2017-05-15T12:00:49-05:00 2016-06-30 910189318 MOSS ADAMS LLP 3100 ZINFANDEL DRIVE SUITE 500 RANCHO CORDOVA CA 956706062 990 2015-07-01 942437106 COMMUNITY MEDICAL CENTERS INC COMM 2093732800 7210 MURRAY DRIVE STOCKTON CA 95210 ART FEAGLES CFO 2093732800 2017-05-12 1 JOUA V LO P01225144 9165038100 2017-05-12 2015 2021-01-29 14:40:06Z CHRISTINE NOGUERA 7210 MURRAY DRIVE STOCKTON CA 95210 52419544 0 X WWW.COMMUNITYMEDICALCENTERS.ORG X 1978 CA THE ORGANIZATION PROVIDES PRIMARY MEDICAL AND DENTAL CARE TO THE POPULATION OF SAN JOAQUIN, SOLANO, AND YOLO COUNTIES WITHOUT REGARD TO PATIENT'S ABILITY TO PAY. 8 8 588 12 0 0 9460708 10631547 35195893 36686281 10412 10761 0 5090955 44667013 52419544 0 0 0 0 30005304 35710103 31803 0 0 15906133 16910563 45943240 52620666 -1276227 -201122 21109580 23623802 12953193 15668537 8156387 7955265 TO IMPROVE THE HEALTH AND QUALITY OF LIFE FOR MEMBERS OF THE COMMUNITY. 0 0 44202707 0 36686281 COMMUNITY MEDICAL CENTERS IS ONE OF THE LARGEST PROVIDERS OF HEALTH CARE SERVICES IN CENTRAL CALIFORNIA. WE OPERATE 12 FULL-TIME AND 3 SATELLITE CLINICS IN 4 CALIFORNIA COUNTIES. OUR CLINICIANS COMPLETE OVER 280,000 PATIENT ENCOUNTERS ANNUALLY, AND THE NUMBER INCREASES EACH YEAR. WE HAVE FULLY IMPLEMENTED AN INTEGRATED ELECTRONIC HEALTH RECORDS (EHR) SYSTEM IN ALL PRACTICES AT ALL SITES. WE ARE ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS, AND WE STRIVE TO BE THE PATIENT-CENTERED MEDICAL HOME FOR ALL FAMILY MEMBERS. WE OFFER AN EXTENSIVE ARRAY OF SERVICES TO ALL, REGARDLESS OF THEIR CIRCUMSTANCES. WE ALSO CONTINUE TO ADD NEW MEDICAL TECHNOLOGIES, RECRUIT OUTSTANDING PHYSICIANS IN NEW SPECIALTIES. 44202707 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 26 0 1 588 1 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 CA X ART FEAGLES 2093732803 7210 MURRAY DRIVE STOCKTON CA 95210 ROBERT C SMITH PRESIDENT 2.00 X 0 0 0 MARTHA DUKES VICE PRESIDENT 2.00 X X 0 0 0 LILY AMAN TREASURER 2.00 X X 0 0 0 JASMINE LEEK SECRETARY 2.00 X X 0 0 0 ALMUS ALDRIDGE BOARD MEMBER 2.00 X 0 0 0 ROGER I SPEED BOARD MEMBER 2.00 X 0 0 0 PAM MAFFEI BOARD MEMBER 2.00 X 0 0 0 DOREEN J HARTMANN BOARD MEMBER 2.00 X 0 0 0 REBECA KNODT THRU 91615 PRESIDENT 2.00 X X 0 0 0 FRED TURCHAN THRU 121615 BOARD MEMBER 2.00 X 0 0 0 UFRANO JIMENEZ THRU 42016 BOARD MEMBER 2.00 X 0 0 0 RENE VERDUZCO THRU 121615 BOARD MEMBER 2.00 X 0 0 0 CHRISTINE NOGUERA CHIEF EXECUTIVE OFFICER 40.00 X 238617 0 41142 BENJAMIN MORRISON MD CHIEF MEDICAL OFFICER 40.00 X 292396 0 50969 ARTHUR FEAGLES CHIEF FINANCIAL OFFICER 40.00 X 200544 0 22118 MICHAEL FAGAN CHIEF OPERATING OFFICER 40.00 X 148152 0 3276 ANDY YONGDE ZHU PHYSICIAN 40.00 X 281617 0 46328 AZIZ KHAMBATI PHYSICIAN 40.00 X 259454 0 52144 MARINETTE GONZALES BERNARDO PHYSICIAN 40.00 X 245159 0 33885 KUN J HUANG PEDIATRICIAN 40.00 X 239228 0 31857 AURORA L DE GUZMAN PEDIATRICIAN 40.00 X 234285 0 53132 2139452 0 334851 67 0 1 0 SAN JOAQUIN GENERAL HOSPITAL PO BOX 1439 FRENCH