COMMUNITY MEDICAL CENTERS INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY MEDICAL CENTERS INC (EIN 94-2437106)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-07-02
IRS object ID
201421839349300032
Schema version
2012v2.3
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

FieldValueIRS element (for citing)
Timestamp2014-07-02T14:33:42-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1910 E ST LOUIS 200/PO BOX 1190AddressLine1
CitySPRINGFIELDCity
StateMOState
ZIP Code658062523ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN942437106EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY MEDICAL CENTERS INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% ART FEAGLESInCareOfName
Name ControlCOMMNameControl
Phone2093732800Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line17210 MURRAY DRIVEAddressLine1
Address Line2SuiteAddressLine2
CitySTOCKTONCity
StateCAState
ZIP Code95210ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSANFORD HASKINSName
TitleINTERIM CEOTitle
Phone2093732800Phone
Date Signed2014-06-11DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBrian D ToddName
Phone4178658701Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSANFORD HASKINSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 779AddressLine1
CitySTOCKTONCity
StateCAState
ZIP Code95201ZIPCode
FieldValueIRS element (for citing)
Gross Receipts41559060GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.COMMUNITYMEDICALCENTERS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1978YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionTHE 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees496TotalNbrEmployees
Total Nbr Volunteers12TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year7871022ContributionsGrantsPriorYear
Contributions Grants Current Year6890202ContributionsGrantsCurrentYear
Program Service Revenue Prior Year32597207ProgramServiceRevenuePriorYear
Program Service Revenue CY34646481ProgramServiceRevenueCY
Investment Income Prior Year23688InvestmentIncomePriorYear
Investment Income Current Year22377InvestmentIncomeCurrentYear
Other Revenue Prior Year448165OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year40940082TotalRevenuePriorYear
Total Revenue Current Year41559060TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year24114683SalariesEtcPriorYear
Salaries Etc Current Year26199567SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY51128TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year51128TotalFundrsngExpCurrentYear
Other Expense Prior Year16242041OtherExpensePriorYear
Other Expenses Current Year13174239OtherExpensesCurrentYear
Total Expenses Prior Year40356724TotalExpensesPriorYear
Total Expenses Current Year39424934TotalExpensesCurrentYear
Revenues Less Expenses Prior Year583358RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2134126RevenuesLessExpensesCY
Total Assets BOY18311306TotalAssetsBOY
Total Assets EOY22530438TotalAssetsEOY
Total Liabilities BOY7207949TotalLiabilitiesBOY
Total Liabilities EOY9292955TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY11103357NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY13237483NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO IMPROVE THE HEALTH STATUS OF THE COMMUNITY. TO PROMOTE MEDICAL EDUCATION.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense35731374Expense
Revenue34646481Revenue
DescriptionCOMMUNITY MEDICAL CENTERS IS THE THIRD LARGEST PROVIDER OF HEALTH CARE SERVICES IN CENTRAL CALIFORNIA. WE OPERATE 11 FULL-TIME AND 3 SATELLITE CLINICS IN 3 CALIFORNIA COUNTIES. OUR CLINICIANS COMPLETE OVER 275,000 PATIENT ENCOUNTERS ANNUALLY, AND THE NUMBER INCREASES EACH YEAR. DURING THIS PAST YEAR, WE 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. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.Description
Total Program Service Expense35731374TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingtrueProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109610NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees496NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocstrueChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonART FEAGLESNamePerson
Telephone Number2093732803TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line17210 MURRAY DRIVEAddressLine1
CitySTOCKTONCity
StateCAState
ZIP Code95210ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
LILY AMAN
PRESIDENT4.0XX000
ROGER SPEED
VICE PRESIDENT4.0XX000
MARTHA DUKES
SECRETARY/TREASURER4.0XX000
ALMUS ALDRIDGE
BOARD MEMBER2.0X000
MARK MCELYEA
BOARD MEMBER THROUGH 2/20132.0X000
PAM MAFFEI
BOARD MEMBER2.0X000
FRED TURCHAN
BOARD MEMBER2.0X000
REBECA KNODT
BOARD MEMBER2.0X000
RENE VERDUZCO
BOARD MEMBER2.0X000
BEATRICE VILLA
BOARD MEMBER THROUGH 5/20132.0X000
ROBERT SMITH
BOARD MEMBER BEG. 6/20132.0X000
TOUBEE YANG
BOARD MEMBER 8/2012-3/20132.0X000
DAVID JOMAOAS
CEO THROUGH 9/201240.0X197435019848
MARK WOOLERY
CFO THROUGH 11/201240.0X7948304338
KATHLEEN MARSHALL
COO/ACTING CEO BEG. 10/201240.0X16392702890
LUCY REIMCHE
INTERIM CFO BEG. 12/201240.0X000
BENJAMIN MORRISON MD
ASSOC. MED. DIRECTOR40.0200752024987X
AZIZ KHAMBATO MD
PHYSICIAN40.0197390015692X
THOMAS MAHONEY MD
PHYSICIAN40.0185984015037X
ANDYYONGDE ZHU MD
PHYSICIAN40.0177747013489X
PAK - HEI HUI
PHARMACIST40.018521201551X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1387930TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation97832TotalOtherCompensation
Number Individuals GT100 K37NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Description Of ServicesDescriptionOfServicesCompensationCompensation
FHG PARTNERS LLP
CONSULTING495441
JEFFREYS CLEANING SERVICE
JANITORIAL188565
MICHAEL H KIRKPATRICK
CONSULTING130000
SECURITAS SECURITY SERVICE
SITE SECURITY213696
SAN JOAQUIN GENERAL HOSPITAL
CONTRACT MD'S1801473
FieldValueIRS element (for citing)
Number Of Contractors GT100 K7NumberOfContractorsGT100K
Government Grants6629955GovernmentGrants
All Other Contributions260247AllOtherContributions
Total Contributions6890202TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REVENUE6211103365356833653568
EHR INCENTIVE REVENUE900099959103959103
OTHER INCOME9000993381033810
FieldValueIRS element (for citing)
Total Program Service Revenue34646481TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column22377TotalRevenueColumn
Exclusion$22,377ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column41559060TotalRevenueColumn
Related Or Exempt Function Income34646481RelatedOrExemptFunctionIncome
Exclusion$22,377ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total467921Total
Program Services301104ProgramServices
Management And General166817ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total21080495Total
Program Services19302841ProgramServices
Management And General1777654ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total221322Total
Program Services201355ProgramServices
Management And General19967ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2936226Total
Program Services2671777ProgramServices
Management And General264449ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1493603Total
Program Services1358855ProgramServices
Management And General134748ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total38887Total
Management And General38887ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total31498Total
Management And General31498ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total51128Total
Fundraising51128Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total4260342Total
Program Services3928108ProgramServices
Management And General332234ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1925611Total
Program Services1414735ProgramServices
Management And General510876ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total615077Total
Program Services550757ProgramServices
Management And General64320ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1372832Total
Program Services1229271ProgramServices
Management And General143561ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total197293Total
Program Services176932ProgramServices
Management And General20361ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total150695Total
Program Services142222ProgramServices
Management And General8473ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total124185Total
Program Services111199ProgramServices
Management And General12986ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total792399Total
Program Services709536ProgramServices
Management And General82863ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total138526Total
Program Services123992ProgramServices
Management And General14534ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES & DRUGS23562392356239
BAD DEBT996574996574
RECRUITING74330665577773
LICENSES, DUES, SUBSCRIPTIONS70909634947415

