COMMUNITY HEALTH GROUP: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY HEALTH GROUP (EIN 95-3766170)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-10-15
- IRS object ID
- 202102889349301335
- Schema version
- 2020v4.1
- 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 | 2021-10-15T14:11:30-05:00 | ReturnTs |
| Tax Period End | 2020-12-31 | 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 | 10960 WILSHIRE BOULEVARD SUITE 1100 | AddressLine1Txt |
| City | LOS ANGELES | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90024 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 953766170 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HEALTH GROUP | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 6194220422 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2420 FENTON STREET NO 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 | 2021-10-07 | 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 | 3104770450 | PhoneNum |
| Preparation | 2021-10-07 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| 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 NO 100 | AddressLine1Txt |
| City | CHULA VISTA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91914 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $159,783,354 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Website Address | WWW.CHGSD.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1982 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | COMMUNITY HEALTH GROUP 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 | 378 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $114,845,064 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $126,039,847 | CYProgramServiceRevenueAmt |
| PY Investment Income | $802,899 | PYInvestmentIncomeAmt |
| CY Investment Income | $618,452 | CYInvestmentIncomeAmt |
| PY Other Revenue | $34,138,428 | PYOtherRevenueAmt |
| CY Other Revenue | $11,573,646 | CYOtherRevenueAmt |
| PY Total Revenue | $149,786,391 | PYTotalRevenueAmt |
| CY Total Revenue | $138,231,945 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $193,341 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $107,283 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $22,192,198 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $8,584,845 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $118,495,318 | PYOtherExpensesAmt |
| CY Other Expenses | $109,157,070 | CYOtherExpensesAmt |
| PY Total Expenses | $140,880,857 | PYTotalExpensesAmt |
| CY Total Expenses | $117,849,198 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $8,905,534 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $20,382,747 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $92,100,454 | TotalAssetsBOYAmt |
| Total Assets EOY | $106,905,547 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $61,583,181 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $56,006,748 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $30,517,273 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $50,898,799 | NetAssetsOrFundBalancesEOYAmt |
| Mission | COMMUNITY HEALTH GROUP 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 | $111,005,753 | ExpenseAmt |
| Grant | $107,283 | GrantAmt |
| Revenue | $126,039,847 | RevenueAmt |
| Desc | TO ARRANGE FOR, MAKE AVAILABLE, AND ASSUME FINANCIAL RISK FOR THE PROVISION OF HEALTH CARE SERVICES TO ENROLLED MEMBERS ELIGIBLE FOR MEDICARE AND MEDI-CAL IN SAN DIEGO COUNTY UNDER THE DUAL DEMONSTRATION CAL MEDICONNECT PROGRAM. | Desc |
