2016-07-05T16:47:39-05:00 2015-08-31 910189318 MOSS ADAMS LLP 3121 W MARCH LN STE 200 STOCKTON CA 952192367 990 2014-09-01 942864615 COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA COMM 5594596000 789 N MEDICAL CENTER DRIVE EAST CLOVIS CA 93611 ROGER FRETWELL CONTROLLER 5594596000 2016-06-24 1 TRACY S PAGLIA P00366884 2099556100 2016-06-24 2014 2016-09-27 15:27:22Z X TIM JOSLIN 789 N MEDICAL CENTER DRIVE EAST CLOVIS CA 93611 143924795 0 X WWW.MEDWATCHTODAY.COM X 1988 CA CHCC'S MISSION IS TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY AND TO PROMOTE MEDICAL EDUCATION. 18 16 649 18 0 0 364490 285378 126597125 138794830 -174792 66217 645743 218207 127432566 139364632 9133815 10367000 0 0 59333836 63160282 0 0 0 58319171 65619142 126786822 139146424 645744 218208 136515080 144026332 203808477 234707939 -67293397 -90681607 COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA'S MISSION IS TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY AND TO PROMOTE MEDICAL EDUCATION. 0 0 105830449 10367000 138794830 MANAGEMENT FEES FROM AFFILIATED 501(C)(3) HOSPITALS AND FOUNDATION FOR EXECUTIVE MANAGEMENT AND GENERAL ADMINISTRATIVE COSTS. 105830449 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 614 0 1 649 1 0 0 0 0 0 0 0 0 0 0 X 18 16 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 1 1 CA X ROGER FRETWELL 5594596000 1560 E SHAW AVENUE FRESNO CA 93710 FLORENCE DUNN BOARD CHAIR 0.20 1.70 X X 0 0 0 LINZIE DANIEL CHAIR-ELECT 0.20 1.70 X X 0 0 0 JOHN MCGREGOR ESQUIRE SECRETARY 0.20 1.70 X X 0 0 0 FARID ASSEMI BOARD MEMBER 0.20 1.70 X 0 0 0 TERRY BRADLEY BOARD MEMBER 0.20 1.70 X 0 0 0 JERRY COOK BOARD MEMBER 0.20 1.70 X 0 0 0 MANUEL CUNHA JR BOARD MEMBER 0.20 1.70 X 0 0 0 GREGORY HENDEY MD BOARD MEMBER 0.20 1.70 X 0 0 0 REN IMAI MD BOARD MEMBER 0.20 1.70 X 0 0 0 VONG MOUANOUTOUA BOARD MEMBER 0.20 1.70 X 0 0 0 RUTH QUINTO BOARD MEMBER 0.20 1.70 X 0 0 0 DAVID SLATER MD BOARD MEMBER 0.20 1.70 X 2000 0 0 ROGER STURDEVANT BOARD MEMBER 0.20 1.70 X 0 0 0 MICHAEL SYNN MD BOARD MEMBER 0.20 1.70 X 59800 0 0 JEFFREY THOMAS MD BOARD MEMBER 0.20 1.70 X 47442 0 0 KATHERINE FLORES MD BOARD MEMBER 0.20 1.70 X 0 0 0 BRIAN PACHECO BOARD MEMBER 0.20 1.70 X 0 0 0 CHANDRASEKAR VENUGOPAL MD BOARD MEMBER 0.20 1.70 X 0 0 0 PATRICK RAFFERTY EVP CHIEF OPERATIONS OFFICER 5.00 60.00 X 1469982 0 302474 TIM JOSLIN CHIEF EXECUTIVE OFFICER 5.00 60.00 X 1243233 0 19903 STEPHEN WALTER THRU 0215 SVP CHIEF FINANCIAL OFFICER 5.00 60.00 X 831121 0 162365 ROBERT WARD SVP CHIEF LEGAL OFFICER 5.00 55.00 X 637302 0 67419 MARGARET BREEN SVP HUMAN RESOURCES 5.00 55.00 X 625524 0 49470 GEORGE VASQUEZ SVP CHIEF INFORMATION OFFICER 5.00 55.00 X 484472 0 52822 JAMES FRANKLIN CHIEF PROGRAM MGMT OFFICER 5.00 55.00 X 318769 0 12002 JOSEPH NOWICKI SVP FINANCIAL SVCS 5.00 55.00 X 709900 0 66934 JOHN ZELEZNY SVP COMMUNICATIONS 5.00 55.00 X 776756 0 51327 DEBRA MUSCIO SVP AUDIT AND COMPLIANCE 4.00 61.00 X 409022 0 41418 BERJ APKARIAN EXEC DIR PHYSICIAN RELATIONS 4.00 51.00 X 302610 0 23495 DEBORAH MOFFETT VP FINANCE 4.00 61.00 X 301676 0 20497 JAMES COLE DIR OF REIMBURSEMENT 4.00 61.00 X 