,307,055 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,330 | TotalAmt |
| Management And General | $18,330 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,230,458 | TotalAmt |
| Management And General | $3,230,458 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,558,984 | TotalAmt |
| Management And General | $4,558,984 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,012,129 | TotalAmt |
| Management And General | $1,012,129 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $229,766 | TotalAmt |
| Management And General | $229,766 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,070 | TotalAmt |
| Management And General | $23,070 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,811,959 | TotalAmt |
| Management And General | $1,811,959 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $688,805 | TotalAmt |
| Management And General | $688,805 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| REINSURANCE | $5,329,895 | $5,329,895 | |
| EMPLOYEE TRAINING AND P | $586,515 | $586,515 | |
| TAXES, LICENSES, & FEES | $543,627 | $543,627 | |
| DUES & SUBSCRIPTIONS | $251,291 | $251,291 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $889,730 | TotalAmt |
| Management And General | $889,730 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,266,760,932 | TotalAmt |
| Program Services | $1,218,870,592 | ProgramServicesAmt |
| Management And General | $47,890,340 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,280,503 | BOYAmt |
| EOY | $2,328,966 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $463,105,285 | BOYAmt |
| EOY | $434,737,407 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $140,755,665 | BOYAmt |
| EOY | $140,990,652 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $373,284 | BOYAmt |
| EOY | $376,719 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $18,867,297 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,598,974 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,118,326 | BOYAmt |
| EOY | $12,268,323 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,538,267 | BOYAmt |
| EOY | $12,561,137 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $637,171,330 | BOYAmt |
| EOY | $603,263,204 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $146,618,095 | BOYAmt |
| EOY | $166,028,339 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,130 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,183,344 | BOYAmt |
| EOY | $78,652,071 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $211,816,569 | BOYAmt |
| EOY | $244,680,410 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $425,354,761 | BOYAmt |
| EOY | $358,582,794 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $425,354,761 | BOYAmt |
| EOY | $358,582,794 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $637,171,330 | BOYAmt |
| EOY | $603,263,204 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$66,771,967 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $5,000 | CurrentTaxYearMinus1YearAmt |
| Total | $5,000 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,065,895,336 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $832,392,078 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $930,690,690 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $974,217,788 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,195,859,294 | CurrentTaxYearAmt |
| Total | $4,999,055,186 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,065,895,336 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $832,392,078 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $930,690,690 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $974,222,788 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,195,859,294 | CurrentTaxYearAmt |