| Total Program Service Expenses | $111,005,753 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | 0 | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | 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 | 0 | 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 | 0 | 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 | Yes (1) | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | 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 | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 1987 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 378 | 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 |
| 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 | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | 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 | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | 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 | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Key EmployeeKeyEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|---|---|
| NORMA DIAZ | ||||||||||
| CHIEF EXECUTIVE OFFICER | 2.00 | 38.00 | Yes (X) | $747,537 | $0 | $49,254 | ||||
| JOSEPH A GARCIA | ||||||||||
| CHIEF OPERATING OFFICER | 2.00 | 38.00 | Yes (X) | $589,125 | $0 | $0 | ||||
| ALEJANDRO HINOJOSA-VALENCIA | ||||||||||
| IHA PHYSICIAN | 20.00 | 20.00 | $387,359 | $0 | $35,315 | Yes (X) | ||||
| PATRICK TELLEZ | ||||||||||
| CHIEF MEDICAL OFFICER | 20.00 | 20.00 | $392,210 | $0 | $23,318 | Yes (X) | ||||
| ANN WARREN | ||||||||||
| ASSOCIATE CHIEF EXECUTIVE OFFICER | 24.00 | 16.00 | $371,486 | $0 | $35,801 | Yes (X) | ||||
| SCOTT CARROLL | ||||||||||
| CHIEF FINANCIAL OFFICER | 3.00 | 37.00 | Yes (X) | $343,520 | $0 | $9,551 | ||||
| MANISHA SHARMA | ||||||||||
| MEDICAL DIRECTOR | 20.00 | 20.00 | $286,536 | $0 | $48,990 | Yes (X) | ||||
| ALLAN SOMBILLO | ||||||||||
| CHIEF INFORMATION OFFICER | 20.00 | 20.00 | $262,002 | $0 | $22,590 | Yes (X) | ||||
| HEIDI ARNDT | ||||||||||
| SENIOR COMPLIANCE OFFICER | 24.00 | 16.00 | $222,909 | $0 | $34,757 | Yes (X) | ||||
| YOUSAF FAROOK | ||||||||||
| SENIOR DIRECTOR OF HEALTH CARE SERVICES | 20.00 | 20.00 | $204,084 | $0 | $49,740 | Yes (X) | ||||
| FRANCISCA CHAVEZ | ||||||||||
| SENIOR DIRECTOR OF OPERATIONS | 2.00 | 38.00 | $221,723 | $0 | $29,750 | Yes (X) | ||||
| ANDREW GREGOR | ||||||||||
| CHIEF CORPORATE COUNSEL | 2.00 | 38.00 | $210,401 | $0 | $20,525 | Yes (X) | ||||
| ALBERT VITELA | ||||||||||
| CHAIRMAN OF THE BOARD OF DIRECTORS | 1.00 | 3.00 | Yes (X) | $34,500 | $0 | $0 | Yes (X) | |||
| CARLOS CESENA | ||||||||||
| VICE CHAIRMAN OF THE BOARD OF DIRECTORS | 1.00 | 3.00 | Yes (X) | $26,400 | $0 | $0 | Yes (X) | |||
| TITO CALSADA | ||||||||||
| BOARD MEMBER | 1.00 | 3.00 | $25,800 | $0 | $0 | Yes (X) | ||||
| GRACE KOJIMA | ||||||||||
| BOARD MEMBER | 1.00 | 3.00 | $25,500 | $0 | $0 | Yes (X) | ||||
| DOMENIC D'ALESSIO | ||||||||||
| BOARD MEMBER | 1.00 | 3.00 | $25,400 | $0 | $0 | Yes (X) | ||||
| JOSE LUIS VALDIVIA | ||||||||||
| BOARD MEMBER | 1.00 | 3.00 | $25,200 | $0 | $0 | Yes (X) | ||||
| CARLOTA SALAS | ||||||||||
| SECRETARY OF THE BOARD OF DIRECTORS | 1.00 | 3.00 | Yes (X) | $24,075 | $0 | $0 | Yes (X) | |||
| JONATHAN BALL | ||||||||||
| BOARD MEMBER | 1.00 | 3.00 | $23,750 | $0 | $0 | Yes (X) | ||||
| ANITA HOLT | ||||||||||
| BOARD MEMBER | 1.00 | 3.00 | $18,100 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,467,617 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $359,591 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 52 | 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 | $45,619,101 |
| UCSD MEDICAL CENTER | |||||
| 200 W ARBOR DR | SAN DIEGO | CA | 92103 | MEDICAL/HEALTHCARE SERVICES | $10,530,682 |
| SCRIPPS HEALTH | |||||
| 4077 FIFTH AVE | SAN DIEGO | CA | 92103 | MEDICAL/HEALTHCARE SERVICES | $7,865,513 |
| SHARP CHULA VISTA | |||||
| 8695 SPECTRUM CENTER BLVD | SAN DIEGO | CA | 92123 | MEDICAL/HEALTHCARE SERVICES | $5,365,568 |
| GROSSMONT HOSPITAL CORPORATION | |||||
| 5555 GROSSMONT CENTER DR | LA MESA | CA | 91942 | MEDICAL/HEALTHCARE SERVICES | $4,655,682 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 129 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CAL MEDICONNECT REVENUE | Desc |