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total28842Total
Program Services25826ProgramServices
Management And General3016ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total39424934Total
Program Services35731374ProgramServices
Management And General3642432ManagementAndGeneral
Fundraising51128Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY10205BOY
EOY9400EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2949097BOY
EOY3707341EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1729072BOY
EOY1208105EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1652765BOY
EOY1830587EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY44005BOY
EOY31226EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY881085BOY
EOY2794322EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis5689401LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec962490LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4928648BOY
EOY4726911EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY5316616BOY
EOY5613139EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY799813BOY
EOY2609407EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY18311306BOY
EOY22530438EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4824172BOY
EOY6791564EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY98777BOY
EOY20000EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY2285000BOY
EOY2120000EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY361391EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY7207949BOY
EOY9292955EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY11103357BOY
EOY13237483EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11103357BOY
EOY13237483EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY18311306BOY
EOY22530438EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses2134126ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6866731CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7844350CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7970656CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7871022CurrentTaxYearMinus1Year
Current Tax Year6890202CurrentTaxYear
Total37442961Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6866731CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7844350CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7970656CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7871022CurrentTaxYearMinus1Year
Current Tax Year6890202CurrentTaxYear
Total37442961Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total0AmountsSubstContributorsTotal
Public Support Total17037442961PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years71046CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years47503CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years102060CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year23688CurrentTaxYearMinus1Year
Current Tax Year22377CurrentTaxYear
Total266674Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3267CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4823CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2693CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year448165CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total458948Total
FieldValueIRS element (for citing)
Total Support38168583TotalSupport
Gross Receipts From Admissions Etc144819902GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.98099PublicSupportPertcentage170
Public Support Pertcent Prior Year0.97849PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis242272OtherCostOrOtherBasis
Book Value242272BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1369063OtherCostOrOtherBasis
Depreciation79367Depreciation
Book Value1289696BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1237877OtherCostOrOtherBasis
Depreciation342281Depreciation
Book Value895596BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2315006OtherCostOrOtherBasis
Depreciation540842Depreciation
Book Value1774164BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis525183OtherCostOrOtherBasis
Book Value525183BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4726911TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionDUE FROM THIRD PARTY PAYERSDescription
Book Value2609407BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets2609407TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO 3RD PARTY PAYERSDescription
Amount$361,391Amount
FieldValueIRS element (for citing)
Total Of Amounts361391TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt40562486TotRevenueEtcAuditedFinclStmt
Other Revenues-996574OtherRevenues
Revenue Not Rptd F990-996574RevenueNotRptdF990
Revenue Subtotal41559060RevenueSubtotal
Total Revenue Per Form99041559060TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt38428360TotExpensesEtcAuditedFinclStmt
Expenses Subtotal38428360ExpensesSubtotal
Other Expenses Not Included996574OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt996574ExpensesNotRptdOnFinStmt
Total Expenses Per Form99039424934TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
OTHER REVENUE INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12SCHEDULE D, PART XI, LINE 2D$ (996,574) BAD DEBT EXPENSE
OTHER EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1SCHEDULE D, PART XII, LINE 4B$ 996,574 BAD DEBT EXPENSE