| Total | $4,999,060,186 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $4,999,060,186 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $711,008 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,275,891 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,744,375 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,199,838 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,255,304 | CurrentTaxYearAmt |
| Total | $22,186,416 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $711,008 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,275,891 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,744,375 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,199,838 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,255,304 | CurrentTaxYearAmt |
| Total | $22,186,416 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $694,174 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $702,041 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,030,401 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $856,173 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,022,623 | CurrentTaxYearAmt |
| Total | $6,305,412 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,067,300,518 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $838,370,010 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $943,465,466 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $978,278,799 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,200,137,221 | CurrentTaxYearAmt |
| Total | $5,027,552,014 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99430 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99500 | PublicSupportPY509Pct |
| Investment Income CY | 0.00440 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00430 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME - 2017 AMOUNT: $ 694,174. 2018 AMOUNT: $ 702,041. 2019 AMOUNT: $ 1,030,401. 2020 AMOUNT: $ 856,173. 2021 AMOUNT: $ 3,022,623. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,176,530 | BeginningYearBalanceAmt |
| Contributions | $100,081 | ContributionsAmt |
| Investment Earnings Or Losses | $4,584 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $67,791 | GrantsOrScholarshipsAmt |
| Other Expenditures | $39,561 | OtherExpendituresAmt |
| End Year Balance | $2,173,843 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,119,104 | BeginningYearBalanceAmt |
| Contributions | $206,540 | ContributionsAmt |
| Investment Earnings Or Losses | $4,986 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $154,100 | GrantsOrScholarshipsAmt |
| End Year Balance | $2,176,530 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,986,730 | BeginningYearBalanceAmt |
| Contributions | $290,990 | ContributionsAmt |
| Investment Earnings Or Losses | $12,012 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $131,891 | GrantsOrScholarshipsAmt |
| Other Expenditures | $38,736 | OtherExpendituresAmt |
| End Year Balance | $2,119,104 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,630,775 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $355,955 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $1,986,730 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,630,775 | BeginningYearBalanceAmt |
| End Year Balance | $1,630,775 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 1.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,500,000 | OtherCostOrOtherBasisAmt |