| Business | 524114 | BusinessCd |
| Total Revenue Column | $126,039,847 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $126,039,847 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $126,039,847 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $571,467 | TotalRevenueColumnAmt |
| Exclusion | $571,467 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $21,598,394 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $21,551,409 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $46,985 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $46,985 | TotalRevenueColumnAmt |
| Exclusion | $46,985 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| ADMINISTRATIVE FEE FROM RELATED E | 900099 | $11,212,609 | $11,212,609 |
| OTHER REVENUE | 900099 | $361,037 | $361,037 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $11,573,646 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $138,231,945 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $126,039,847 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $12,192,098 | 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 | $105,159 | TotalAmt |
| Program Services | $105,159 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,124 | TotalAmt |
| Program Services | $2,124 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $666,387 | TotalAmt |
| Program Services | $207,764 | ProgramServicesAmt |
| Management And General | $458,623 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,314,498 | TotalAmt |
| Program Services | $2,741,421 | ProgramServicesAmt |
| Management And General | $3,573,077 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $143,657 | TotalAmt |
| Program Services | $72,764 | ProgramServicesAmt |
| Management And General | $70,893 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $982,622 | TotalAmt |
| Program Services | $483,811 | ProgramServicesAmt |
| Management And General | $498,811 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $477,681 | TotalAmt |
| Program Services | $205,797 | ProgramServicesAmt |
| Management And General | $271,884 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,203 | TotalAmt |
| Management And General | $8,203 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,582 | TotalAmt |
| Management And General | $15,582 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $107,598,348 | TotalAmt |
| Program Services | $107,186,913 | ProgramServicesAmt |
| Management And General | $411,435 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,174 | TotalAmt |
| Management And General | $6,174 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,023,038 | TotalAmt |
| Management And General | $1,023,038 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $306,438 | TotalAmt |
| Management And General | $306,438 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,682 | TotalAmt |
| Management And General | $21,682 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,812 | TotalAmt |
| Management And General | $6,812 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,211 | TotalAmt |
| Management And General | $2,211 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,212 | TotalAmt |
| Management And General | $27,212 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,732 | TotalAmt |
| Management And General | $41,732 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|
| TAXES, LICENSES, & FEES | $34,312 | $34,312 |
| EMPLOYEE TRAINING AND P | $17,739 | $17,739 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,587 | TotalAmt |
| Management And General | $47,587 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $117,849,198 | TotalAmt |
| Program Services | $111,005,753 | ProgramServicesAmt |