283625 0 4679 MICHELE EARNHART VP PATIENT FINANCIAL SVC 4.00 61.00 X 291187 0 13601 8794421 0 888406 94 0 1 0 CONVERGENT REVENUE CYCLE MGMT PO BOX 677688 DALLAS TX 75267 CONSULTING 1209951 GUNNER & ANDROS 555 W SHAW FRESNO CA 93705 PROPERTY MGMT 446307 NATIONAL RESEARCH CORPORATION PO BOX 809030 CHICAGO IL 60680 CONSULTING 419113 THE FORHAN COMPANY 7081 N MARKS 104 FRESNO CA 93711 LOBBYING 283333 MOSS ADAMS PO BOX 748369 LOS ANGELES CA 90074 TAX & AUDITING 275717 10 265378 20000 285378 MANAGEMENT FEES 900099 135051658 135051658 APPLICATION REVENUE 900099 219000 219000 SPECIAL SERVICES REVENUE 900099 183153 183153 INCOME FROM SANTE 900099 40901 40901 PROGRAM SERVICE RENTAL 900099 32680 32680 3267438 3267438 138794830 30557 30557 28699 28699 4748171 4529964 218207 218207 218207 37160 30199 6961 6961 6961 139364632 138794830 0 284424 X 10367000 10367000 770145 770145 52750268 44310225 8440043 1263482 1061325 202157 5098061 4282371 815690 3278326 2753794 524532 508016 508016 323085 323085 1734677 1734677 650595 286262 364333 24973543 10988359 13985184 2512273 2512273 4971777 3579679 1392098 8890151 8890151 3277260 2359627 917633 1182803 1182803 298910 298910 178173 178173 12146344 10202929 1943415 1271599 1226599 45000 OTHER OPERATING EXPENSE 1597589 798795 798794 REPAIRS AND MAINTENANCE 987795 493898 493897 LEASE AND RENTAL PAYMEN 114552 57276 57276 139146424 105830449 33315975 0 256239 131807 1536424 2748655 987212 464585 3803091 5334361 226828276 115267863 103414609 111560413 22504259 20520809 2514093 2554994 1499153 710708 136515080 144026332 26331947 29731559 357352 160118 6571558 6527078 3609064 3255571 166938556 195033613 203808477 234707939 X -67293397 -90681607 -67293397 -90681607 136515080 144026332 X 218208 -23606418 X 0 1 X 1 0 X X 2 FRESNO COMMUNITY HOSPITAL & MEDICAL CENTER 941156276 3 0 0 0 SIERRA HOSPITAL FOUNDATION 941431181 3 0 0 0 2 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 PART IV, SECTION A, LINE 1 COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA'S (CHCC) BOARD APPROVED MISSION IS TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY AND TO PROMOTE MEDICAL EDUCATION. CHCC IS THE CENTRALIZED SHARED SERVICES ENTITY FOR THE AFFILIATED GROUP, WHICH ARE UNDER COMMON CONTROL. CHCC HAS HAD A HISTORIC AND CONTINUING RELATIONSHIP WITH FCH&MC AND SHF SINCE IT WAS FORMED IN 1988. PART IV, SECTION A, LINE 6: CHCC PROVIDED GRANTS TO SEVERAL NON-SUPPORTED ORGANIZATIONS DURING THE YEAR TO SUPPORT THE COMMUNITY AT LARGE. THE GRANT TO SANTE HEALTH FOUNDATION WAS MADE TO PROMOTE SCIENTIFIC AND MEDICAL RESEARCH, EDUCATIONAL ACTIVITIES RELATED TO THE CARE OF THE SICK, INJURED AND DISABLED, AND COMMUNITY HEALTH THROUGH HEALTH CARE SERVICES. ALL GRANTS MADE WERE IN FURTHERANCE OF HEALTH CARE PURPOSES CONSISTENT WITH FCH&MC'S EXEMPT PURPOSE, AND WOULD HAVE BEEN MADE DIRECTLY BY FCH&MC IF THEY HAD NOT BE MADE BY CHCC. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1734677 1734677 137411747 139146424 1000000 250000 0 734677 1 1000000 1000000 2000000 3000000 1420148 1734677 3154825 250000 250000 500000 750000 10746625 10746625 69006192 29147005 39859187 1742250 1719625 22625 139036939 84401233 54635706 6296270 6296270 111560413 PAYABLES TO AFFILIATES 155928785 PENSION LIABILITY 38623524 COVIDIEN LEASE 481304 195033613 FORM 990, SCHEDULE D, PART X, LINE 2: THERE IS NO FOOTNOTE FOR FIN 48 IN THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS DUE TO IMMATERIALITY. 1 SANTE HEALTH FOUNDATION 1180 EAST SHAW SUITE 101 FRESNO CA 93710 200517238 501(C)(3) 10267000 TO SUPPORT EFFORTS TO RECRUIT NEEDED SPECIALISTS AND PRIMARY CARE PHYSICIANS FRESNO FIRST STEPS HOME 2600 FRESNO STREET FRESNO CA 93721 272531998 501(C)(3) 25000 DONATION TO FRESNO FIRST STEPS HOME FRESNO REGIONAL FOUNDATION - FRESNO BUSINESS COUNCIL FUND 5250 N PALM AVE SUITE 424 FRESNO CA 93704 770478025 501(C)(3) 25000 FRESNO STEWARDSHIP INITIATIVE HFNCC HEALTHCARE FOUNDATION 1215 K STREET SUITE SACRAMENTO CA 95814 861174825 501(C)(3) 50000 DONATION 4 0 PART I, LINE 2: CHCC IS GOVERNED BY A BOARD OF TRUSTEES THAT SETS POLICY AND IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF GRANTS. X X 1 1 X X X X X 1 1 0 1 1 1 1 0 0 PATRICK RAFFERTY EVP CHIEF OPERATIONS OFFICER 665854 0 304651 0 499477 0 295571 0 6903 0 1772456 0 369063 0 TIM JOSLIN CHIEF EXECUTIVE OFFICER 816570 0 336507 0 90156 0 13000 0 6903 0 1263136 0 0 0 STEPHEN WALTER THRU 0215 SVP CHIEF FINANCIAL OFFICER 592221 0 233809 0 5091 0 150363 0 12002 0 993486 0 0 0 ROBERT WARD SVP CHIEF LEGAL OFFICER 455882 0 164218 0 17202 0 58852 0 8567 0 704721 0 0 0 MARGARET BREEN SVP HUMAN RESOURCES 356581 0 143740 0 125203 0 44258 0 5212 0 674994 0 93569 0 GEORGE VASQUEZ SVP CHIEF INFORMATION OFFICER 286384 0 102592 0 95496 0 43163 0 9659 0 537294 0 78452 0 JAMES FRANKLIN CHIEF PROGRAM MGMT OFFICER 240985 0 75583 0 2201 0 11961 0 41 0 330771 0 0 0 JOSEPH NOWICKI SVP FINANCIAL SVCS 431555 0 160774 0 117571 0 54948 0 11986 0 776834 0 80395 0 JOHN ZELEZNY SVP COMMUNICATIONS 319162 0 134246 0 323348 0 46632 0 4695 0 828083 0 286457 0 DEBRA MUSCIO SVP AUDIT AND COMPLIANCE 242363 0 86662 0 79997 0 32888 0 8530 0 450440 0 65554 0 BERJ APKARIAN EXEC DIR PHYSICIAN RELATIONS 228921 0 50237 0 23452 0 18305 0 5190 0 326105 0 0 0 DEBORAH MOFFETT VP FINANCE 226876 0 73663 0 1137 0 15816 0 4681 0 322173 0 0 0 JAMES COLE DIR OF REIMBURSEMENT 225087 0 49113 0 9425 0 0 0 4679 0 288304 0 0 0 MICHELE EARNHART VP PATIENT FINANCIAL SVC 224014 0 64051 0 3122 0 8922 0 4679 0 304788 0 0 0 PART I, LINE 1A FIRST-CLASS TRAVEL ON CERTAIN LONG-TERM OR OVERNIGHT FLIGHTS IS ALLOWED. AS A RECRUITING TOOL, CHCC WILL PAY A TEMPORARY HOUSING ALLOWANCE TO CERTAIN NEW EMPLOYEES UNDER SPECIAL CIRCUMSTANCES. PART I, LINES 4A-B LINE 4A: THE ORGANIZATION AND STEVE WALTER, CFO, ENTERED INTO A SEVERANCE AGREEMENT WHEREBY MR. WALTER WILL RECEIVE 39 BIWEEKLY PAYMENTS OF $22,470 BEGINNING FEBRUARY 2015. LINE 4B: THE FOLLOWING EMPLOYEES PARTICIPATED IN SERP PLANS. DURING THE YEAR, THE FOLLOWING CONTRIBUTIONS WERE MADE TO THESE PLANS: - STEPHEN WALTER $137,571 - PATRICK RAFFERTY $282,571 - JOSEPH NOWICKI $41,948 - ROBERT WARD $43,252 - MARGARET BREEN $33,858 - GEORGE VASQUEZ $27,563 - DEBRA MUSCIO $23,327 - JOHN ZELEZNY $31,032 THE FOLLOWING EMPLOYEES RECEIVED PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THESE AMOUNTS WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR FORM 990 FILINGS. SEE SCHEDULE J, PART II, (F). - PATRICK RAFFERTY $369,063 - JOSEPH NOWICKI $80,395 - MARGARET BREEN $93,569 - GEORGE VASQUEZ $78,452 - JOHN ZELEZNY $286,457 - DEBRA MOSICO $65,554 PART I, LINE 5 THE COMMUNITY MEDICAL CENTERS EXECUTIVE INCENTIVE PLAN IS DESIGNED TO MOTIVATE AND REWARD KEY MEMBERS OF THE EXECUTIVE TEAM FOR MEETING SPECIFIC AND MEASURABLE GOALS AT THE HEALTH SYSTEM AND INDIVIDUAL LEVELS. THE MAIN OBJECTIVES ARE: - MOTIVATE EXECUTIVES AND REWARD THEM FOR IMPROVING THE ORGANIZATION'S OPERATIONAL PERFORMANCE; - INCREASE COMMUNITY INVOLVEMENT AND EFFECTIVENESS; - INCREASE EXECUTIVE COMMITMENT TO THE ORGANIZATION'S SHORT AND LONG TERM GOALS; - PROVIDE EXECUTIVES WITH COMPETITIVE BUT REASONABLE COMPENSATION; - AND ATTRACT AND RETAIN HIGHLY TALENTED EXECUTIVES THAT ARE CRITICALLY IMPORTANT TO THE SUCCESS OF THE ORGANIZATION. PART I, LINE 6 SEE RESPONSE FOR QUESTION 5. FORM 990, PART VI, SECTION B, LINE 11 UPON COMPLETION OF AN INITIAL REVIEW BY SENIOR MANAGEMENT, THE CHAIRMAN OF THE BOARD OF TRUSTEES FORWARDS THE FORM TO THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES FOR FINAL REVIEW. THE FINALIZED FORM 990 THEN BECOMES A RECORD OF THE ORGANIZATION'S BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF COMMITTEE WITH BOARD DELEGATED POWERS SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON: 1) HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY; 2) HAS READ AND UNDERSTANDS THE POLICY; 3) HAS AGREED TO COMPLY WITH THE POLICY; AND 4) UNDERSTANDS THAT THE CORPORATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. TO ENSURE THAT THE CORPORATION OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES AND THAT IT DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS STATUS AS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX, PERIODIC REVIEWS ARE CONDUCTED. THE PERIODIC REVIEWS, AT A MINIMUM, INCLUDE THE FOLLOWING SUBJECTS: 1) WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE AND ARE THE RESULT OF ARM'S-LENGTH BARGAINING; 2) WHETHER ACQUISITIONS OF PHYSICIAN PRACTICES AND OTHER PROVIDER SERVICES RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT; 3) WHETHER PARTNERSHIP AND JOINT VENTURE ARRANGEMENTS AND ARRANGEMENTS WITH MANAGEMENT SERVICE ORGANIZATIONS AND PHYSICIAN HOSPITAL ORGANIZATIONS CONFORM TO WRITTEN POLICIES, ARE PROPERLY RECORDED, REFLECT REASONABLE PAYMENTS FOR GOODS AND SERVICES, FURTHER THE CORPORATION'S CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT; AND 4) WHETHER AGREEMENTS TO PROVIDE HEALTH CARE AND AGREEMENTS WITH OTHER HEALTH CARE PROVIDERS, EMPLOYEES, AND THIRD PARTY PAYORS FURTHER THE CORPORATION'S CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT. FORM 990, PART VI, SECTION B, LINE 15 RESPONSIBILITY FOR OVERSIGHT OF EXECUTIVE COMPENSATION RESTS WITH THE BOARD'S EXECUTIVE COMPENSATION SUBCOMMITTEE. THE COMMITTEE WILL "CONSIDER ALL MATTERS INVOLVING COMPENSATION AND BENEFITS OF (I) CORPORATE