| Book Value | $3,500,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,166,856 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,404,493 | DepreciationAmt |
| Book Value | $8,762,363 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $130,907 | OtherCostOrOtherBasisAmt |
| Depreciation | $130,907 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $69,534 | OtherCostOrOtherBasisAmt |
| Depreciation | $63,574 | DepreciationAmt |
| Book Value | $5,960 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $12,268,323 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED MEDICAL LOSS RATIO (MLR) RISK CORRIDOR LIABILITIES | $37,913,729 |
| HOSPITAL DIRECTED PAYMENTS PAYABLE | $2,526,315 |
| MANAGED CARE ORGANIZATION TAX PAYABLE | $33,467,075 |
| ACCRUED PROVIDER INCENTIVES | $4,744,952 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $78,652,071 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $1,200,137,221 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $1,200,137,221 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$148,256 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$148,256 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $1,199,988,965 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,266,909,188 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $148,256 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $148,256 | ExpensesNotReportedAmt |
| Expenses Subtotal | $1,266,760,932 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $1,266,760,932 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | COMMUNITY HEALTH GROUP AND CHG FOUNDATION ARE NOT-FOR-PROFIT PUBLIC BENEFIT CORPORATIONS, ORGANIZED UNDER THE NOT-FOR-PROFIT PUBLIC BENEFIT LAWS OF CALIFORNIA, AND EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE (THE "CODE") SECTION 501(A) AS ORGANIZATIONS DESCRIBED IN SECTIONS 501(C)(4) AND 501(C)(3), RESPECTIVELY, OF THE CODE. BOTH ORGANIZATIONS ARE EXEMPT FROM STATE TAXES UNDER THE CALIFORNIA REVENUE AND TAXATION CODE SECTION 23701(D). ACCORDINGLY, NO PROVISION HAS BEEN MADE FOR INCOME TAXES. MANAGEMENT HAS EVALUATED THE TAX POSITIONS OF COMMUNITY HEALTH GROUP AND CHG FOUNDATION AND THE CERTAINTY AS TO WHETHER THOSE POSITIONS WILL BE SUSTAINED IN THE EVENT OF AN AUDIT BY TAXING AUTHORITIES AT THE FEDERAL AND STATE LEVELS. THE PRIMARY TAX POSITIONS EVALUATED ARE RELATED TO COMMUNITY HEALTH GROUP'S AND CHG FOUNDATION'S CONTINUED QUALIFICATION AS TAX-EXEMPT ORGANIZATIONS AND WHETHER THERE ARE UNRELATED BUSINESS INCOME ACTIVITIES CONDUCTED THAT WOULD BE TAXABLE. MANAGEMENT BELIEVES THAT IT IS MORE LIKELY THAN NOT THAT ALL INCOME TAX POSITIONS WILL BE SUSTAINED UPON POTENTIAL AUDIT OR EXAMINATION. THE ORGANIZATION HAS NO UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2021 OR 2020. COMMUNITY HEALTH GROUP AND CHG FOUNDATION FILE INFORMATION RETURNS IN THE U.S. FEDERAL JURISDICTION AND THE STATE OF CALIFORNIA. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | RENTAL EXPENSES -148,256. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES 148,256. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (43 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| HUMBLE DESIGN | ||||||||
| CPS REMITTANCE PROCESSING - SUITE A | CARSON | CA | 90746 | 270410088 | 501(C)(3) | $6,010 | $0 | GENERAL DONATION |
| ABEL CESAR TOLEDO MD INC | ||||||||
| 330 OXFORD STREET | CHULA VISTA | CA | 91911 | 263596648 | $5,779 | $0 | PPE GRANT FOR PROVIDERS | |
| CARLOS GARCIA MD | ||||||||
| 1392 EAST PALOMAR | CHULA VISTA | CA | 91913 | 760703628 | $7,160 | $0 | PPE GRANT FOR PROVIDERS | |
| COMMUNITY HEALTH SYSTEMS INC | ||||||||
| 22675 ALESSANDRO BLVD | MORENO VALLEY | CA | 92553 | 330056551 | 501(C)(3) | $9,670 | $0 | PPE GRANT FOR PROVIDERS |