| Management And General | $6,843,445 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,727,330 | BOYAmt |
| EOY | $19,162,468 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,360,004 | BOYAmt |
| EOY | $49,337,581 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,778,922 | BOYAmt |
| EOY | $18,632,523 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,530 | BOYAmt |
| EOY | $8,147 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $524,855 | BOYAmt |
| EOY | $343,090 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,569,350 | BOYAmt |
| EOY | $1,432,328 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $10,653,908 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $8,280,460 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,804,930 | BOYAmt |
| EOY | $2,373,448 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,828,221 | BOYAmt |
| EOY | $11,902,665 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,482,312 | BOYAmt |
| EOY | $3,713,297 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $92,100,454 | BOYAmt |
| EOY | $106,905,547 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,801,634 | BOYAmt |
| EOY | $20,120,407 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,059,521 | BOYAmt |
| EOY | $35,493,329 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,722,026 | BOYAmt |
| EOY | $393,012 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,583,181 | BOYAmt |
| EOY | $56,006,748 | 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 | $30,517,273 | BOYAmt |
| EOY | $50,898,799 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,517,273 | BOYAmt |
| EOY | $50,898,799 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $92,100,454 | BOYAmt |
| EOY | $106,905,547 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $20,382,747 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$1,221 | NetUnrlzdGainsLossesInvstAmt |
| 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) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,619,785 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,349,215 | DepreciationAmt |
| Book Value | $2,270,570 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,034,123 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,931,245 | DepreciationAmt |
| Book Value | $102,878 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,373,448 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| PAYABLE TO THE STATE OF CALIFORNIA | $354,286 |
| OTHER MISCELLANEOUS LIABILITIES | $38,726 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $393,012 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 2B: | AT 12/31/20 COMMUNITY HEALTH GROUP IS HOLDING $35,493,329 OF FUNDS ON BEHALF OF CHG FOUNDATION. SUCH FUNDS ARE HELD AS DEPOSITS/ADVANCE FUNDING FOR CLAIMS PAYMENTS TO BE MADE BY COMMUNITY HEALTH GROUP ON BEHALF OF CHG FOUNDATION. |
| 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, 2020 AND 2019. COMMUNITY HEALTH GROUP AND CHG FOUNDATION FILE INFORMATION RETURNS IN THE U.S. FEDERAL JURISDICTION AND THE STATE OF CALIFORNIA. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| FAMILY HEALTH CENTERS OF SAN DIEGO INC | |||||||
| 823 GATEWAY CENTER WAY | SAN DIEGO | CA | 92102 | 952833205 | 501(C)(3) | $15,000 | GENERAL SUPPORT |
| CHULA VISTA POLICE FOUNDATION | |||||||
| 315 FOURTH AVENUE | CHULA VISTA | CA | 91910 | 300281686 | 501(C)(3) | $12,500 | GENERAL SUPPORT |
| SAN YSIDRO HEALTH CENTER | |||||||
| 1275 30TH STREET | SAN DIEGO | CA | 92154 | 952801772 | 501(C)(3) | $10,000 | GENERAL SUPPORT |
| LA MAESTRA FAMILY CLINIC INC | |||||||
| 4060 FAIRMOUNT AVENUE | SAN DIEGO | CA | 92105 | 330473171 | 501(C)(3) | $8,000 | GENERAL SUPPORT |
| NEIGHBORHOOD HEALTHCARE | |||||||
| 425 N DATE STREET SUITE 203 | ESCONDIDO | CA | 92025 | 952796316 | 501(C)(3) | $6,000 | GENERAL SUPPORT |