OFFICERS WHO ARE CLASSIFIED AS "DISQUALIFIED PERSONS" PURSUANT TO INTERNAL REVENUE CODE SECTION 4958; (II) ALL OTHER CORPORATE OFFICERS WHO ARE SENIOR VICE PRESIDENTS AND EXECUTIVE VICE PRESIDENTS AND (III) THE PRESIDENT/CHIEF EXECUTIVE OFFICER." THROUGH THE EXECUTIVE COMPENSATION SUBCOMMITTEE, THE BOARD HAS ENGAGED INTEGRATED HEALTHCARE STRATEGIES (IHS) TO CONDUCT A TOTAL COMPENSATION REVIEW FOR THOSE INDIVIDUALS IDENTIFIED IN THEIR SCOPE OF RESPONSIBILITY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION AND ITS NONPROFIT AFFILIATES COMBINE THE RESULTS OF THEIR 39: DID THE ORGANIZATION MAKE THE FOLLOWING DOCUMENTS AVAILABLE TO THE PUBLIC: FINANCIAL OPERATIONS TO ISSUE CONSOLIDATED FINANCIAL STATEMENTS. THESE AUDITED FINANCIAL STATEMENTS ARE MADE PUBLICLY AVAILABLE THROUGH ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) AND CAN BE FOUND ON THE INTERNET AT ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) AT HTTP://WWW.EMMA.MSRB.ORG. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G MD SUPERVISORY FEES: PROGRAM SERVICE EXPENSES 257,527. MANAGEMENT AND GENERAL EXPENSES 327,761. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 585,288. COLLECTION AGENCIES: PROGRAM SERVICE EXPENSES 385,986. MANAGEMENT AND GENERAL EXPENSES 491,255. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 877,241. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,908,826. MANAGEMENT AND GENERAL EXPENSES 2,429,415. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,338,241. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 8,436,020. MANAGEMENT AND GENERAL EXPENSES 10,736,753. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,172,773. FORM 990, PART XI, LINE 9: CHANGE IN UNFUNDED ACCUMULATED PENSION BENEFIT OBLIGATION -23,606,418. FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER PO BOX 1232 FRESNO CA 93715 941156276 HOSPITAL CA 501(C)(3) LINE 3 COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA 1 SIERRA HOSPITAL FOUNDATION PO BOX 1232 FRESNO CA 93715 941431181 INACTIVE CA 501(C)(3) LINE 3 COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA 1 COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA FOUNDATION PO BOX 1232 FRESNO CA 93715 770191730 SUPPORTING ORGANIZATION CA 501(C)(3) LINE 7 COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA 1 COMMUNITY HEALTH ENTERPRISES INC 1925 E DAKOTA AVE STE 211 FRESNO CA 93715 770175659 PHARMACY SALES CA N/A C 0 COMMUNITY CARE HEALTH PLAN INC 1925 E DAKOTA AVE STE 211 FRESNO CA 93715 770246798 INACTIVE CA N/A C 0 SANTE HEALTH SERVICES INC 6051 N FRESNO STREET FRESNO CA 93710 200382364 INACTIVE CA N/A C 0 COMMUNITY INSURANCE SERVICES COMPANY PO BOX 1232 FRESNO CA 93715 980674776 INSURANCE CJ N/A C 0 0 0 1 1 0 0 0 0 0 0 1 0 1 1 1 0 1 0 0 FRESNO COMMUNITY HOSPITAL & MEDICAL CENTER Q 133158658 COST COMMUNITY HEALTH ENTERPRISES INC Q 1559569 COST COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA FOUNDATION Q 288555 COST COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA FOUNDATION C 265378 COST COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA FOUNDATION K 137471 COST