| FAMILY HEALTH CENTERS OF SD | ||||||||
| 823 GATEWAY CENTER WAY | SAN DIEGO | CA | 92102 | 952833205 | 501(C)(3) | $198,200 | $0 | PPE GRANT FOR PROVIDERS |
| HUONG T NGUYEN MD | ||||||||
| 4444 EL CAJON BLVD | SAN DIEGO | CA | 921154312 | 832227311 | $6,993 | $0 | PPE GRANT FOR PROVIDERS | |
| IMPERIAL BEACH COMMUNITY CLINIC | ||||||||
| PO BOX 459 | IMPERIAL BEACH | CA | 91933 | 237209592 | 501(C)(3) | $32,177 | $0 | PPE GRANT FOR PROVIDERS |
| LA MAESTRA FAMILY CLINIC | ||||||||
| 4060 FAIRMOUNT AVENUE | SAN DIEGO | CA | 92105 | 330473171 | 501(C)(3) | $45,019 | $0 | PPE GRANT FOR PROVIDERS |
| NEIGHBORHOOD HEALTHCARE | ||||||||
| 425 N DATE STREET | ESCONDIDO | CA | 92025 | 952796316 | 501(C)(3) | $119,365 | $0 | PPE GRANT FOR PROVIDERS |
| NORTH COUNTY HEALTH PROJECT | ||||||||
| 150 VALPREDA ROAD | SAN MARCOS | CA | 920692973 | 952847102 | 501(C)(3) | $98,442 | $0 | PPE GRANT FOR PROVIDERS |
| OPERATION SAMAHAN | ||||||||
| 1428 HIGHLAND AVENUE | NATIONAL CITY | CA | 91950 | 953008798 | 501(C)(3) | $23,392 | $0 | PPE GRANT FOR PROVIDERS |
| SAN DIEGO FAMILY CARE | ||||||||
| 6973 LINDA VISTA ROAD | SAN DIEGO | CA | 921116339 | 952700856 | 501(C)(3) | $47,023 | $0 | PPE GRANT FOR PROVIDERS |
| SAN YSIDRO HEALTH CENTER | ||||||||
| 1275 30TH STREET | SAN DIEGO | CA | 92154 | 952801772 | 501(C)(3) | $175,658 | $0 | PPE GRANT FOR PROVIDERS |
| VIET TRONG DAO MD INC | ||||||||
| 4616 EL CAJON BLVD | SAN DIEGO | CA | 92115 | 454184500 | $8,789 | $0 | PPE GRANT FOR PROVIDERS | |
| VISTA COMMUNITY CLINIC | ||||||||
| 1000 VALE TERRACE DRIVE | VISTA | CA | 920845218 | 952815615 | 501(C)(3) | $79,128 | $0 | PPE GRANT FOR PROVIDERS |
| ABACUS | ||||||||
| 4204A ADAMS AVE | SAN DIEGO | CA | 92116 | 454904064 | $7,000 | $0 | PPE GRANT FOR PROVIDERS | |
| KAB MEDICAL GROUP INC | ||||||||
| 15144 BAROLO CT | SAN DIEGO | CA | 92127 | 814236980 | $7,000 | $0 | PPE GRANT FOR PROVIDERS | |
| BEHAVIOR HEALTH & WELLNESS LLC | ||||||||
| 3024 CONE MANOR LANE | RALEIGH | NC | 27613 | 272992358 | $7,000 | $0 | PPE GRANT FOR PROVIDERS | |
| EASTLAKE SLEEP CENTER | ||||||||
| 841 KUHN DRIVE | CHULA VISTA | CA | 919143552 | 203015013 | $7,000 | $0 | PPE GRANT FOR PROVIDERS | |
| GELEN R DEL ROSARIO MD | ||||||||
| 502 EUCLID AVENUE | NATIONAL CITY | CA | 91950 | 472387000 | $7,000 | $0 | PPE GRANT FOR PROVIDERS | |
| HENRY J SHIN DPM | ||||||||
| 2340 EAST 8TH STREET | NATIONAL CITY | CA | 919502873 | 380727550 | $7,000 | $0 | PPE GRANT FOR PROVIDERS | |
| INLAND PAIN SPECIALISTS | ||||||||
| 29911 NIGUEL RD SUITE 6429 | LAGUNA NIGUEL | CA | 926779998 | 811507345 | $7,000 | $0 | PPE GRANT FOR PROVIDERS | |
| SOUTH BAY PULMONARY MEDICAL GROUP | ||||||||
| 841 KUHN DRIVE | CHULA VISTA | CA | 91914 | 330513208 | $7,000 | $0 | PPE GRANT FOR PROVIDERS | |
| UNIQUE HEALTHCARE FOR WOMEN MED CORP | ||||||||
| 502 SO EUCLID AVE | NATIONAL CITY | CA | 91950 | 200461497 | $7,000 | $0 | PPE GRANT FOR PROVIDERS | |
| RETINA CENTER OF SAN DIEGO | ||||||||
| 6259 CAMINITO LUISITO | SAN DIEGO | CA | 92111 | 834516271 | $7,000 | $0 | PPE GRANT FOR PROVIDERS | |
| MEHRDAD MARK MOFID MD APC | ||||||||
| 4150 REGENTS PARK ROW 300 | LA JOLLA | CA | 92037 | 200549153 | $7,000 | $0 | PPE GRANT FOR PROVIDERS | |
| ADVANCED PHYSIOTHERAPY | ||||||||
| PO BOX 2736 | SPRING VALLEY | CA | 91978 | 462048156 | $7,000 | $0 | PPE GRANT FOR PROVIDERS | |
| MOTIVA ASSOCIATES | ||||||||
| PO BOX 122279 | CHULA VISTA | CA | 91912 | 330943756 | $7,000 | $0 | PPE GRANT FOR PROVIDERS | |
| BEST SERVICES | ||||||||