| VISTA COMMUNITY CLINIC | |||||||
| 1000 VALE TERRACE | VISTA | CA | 92084 | 952815615 | 501(C)(3) | $5,000 | GENERAL SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 6 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | COMMUNITY HEALTH GROUP PROVIDES SPONSORSHIPS AND GRANTS TO LOCAL 501(C)(3) ORGANIZATIONS TO ASSIST IN THE ACCOMPLISHMENT OF THEIR CHARITABLE PURPOSES AND TO HELP POSITIVELY IMPACT THE COMMUNITY THAT COMMUNITY HEALTH GROUP SERVES. ADDITIONALLY, GRANTS AND SCHOLARSHIPS FOR HEALTH AND EDUCATIONAL RELATED PURPOSES ARE AWARDED TO INDIVIDUALS RESIDING IN SAN DIEGO COUNTY WHO ARE NOT RELATED TO THE ORGANIZATION. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| 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 | Yes (1) | 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 | $690,779 | $0 | $16,100 | $0 | $40,658 | $0 | $8,400 | $0 | $40,854 | $0 | $796,791 | $0 | $0 | $0 |
| JOSEPH A GARCIA | ||||||||||||||
| CHIEF OPERATING OFFICER | $589,125 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $589,125 | $0 | $0 | $0 |
| ALEJANDRO HINOJOSA-VALENCIA | ||||||||||||||
| IHA PHYSICIAN | $95,659 | $0 | $287,650 | $0 | $4,050 | $0 | $5,252 | $0 | $30,063 | $0 | $422,674 | $0 | $0 | $0 |
| PATRICK TELLEZ | ||||||||||||||
| CHIEF MEDICAL OFFICER | $383,785 | $0 | $2,400 | $0 | $6,025 | $0 | $0 | $0 | $23,318 | $0 | $415,528 | $0 | $0 | $0 |
| ANN WARREN | ||||||||||||||
| ASSOCIATE CHIEF EXECUTIVE OFFICER | $292,228 | $0 | $3,800 | $0 | $75,458 | $0 | $8,400 | $0 | $27,401 | $0 | $407,287 | $0 | $0 | $0 |
| SCOTT CARROLL | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $320,435 | $0 | $2,600 | $0 | $20,485 | $0 | $8,400 | $0 | $1,151 | $0 | $353,071 | $0 | $0 | $0 |
| MANISHA SHARMA | ||||||||||||||
| MEDICAL DIRECTOR | $285,289 | $0 | $600 | $0 | $647 | $0 | $8,400 | $0 | $40,590 | $0 | $335,526 | $0 | $0 | $0 |
| ALLAN SOMBILLO | ||||||||||||||
| CHIEF INFORMATION OFFICER | $257,902 | $0 | $650 | $0 | $3,450 | $0 | $7,716 | $0 | $14,874 | $0 | $284,592 | $0 | $0 | $0 |
| HEIDI ARNDT | ||||||||||||||
| SENIOR COMPLIANCE OFFICER | $221,619 | $0 | $600 | $0 | $690 | $0 | $7,605 | $0 | $27,152 | $0 | $257,666 | $0 | $0 | $0 |
| YOUSAF FAROOK | ||||||||||||||
| SENIOR DIRECTOR OF HEALTH CARE SERVI | $201,509 | $0 | $2,250 | $0 | $325 | $0 | $5,625 | $0 | $44,115 | $0 | $253,824 | $0 | $0 | $0 |
| FRANCISCA CHAVEZ | ||||||||||||||
| SENIOR DIRECTOR OF OPERATIONS | $219,468 | $0 | $2,255 | $0 | $0 | $0 | $0 | $0 | $29,750 | $0 | $251,473 | $0 | $0 | $0 |
| ANDREW GREGOR | ||||||||||||||
| CHIEF CORPORATE COUNSEL | $207,304 | $0 | $1,100 | $0 | $1,997 | $0 | $6,350 | $0 | $14,175 | $0 | $230,926 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 7 | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION PROVIDED THE FOLLOWING TYPES OF NON-FIXED PAYMENTS IN 2020: VACATION CASHOUT PAYMENTS, DISCRETIONARY BONUSES, TAXABLE GYM REIMBURSEMENTS AND GIFT CARDS. | ExplanationTxt |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | HEIDI ARNDT | PersonNm |
| Relationship With Org | HIGHEST COMPENSATED EMPLOYEE AND FORMER OFFICER | RelationshipWithOrgTxt |
| Loan Purpose | EMPLOYEE HARDSHIP | LoanPurposeTxt |
| Loan From Organization | Yes (X) | LoanFromOrganizationInd |
| Original Principal | $28,635 | OriginalPrincipalAmt |
| Balance Due | $8,147 | BalanceDueAmt |
| Default | 0 | DefaultInd |
| Board Or Committee Approval | 0 | BoardOrCommitteeApprovalInd |
| Written Agreement | 0 | WrittenAgreementInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $8,147 | TotalBalanceDueAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 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 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. COMPENSATION PAID TO J.A.G CONSULTING, LLC IN 2020 IN RELATION TO THESE DUTIES WAS $589,125. |