CAMP CA 95231 PROFESSIONAL MEDICAL SERVICES 1766518 JEFFREY'S MAINTENANCE 5812 TRAILWOOD DRIVE SALIDA CA 95368 JANITORIAL 276056 SECURITAS SECURITY SERVICES USA INC FILE 57220 LOS ANGELES CA 900747220 SITE SECURITY 226957 COVERALL NORTH AMERICA 2955 MOMENTUM PLACE CHICAGO IL 606895329 JANITORIAL 141281 US SECURITY ASSOCIATES PO BOX 931703 ATLANTA GA 311931703 SITE SECURITY 127513 6 10095414 536133 10631547 NET PATIENT SERVICE REVENUE 624100 34452758 34452758 OTHER INCOME 900099 1957273 1957273 EHR INCENTIVE REVENUE 624100 276250 276250 36686281 10761 10761 PHARMACY REVENUE 446110 5090955 5090955 5090955 52419544 36686281 0 5101716 993396 317886 675510 27557995 24588556 2969439 279015 248323 30692 4882640 4148775 733865 1997057 1717140 279917 110119 110119 142134 142134 4607896 3564192 1043704 2104188 1558728 545460 812552 27435 785117 1442251 1130265 311986 302606 141869 160737 240002 129521 110481 65941 1076 64865 1104654 1069226 35428 222804 162099 60705 MEDICAL SUPPLIES & DRUG 4246728 4169666 77062 BAD DEBT 435246 435246 MINOR EQUIPMENT 405398 359779 45619 RECRUITING 196335 68632 127703 471709 364293 107416 52620666 44202707 8417959 0 86359 333113 1907162 4687015 4405323 1671687 2122885 2758019 42917 42945 441350 390848 13574647 5243673 8255645 8330974 2622939 2968177 1225000 2441024 21109580 23623802 8105854 8398584 70860 178128 1775000 1590000 200479 1598601 2801000 3903224 12953193 15668537 X 8156387 7955265 8156387 7955265 21109580 23623802 -201122 0 X 0 1 X 1 1 1 X 7871022 6890202 7712995 9460708 10631547 42566474 7871022 6890202 7712995 9460708 10631547 42566474 42566474 23688 22377 16496 10412 10761 83734 448165 5090955 5539120 48189328 170199871 0.88330 0.98460 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2011 AMOUNT: $ 448,165. PHARMACY REVENUE - 2015 AMOUNT: $ 5,090,955. 591598 591598 5934343 1896408 4037935 1524281 809906 714375 1129575 543971 585604 4394850 1993388 2401462 8330974 THIRD PARTY SETTLEMENTS - STATE 2096652 THIRD PARTY SETTLEMENTS - MEDICARE 344372 2441024 THIRD PARTY SETTLEMENT PAYABLE - STATE 3903224 3903224 52008135 -411409 -411409 52419544 0 52419544 52209257 0 52209257 411409 411409 52620666 PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT EXPENSES -411,409. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSES 411,409. X X X X 0 0 0 0 0 0 0 1 0 CHRISTINE NOGUERA CHIEF EXECUTIVE OFFICER 238617 0 0 0 0 0 7050 0 34092 0 279759 0 0 0 BENJAMIN MORRISON MD CHIEF MEDICAL OFFICER 279588 0 4875 0 7933 0 8250 0 42719 0 343365 0 0 0 ARTHUR FEAGLES CHIEF FINANCIAL OFFICER 182328 0 5616 0 12600 0 4180 0 17938 0 222662 0 0 0 MICHAEL FAGAN CHIEF OPERATING OFFICER 119342 0 2960 0 25850 0 322 0 2954 0 151428 0 0 0 ANDY YONGDE ZHU PHYSICIAN 240217 0 22400 0 19000 0 7404 0 38924 0 327945 0 0 0 AZIZ KHAMBATI PHYSICIAN 249339 0 6515 0 3600 0 6165 0 45979 0 311598 0 0 0 MARINETTE GONZALES BERNARDO PHYSICIAN 225494 0 9665 0 10000 0 6777 0 27108 0 279044 0 0 0 KUN J