| 111 CURRITUCK COMMERCIAL DR | MOYOCK | NC | 27958 | 330979097 | $7,000 | $0 | PPE GRANT FOR PROVIDERS | |
| RETINA CONSULTANTS SAN DIEGO | ||||||||
| 12630 MONTE VISTA ROAD | POWAY | CA | 920642526 | 953511595 | $7,000 | $0 | PPE GRANT FOR PROVIDERS | |
| MISSION INFECTIOUS DIS INFUS CNSLTS INC | ||||||||
| PO BOX 28849 | SAN DIEGO | CA | 92198 | 274694772 | $7,000 | $0 | PPE GRANT FOR PROVIDERS | |
| FAMILY EYE HEALTH OPTOMETRY CENTER | ||||||||
| 181 S RANCHO SANTE FE RD | SAN MARCOS | CA | 92078 | 205433458 | $7,000 | $0 | PPE GRANT FOR PROVIDERS | |
| THERAPY SPECIALISTS | ||||||||
| 3760 CONVOY STREET | SAN DIEGO | CA | 92111 | 330209580 | $7,000 | $0 | PPE GRANT FOR PROVIDERS | |
| TORY PRESTERA | ||||||||
| 100 NORTH RANCHO SANTA FE ROAD | SAN MARCOS | CA | 920691294 | 810943162 | $7,000 | $0 | PPE GRANT FOR PROVIDERS | |
| CROWNVIEW MEDICAL GROUP INC | ||||||||
| 158 C AVENUE | CORONADO | CA | 92118 | 800196377 | $7,000 | $0 | PPE GRANT FOR PROVIDERS | |
| MANA DE SAN DIEGO | ||||||||
| 2515 CAMINO DEL RIO SOUTH 228 | SAN DIEGO | CA | 92108 | 330821060 | $25,000 | $0 | SCHOLARSHIP PROGRAM- 2021 COMMUNITY PARTNERSHIP | |
| SAN YSIDRO HEALTH CENTER | ||||||||
| 1275 30TH STREET | SAN DIEGO | CA | 92154 | 952801772 | $10,000 | $0 | 15TH ANNUAL CLSICO DE GOLF (CHARITY GOLF TOURNAMENT) | |
| NEIGHBORHOOD HEALTHCARE | ||||||||
| 425 N DATE STREET | ESCONDIDO | CA | 92025 | 952796316 | $10,000 | $0 | BACK TO THE 80S GALA SILVER SPONSOR SEPT 18 2021 | |
| SOUTHWESTERN COLLEGE FOUNDATION | ||||||||
| 900 OTAY LAKES RD | CHULA VISTA | CA | 91910 | 953794927 | $20,000 | $0 | CHG DIVERSITY & INCLUSION SCHOLARSHIPS | |
| TRUECARE | ||||||||
| 150 VALPREDA ROAD | SAN MARCOS | CA | 920692973 | 952847102 | $30,000 | $0 | 2022 MAGICAL MASQUERADE GRAND GALA -MARCH 26 2022 | |
| SAN DIEGO FAMILY CIRCLE ADULT DAY HEALTH CARE | ||||||||
| 5770 BELLEVUE AVE | LA JOLLA | CA | 92037 | 364912524 | $15,000 | $0 | MONTHLY DONATION | |
| SAN DIEGO PRINTERS | ||||||||
| 10025 HUENNEKENS ST | SAN DIEGO | CA | 92121 | 330867407 | $12,392 | $0 | 1,000 BACKPACK ANNUAL DONATION | |
| ASSOCIATION FOR COMMUNITY AFFILIATED PLANS | ||||||||
| 1155 15TH STREET NW | WASHINGTON | DC | 22172 | 050509791 | $10,000 | $0 | ACAP SDOH INNOVATION CENTER -FOUNDER'S CIRCLE 2022 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 11 | Total501c3OrgCnt |
| Total Other Org | 32 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | SCHOLARSHIPS | GrantTypeTxt |
| Recipient | 1 | RecipientCnt |
| Cash Grant | $3,000 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | CHG FOUNDATION AWARDS GRANTS AND SCHOLARSHIPS FOR HEALTH AND EDUCATIONAL RELATED PURPOSES TO INDIVIDUALS RESIDING IN SAN DIEGO COUNTY WHO ARE NOT RELATED TO THE ORGANIZATION. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NORMA DIAZ | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $0 | $738,406 | $0 | $17,700 | $0 | $103,642 | $0 | $8,550 | $0 | $24,811 | $0 | $893,109 | $0 | $0 |
| JOSEPH A GARCIA | ||||||||||||||
| CHIEF OPERATING OFFICER | $0 | $667,333 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $667,333 | $0 | $0 |
| ALEJANDRO HINOJOSA-VALENCIA | ||||||||||||||
| IHA PHYSICIAN | $0 | $66,488 | $0 | $469,820 | $0 | $9,938 | $0 | $8,550 | $0 | $37,542 | $0 | $592,338 | $0 | $0 |
| PATRICK TELLEZ | ||||||||||||||
| CHIEF MEDICAL OFFICER | $0 | $411,757 | $0 | $3,557 | $0 | $13,480 | $0 | $0 | $0 | $25,803 | $0 | $454,597 | $0 | $0 |
| ANN WARREN | ||||||||||||||
| ASSOCIATE CHIEF EXECUTIVE | $0 | $302,260 | $0 | $8,686 | $0 | $68,323 | $0 | $8,550 | $0 | $15,213 | $0 | $403,032 | $0 | $0 |