| FORM 990, PART VI, SECTION B, LINE 11B | MOSS ADAMS, LLP IS ENGAGED TO PREPARE AND COMPLETE THE FORM 990 ON BEHALF OF COMMUNITY HEALTH GROUP. THE FORM 990 IS PREPARED UNDER THE DIRECTION, REVIEW, AND OVERSIGHT OF COMMUNITY HEALTH GROUP'S FINANCE DEPARTMENT, AND EXECUTIVE MANAGEMENT TEAM. THE FORM 990 IS REVIEWED IN DETAIL BY THE CHIEF FINANCIAL OFFICER OF COMMUNITY HEALTH GROUP WHO APPROVES THE FINAL VERSION FOR FILING WITH MOSS ADAMS, LLP. COMMUNITY HEALTH GROUP'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 COMMUNITY HEALTH GROUP 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 COMMUNITY HEALTH GROUP. ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST ARE REPORTED TO THE COMPANY'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 | A SALARY ANALYSIS IS PREPARED BY AN UNRELATED THIRD-PARTY COMPENSATION CONSULTANT. AN EVALUATION COMMITTEE, CONSISTING OF THE CHAIRMAN OF THE BOARD OF DIRECTORS AND FOUR ADDITIONAL BOARD MEMBERS REVIEWS THIS ANALYSIS AND MAKES A RECOMMENDATION TO THE BOARD OF DIRECTORS REGARDING THE CHIEF EXECUTIVE OFFICER'S COMPENSATION. THE BOARD OF DIRECTORS MAKES THE FINAL DECISIONS REGARDING COMPENSATION OF THE CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION. THIS ANALYSIS IS PERFORMED ANNUALLY IN DECEMBER. SALARY ANALYSES FOR ALL POSITIONS ON THE COMPANY'S EXECUTIVE MANAGEMENT TEAM (EXCEPT FOR THE CHIEF EXECUTIVE OFFICER POSITION, FOR WHICH THE PROCESS OF DETERMINING COMPENSATION IS PREVIOUSLY DESCRIBED HEREIN), AND CERTAIN OTHER MANAGERIAL POSITIONS ARE PREPARED BY AN UNRELATED THIRD-PARTY COMPENSATION CONSULTANT. RESULTS OF THESE ANALYSES ARE PRESENTED TO THE ORGANIZATION'S HUMAN RESOURCES DEPARTMENT, WHO THEN MAKES SALARY RECOMMENDATIONS TO THE CHIEF EXECUTIVE OFFICER FOR FINAL APPROVAL. THE CHIEF EXECUTIVE OFFICER MAKES THE FINAL DECISIONS REGARDING COMPENSATION OF THE PERSONS FILLING THESE POSITIONS. THE CHIEF EXECUTIVE OFFICER DOES NOT PARTICIPATE IN NOR HAVE DECISION MAKING AUTHORITY REGARDING THE COMPENSATION ARRANGEMENT BETWEEN THE ORGANIZATION AND J.A.G. CONSULTING, LLC (SINGLE-MEMBER LLC, WHERE JOSEPH A. GARCIA IS THE SOLE MANAGER), DUE TO THE FAMILY RELATIONSHIP THAT EXISTS BETWEEN THE CHIEF EXECUTIVE OFFICER (NORMA DIAZ) AND JOSEPH A. GARCIA, AS PREVIOUSLY DESCRIBED IN SCHEDULE O. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S CONSOLIDATED AUDITED 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 | HEALTH CARE EXPENSES, NET OF REINSURANCE: PROGRAM SERVICE EXPENSES 96,750,597. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 96,750,597. PHARMACY EXPENSES: PROGRAM SERVICE EXPENSES 10,427,566. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,427,566. CONSULTING EXPENSES: PROGRAM SERVICE EXPENSES 8,750. MANAGEMENT AND GENERAL EXPENSES 409,751. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 418,501. TEMPORARY SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,684. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,684. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHG FOUNDATION | 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 | 330586911 | EIN |
| Primary Activities | HEALTH CARE SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 10 | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HEALTH GROUP | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | 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 | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| CHG FOUNDATION | ||
| O | $23,049,630 | BOOK VALUE |
| CHG FOUNDATION | ||
| Q | $991,192,866 | BOOK VALUE |
| CHG FOUNDATION | ||
| R | $2,566,192 | BOOK VALUE |
| CHG FOUNDATION | ||
| L | $11,212,609 | 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 $2,566,191 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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