HUANG PEDIATRICIAN 206092 0 17828 0 15308 0 5810 0 26047 0 271085 0 0 0 AURORA L DE GUZMAN PEDIATRICIAN 227220 0 7065 0 0 0 4865 0 48267 0 287417 0 0 0 PART I, LINE 7 NON-FIXED PAYMENTS: COMMUNITY MEDICAL CENTERS INC. PAID INCENTIVE AWARDS TO PROVIDERS. PROVIDERS ARE ELIGIBLE TO RECEIVE TWO TYPES OF INCENTIVE AWARDS. THE FIRST IS QUALITY INCENTIVE, WHICH IS PAID FOR REACHING GOALS ESTABLISHED BY THE ORGANIZATION. THE SECOND INCENTIVE IS FOR PRODUCTIVITY, BASED ON BILLED ENCOUNTERS. THE SPECIFIC EXPECTATION IS SET BY PRACTICE SPECIALTY, ADJUSTED FOR EXPECTED SCHEDULE TIME, AND FOR TIME ALLOCATED FOR ADMINISTRATIVE DUTIES AND COMMUNITY INVOLVEMENT ON BEHALF OF THE ORGANIZATION. A CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13033FVU1 2005-04-12 3220000 REDEEM 1994 SERIES B BONDS 0 0 0 A 3220000 2948679 63125 208196 2005 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 0 A 0 SCHEDULE K, PART IV, LINE 2C DATE REBATE COMPUTATION PERFORMED: THE REBATE COMPUTATION WAS PERFORMED 04/12/2013. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND REVIEWED INTERNALLY BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S LEGAL COUNSEL HAS PROVIDED ASSISTANCE TO THE BOARD TO ENSURE COMPLIANCE WITH THE CONFLICT OF INTEREST AND THE ORGANIZATION'S BY LAWS. WHEN CONFLICT OF INTEREST ISSUES ARISE, THE BOARD OF DIRECTORS WITH THE DIRECTOR OF THEIR LEGAL COUNSEL ADDRESSES THE ISSUES ACCORDINGLY. THE BOARD HAS BEEN MADE AWARE OF THE CONFLICT OF INTEREST REQUIREMENTS BY THEIR LEGAL COUNSEL. NO DIRECTOR, OFFICER, EMPLOYEE OR AGENT SHALL PARTICIPATE IN THE SELECTION, AWARD OR ADMINISTRATION OF ANY CONTRACT OR OTHER AFFILIATION RELATING TO OPERATIONS CONDUCTED BY THE CORPORATION OR FOR THE FURNISHING OF SERVICES OR SUPPLIES TO THE CORPORATION, IN WHICH HE OR SHE OR HIS/HER IMMEDIATE FAMILY OR BUSINESS PARTNER HAS A REAL OR POTENTIAL CONFLICT OF INTEREST OR INVOLVING AN ORGANIZATION WITH WHOM HE OR SHE IS NEGOTIATING OR HAS ANY ARRANGEMENT CONCERNING EMPLOYMENT. IF A CONTRACT OR AFFILIATION EXISTS, IT MAY BE APPROVED OR AUTHORIZED BY A MAJORITY OF THE DISINTERESTED DIRECTORS. IF THE FACTS OF ANY SUCH INTEREST BY A DIRECTOR SHALL HAVE BEEN DISCLOSED TO THE BOARD BY THE INTERESTED DIRECTOR SUCH INTERESTED DIRECTOR ABSTAINS FROM VOTING IN THAT REGARD. FORM 990, PART VI, SECTION B, LINE 15 INDUSTRY COMPENSATION SURVEYS FOR LIKE ORGANIZATIONS IN SIMILAR GEOGRAPHIC AREAS ARE REVIEWED BY THE BOARD AND THE CEO TO DETERMINE KEY EMPLOYEE COMPENSATION. THE LAST REVIEW WAS DONE IN 2014. THE BOARD OF DIRECTORS ESTABLISHED THE CEO'S SALARY. SIMILAR METHODOLOGIES WERE USED TO DETERMINE THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES. THREE REVIEWS WERE DONE. ONE WAS FERFORMED BY CORPORATE COUNSEL, ONE WAS COMPLETED BY THE HUMAN RESOURCES DEPARTMENT, AND ONE WAS CONTRACTED BY THE BOARD TO BE DONE BY A HEALTH CARE CONSULTING AGENCY. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST TO THE ADMINISTRATIVE OFFICES.