| SCOTT CARROLL | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $0 | $329,708 | $0 | $500 | $0 | $4,290 | $0 | $8,550 | $0 | $13,025 | $0 | $356,073 | $0 | $0 |
| MANISHA SHARMA | ||||||||||||||
| MEDICAL DIRECTOR | $0 | $291,279 | $0 | $500 | $0 | $550 | $0 | $0 | $0 | $37,542 | $0 | $329,871 | $0 | $0 |
| ALLAN SOMBILLO | ||||||||||||||
| CHIEF INFORMATION OFFICER | $0 | $292,517 | $0 | $6,524 | $0 | $4,050 | $0 | $7,916 | $0 | $13,025 | $0 | $324,032 | $0 | $0 |
| FRANCISCA CHAVEZ | ||||||||||||||
| SENIOR DIRECTOR OF OPERATIONS | $0 | $202,827 | $0 | $7,058 | $0 | $60,990 | $0 | $5,002 | $0 | $37,542 | $0 | $313,419 | $0 | $0 |
| HEIDI ARNDT | ||||||||||||||
| SENIOR COMPLIANCE OFFICER | $0 | $245,064 | $0 | $2,000 | $0 | $690 | $0 | $6,815 | $0 | $22,886 | $0 | $277,455 | $0 | $0 |
| YOUSAF FAROOK | ||||||||||||||
| SENIOR DIRECTOR OF HEALTH | $0 | $207,719 | $0 | $5,558 | $0 | $350 | $0 | $6,287 | $0 | $38,635 | $0 | $258,549 | $0 | $0 |
| ANDREW GREGOR | ||||||||||||||
| CHIEF CORPORATE COUNSEL | $0 | $210,655 | $0 | $500 | $0 | $300 | $0 | $6,353 | $0 | $12,798 | $0 | $230,606 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | CHG FOUNDATION RELIES ON COMMUNITY HEALTH GROUP (PARENT), A RELATED ORGANIZATION, TO ESTABLISH THE COMPENSATION AND BENEFITS OF THE ORGANIZATION'S CEO. CHG FOUNDATION'S CEO IS ALSO THE CEO OF COMMUNITY HEALTH GROUP; CHG FOUNDATION'S CEO RECEIVES ONE HUNDRED PERCENT OF HER COMPENSATION FROM COMMUNITY HEALTH GROUP. COMMUNITY HEALTH GROUP UTILIZES THE FOLLOWING METHODS TO DETERMINE THE COMPENSATION OF THE CEO: 1) COMPENSATION COMMITTEE; 2) INDEPENDENT COMPENSATION CONSULTANT; 3) COMPENSATION SURVEY AND/OR STUDY; AND 4) APPROVAL BY THE BOARD OF DIRECTORS. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOSEPH GARCIA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | FAMILY MEMBER OF OFFICER | RelationshipDescriptionTxt |
| Transaction | $667,333 | TransactionAmt |
| Transaction | COMPENSATION | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: | FormAndLineReferenceDesc |
| Explanation | JOSEPH GARCIA IS COMPENSATED THROUGH COMMUNITY HEALTH GROUP, A RELATED ORGANIZATION, THAT PROVIDES ADMINISTRATIVE SERVICES AND SUPPORT TO CHG FOUNDATION AND ACTS AS THE COMMON PAYMASTER. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | NORMA DIAZ AND JOSEPH A. GARCIA HAVE A FAMILY RELATIONSHIP (SPOUSES). |
| FORM 990, PART VI, SECTION A, LINE 3 | THE ORGANIZATION'S PARENT (COMMUNITY HEALTH GROUP, OR "CHG") ENGAGED WITH JOSEPH A. GARCIA, A CONSULTANT WITH J.A.G. CONSULTING, LLC (SINGLE-MEMBER LLC, WHERE JOSEPH A. GARCIA IS THE SOLE MANAGER) TO FULFILL THE DUTIES OF CHIEF OPERATING OFFICER FOR CHG. COMPENSATION PAID TO J.A.G. CONSULTING, LLC BY CHG IN 2021 IN RELATION TO THESE DUTIES WAS $667,333. |
| FORM 990, PART VI, SECTION A, LINE 6 | CHG FOUNDATION HAS ONE SOLE MEMBER, COMMUNITY HEALTH GROUP, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE ORGANIZATION'S SOLE MEMBER, COMMUNITY HEALTH GROUP, HAS THE POWER TO APPOINT ALL OF THE ORGANIZATION'S BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 7B | AS THE SOLE MEMBER OF CHG FOUNDATION, COMMUNITY HEALTH GROUP HAS THE POWER TO APPROVE ANY AMENDMENT TO THE ARTICLES OF INCORPORATION OR BYLAWS OF CHG FOUNDATION. ADDITIONALLY, COMMUNITY HEALTH GROUP HAS THE POWER OR AUTHORITY GIVEN TO MEMBERS BY THE NONPROFIT PUBLIC BENEFIT CORPORATION LAW BY ITS WRITTEN CONSENT. |
| FORM 990, PART VI, SECTION B, LINE 11B | MOSS ADAMS, LLP IS ENGAGED TO PREPARE AND COMPLETE THE FORM 990 ON BEHALF OF CHG FOUNDATION. THE FORM 990 IS PREPARED UNDER THE DIRECTION, REVIEW, AND OVERSIGHT OF COMMUNITY HEALTH GROUP'S (CHG FOUNDATION'S PARENT) FINANCE DEPARTMENT, AND EXECUTIVE MANAGEMENT TEAM. THE FORM 990 IS REVIEWED IN DETAIL BY THE CHIEF FINANCIAL OFFICER OF CHG FOUNDATION WHO APPROVES THE FINAL VERSION FOR FILING WITH MOSS ADAMS, LLP. CHG FOUNDATION'S BOARD OF DIRECTORS RELIES ON THE EXPERTISE OF INTERNAL MANAGEMENT AND MOSS ADAMS, LLP FOR THE ACCURATE AND TIMELY FILING OF FORM 990. |
| FORM 990, PART VI, SECTION B, LINE 12C | ANNUALLY, THE CHG FOUNDATION BOARD OF DIRECTORS AND EXECUTIVE MANAGEMENT TEAM RECEIVE A REFRESHER TRAINING (CONDUCTED BY OUTSIDE LEGAL COUNSEL) ON THE IMPORTANCE OF IDENTIFYING ANY CONFLICTS OF INTEREST; THE DISCLOSURE OF ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST IS AN INTEGRAL PART OF THE CULTURE AT CHG FOUNDATION AND COMMUNITY HEALTH GROUP. ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST ARE REPORTED TO COMMUNITY HEALTH GROUP'S COMPLIANCE OFFICER FOR INVESTIGATION AND FOLLOW-UP. IN THE EVENT OF ANY CONFLICTS OF INTEREST, THE BOARD OF DIRECTORS WILL DETERMINE WHAT RESTRICTIONS, IF ANY, WILL BE IMPOSED ON THE PERSON(S) WITH THE CONFLICT; AND SUCH PERSON(S) WILL RECUSE THEMSELVES FROM PARTICIPATING IN ANY DELIBERATIONS AND DECISIONS OF THE BOARD OF DIRECTORS REGARDING MATTERS INVOLVING THE POTENTIAL CONFLICT OF INTEREST, UNLESS OTHERWISE PERMITTED OR AUTHORIZED BY THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 15 | CHG FOUNDATION ANSWERED EACH OF THESE QUESTIONS AS "NO" BECAUSE ALL COMPENSATION PAID TO THOSE PERSONS REPORTED IN PART VII OR SCHEDULE J IS PAID BY COMMUNITY HEALTH GROUP (CHG FOUNDATION'S PARENT). SEE THE COMMUNITY HEALTH GROUP FORM 990 SCHEDULE O FOR A DESCRIPTION OF THE PROCESSES BY WHICH IT DETERMINES EXECUTIVE COMPENSATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS, AS WELL AS THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS (WHICH INCLUDE THE CONSOLIDATED RESULTS OF COMMUNITY HEALTH GROUP AND CHG FOUNDATION) ARE AVAILABLE TO THE GENERAL PUBLIC ON THE CALIFORNIA DEPARTMENT OF MANAGED HEALTH CARE WEBSITE (DMHC.CA.GOV). THE ORGANIZATION'S GOVERNING DOCUMENTS ARE ON FILE WITH THE CALIFORNIA DEPARTMENT OF MANAGED HEALTH CARE AND CAN BE OBTAINED VIA REQUEST UNDER THE CALIFORNIA PUBLIC RECORDS ACT. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS NOT MADE AVAILABLE TO THE GENERAL PUBLIC. |
| FORM 990, PART IX, LINE 11G | PHARMACY EXPENSES: PROGRAM SERVICE EXPENSES 256,904,525. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 256,904,525. CONSULTING EXPENSES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,307,055. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,307,055. HEALTH CARE EXPENSES: PROGRAM SERVICE EXPENSES 950,433,411. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 950,433,411. |
| FORM 990, PART IX, LINES 5 THROUGH 10: | CHG FOUNDATION HAS NO EMPLOYEES. FOR A FEE, COMMUNITY HEALTH GROUP (PARENT) PROVIDES ADMINISTRATIVE SERVICES AND SUPPORT TO CHG FOUNDATION UNDER THE TERMS AND CONDITIONS OF AN ADMINISTRATIVE SERVICES AGREEMENT. THE SERVICES PROVIDED INCLUDE BUT ARE NOT LIMITED TO: MEDICAL MANAGEMENT, CLAIMS PROCESSING AND PAYMENT, INFORMATION SYSTEMS, LEGAL, PLANNING, INSURANCE, ACCOUNTING SERVICES, AND OTHER SERVICES AS DEFINED IN THE AGREEMENT. ALL EMPLOYEES PERFORMING WORK ON BEHALF OF CHG FOUNDATION IN ACCORDANCE WITH THE ADMINISTRATIVE SERVICES AGREEMENT ARE COMPENSATED AND PAID BY COMMUNITY HEALTH GROUP, A RELATED ORGANIZATION (PARENT) WHO ALSO ACTS AS THE COMMON PAYMASTER. COMPENSATION IS ALLOCATED TO CHG FOUNDATION FROM COMMUNITY HEALTH GROUP, AND THIS ALLOCATED COMPENSATION IS REPORTED ON CHG FOUNDATION'S FORM 990, PART IX, LINES 5-10. |
| FORM 990, PART IX, LINES 11B THROUGH 11D; AND LINES 12 THROUGH 24E: | A MAJORITY OF THE EXPENSES REPORTED IN THESE LINES REPRESENT AMOUNTS ALLOCATED TO CHG FOUNDATION FROM COMMUNITY HEALTH GROUP IN ACCORDANCE WITH THE TERMS OF THE ADMINISTRATIVE SERVICES AGREEMENT IN PLACE BETWEEN THE TWO ENTITIES. SUCH ALLOCATED EXPENSES ARE REPORTED AT THE FUNCTIONAL LEVEL ON CHG FOUNDATION'S FORM 990 PART IX. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HEALTH GROUP | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2420 FENTON STREET SUITE 100 | AddressLine1Txt |
| City | CHULA VISTA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91914 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 953766170 | EIN |
| Primary Activities | HEALTH CARE SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(4) | ExemptCodeSectionTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| COMMUNITY HEALTH GROUP | ||
| O | $25,182,561 | BOOK VALUE |
| COMMUNITY HEALTH GROUP | ||
| P | $1,266,909,188 | BOOK VALUE |
| COMMUNITY HEALTH GROUP | ||
| S | $18,049,187 | BOOK VALUE |
| COMMUNITY HEALTH GROUP | ||
| M | $12,695,742 | BOOK VALUE |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART V, SECTION 2, LINES 1 TO 4: | FormAndLineReferenceDesc |
| Explanation | FOR A FEE, COMMUNITY HEALTH GROUP PROVIDES ADMINISTRATIVE SERVICES AND SUPPORT TO CHG FOUNDATION UNDER THE TERMS OF AN ADMINISTRATIVE SERVICES AGREEMENT. THE SERVICES PROVIDED INCLUDE, BUT ARE NOT LIMITED TO: MEDICAL MANAGEMENT, CLAIMS PROCESSING AND PAYMENT, INFORMATION SYSTEMS, LEGAL, PLANNING, INSURANCE, ACCOUNTING SERVICES, AND OTHER SERVICES AS DEFINED IN THE AGREEMENT. ALL EMPLOYEES PERFORMING WORK ON BEHALF OF CHG FOUNDATION IN ACCORDANCE WITH THE ADMINISTRATIVE SERVICES AGREEMENT ARE COMPENSATED AND PAID BY COMMUNITY HEALTH GROUP (PARENT), WHO ALSO ACTS AS THE COMMON PAYMASTER. COMPENSATION IS ALLOCATED TO CHG FOUNDATION FROM COMMUNITY HEALTH GROUP, AND THIS ALLOCATED COMPENSATION IS REPORTED ON CHG FOUNDATION'S FORM 990, PART IX, LINES 5-10. SUCH AMOUNTS ARE REPORTED ON LINE 1 OF THIS SCHEDULE R, PART V, SECTION 2. LINE 2 OF THIS SCHEDULE R, PART V, SECTION 2 IS PRIMARILY COMPRISED OF REIMBURSEMENTS OF HEALTH CARE EXPENSES AND PHARMACY EXPENSES (CLAIMS PAYMENTS), PAID BY COMMUNITY HEALTH GROUP ON BEHALF OF CHG FOUNDATION, AS WELL AS REIMBURSEMENT OF COMPENSATION AND OTHER ADMINISTRATIVE EXPENSES ALLOCATED TO CHG FOUNDATION IN ACCORDANCE WITH THE TERMS AND CONDITIONS OF THE AFOREMENTIONED ADMINISTRATIVE SERVICES AGREEMENT. LINE 3 OF THIS SCHEDULE R, PART V, SECTION 2 REFLECTS THE NET AMOUNT OF $18,049,187 THAT WAS TRANSFERRED TO CHG FOUNDATION FROM COMMUNITY HEALTH GROUP AS A RETURN OF FUNDS TO CHG FOUNDATION THAT COMMUNITY HEALTH GROUP WAS HOLDING ON BEHALF OF CHG FOUNDATION. IN THE NORMAL COURSE OF BUSINESS, FUNDS ARE BEING HELD BY COMMUNITY HEALTH GROUP ON BEHALF OF CHG FOUNDATION ON A SHORT-TERM BASIS SO THAT SUCH FUNDS ARE AVAIALABLE FOR FUNDING CERTAIN OBLIGATIONS OF CHG FOUNDATION THAT WILL BE PAID BY COMMUNITY HEALTH GROUP IN ACCORDANCE WITH THE ADMINISTRATIVE SERVICES AGREEMENT. COMMUNITY HEALTH GROUP HOLDS THESE FUNDS IN CUSTODY OF CHG FOUNDATION AND MAINTAINS A SEPARATE ACCOUNTING OF THESE FUNDS (AS WELL AS ALL INTEREST EARNED ON SUCH FUNDS) WHILE THEY ARE IN POSSESSION OF COMMUNITY HEALTH GROUP. LINE 4 OF THIS SCHEDULE R, PART V, SECTION 2 REPRESENTS FEES FOR THE ADMINISTRATIVE SERVICES AND SUPPORT THAT COMMUNITY HEALTH GROUP PROVIDES TO CHG FOUNDATION IN ACCORDANCE WITH THE TERMS AND CONDITIONS OF THE ADMINISTRATIVE SERVICES AGREEMENT IN EFFECT BETWEEN THE TWO ORGANIZATIONS. | ExplanationTxt |
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