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Agreement Ref FundraisingtrueAgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation (2 entries)

Name Of IndividualNameOfIndividualActivityActivityFundraiser Control Of FundsFundraiserControlOfFundsAmount Retained By ContractorAmountRetainedByContractor
FHG PARTNERSNAP GRANT APPLICATIONfalse32478
JOANN KAMROWSKINAP GRANT PREPfalse18650
FieldValueIRS element (for citing)
Total Retained By Contractors51128TotalRetainedByContractors

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Compensation SurveyXCompensationSurvey
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DAVID JOMAOAS
CEO THROUGH 9/20121974350000011957078910217283000
KATHLEEN MARSHALL
COO/ACTING CEO BEG. 10/2012162823000110400028900166817000
BENJAMIN MORRISON MD
ASSOC. MED. DIRECTOR200482002701414610841225739000
AZIZ KHAMBATO MD
PHYSICIAN196940000450012837028550213082000
THOMAS MAHONEY MD
PHYSICIAN1859840000012360026770201021000
ANDYYONGDE ZHU MD
PHYSICIAN177382000365010792026970191236000
PAK - HEI HUI
PHARMACIST18507100014100015510186763000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN521643828IssuerEIN
CUSIP Number13033FVU1CUSIPNumber
Date Issued2005-04-12DateIssued
Issue Price3220000IssuePrice
Description Of PurposeREDEEM 1994 SERIES B BONDSDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingtruePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Amount Retired0AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds3220000TotalProceeds
Amount In Reserve Fund0AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow2948679RefundingEscrow
Issuance Costs From Proceeds63125IssuanceCostsFromProceeds
Credit Enhancement208196CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures0CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent0AmountUnspent
Year Of Subst Completion2005YearOfSubstCompletion
Current RefundingtrueCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Bond Iss Meet Prvt Security Pay TestfalseBondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed PropfalseChangeInUseBondFinancedProp
Remedial Action TakenfalseRemedialActionTaken
Non Qualified Bond Remed ProcdrstrueNonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiled
Rebate Not Due YetfalseRebateNotDueYet
Exception To RebatefalseExceptionToRebate
No Rebate DuetrueNoRebateDue
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvested
Written Proc To Monitor ReqsfalseWrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective ActionfalseProcToUndertkCorrectiveAction

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierDATE REBATE COMPUTATION PERFORMEDIdentifier
Return ReferenceSCHEDULE K, PART IV, LINE 2CReturnReference
ExplanationTHE REBATE COMPUTATION WAS PERFORMED 04/12/2013.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PROGRAM SERVICE ACCOMPLISHMENTSFORM 990, PART III, QUESTION 4AWE 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 AND FURTHER EXPAND OUR AFFILIATION WITH THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE, ONE OF THE NATION'S LEADING MEDICAL SCHOOLS.
SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS SINCE PRIOR 990FORM 990, PART VI, SECTION A, QUESTION 4THE BYLAWS WERE AMENDED DURING THE YEAR WITH A SIGNIFICANT CHANGE TO ADD A SECTION REGARDING CONFLICT OF INTERESTS. THE SECTION DIRECTS THAT 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.
PROCESS TO REVIEW THE FORM 990FORM 990, PART VI, SECTION B, QUESTION 11BTHE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND REVIEWED INTERNALLY BEFORE FILING.
PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICYFORM 990, PART VI, SECTION B, QUESTION 12CTHE ORGANIZATION'S LEGAL COUNSEL HAS PROVIDED ASSISTANCE TO THE BOARD TO ENSURE COMPLIANCE WITH THE CONFLICT OF INTEREST AND THE ORGANIZATION'S BYLAWS. WHEN CONFLICT OF INTEREST ISSUES ARISE, THE BOARD OF DIRECTORS WITH THE DIRECTOR OF THEIR LEGAL COUNSEL ADDRESS 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.
COMPENSATION REVIEW POLICYFORM 990, PART VI, SECTION B, QUESTIONS 15A & 15BINDUSTRY COMPENSATION SURVEYS FOR LIKE ORGANIZATIONS IN SIMILAR GEOGRAPHIC AREAS ARE REVIEWED BY THE BOARD AND THE CEO TO DETERMINE KEY EMPLOYEE COMPENSATION ADJUSTMENTS. THE BOARD OF DIRECTORS ESTABLISHED THE CEO'S SALARY VIA A CONTRACT WITH THE CEO AND USES THE SAME METHODOLOGY TO DETERMINE THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES.
DOCUMENT DISCLOSUREFORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, AND GOVERNING DOCUMENTS AVAILABLE UPON REQUEST.
OTHER FEES FOR SERVICESFORM 990, PART IX, LINE 11G$ 3,276,382 PROFESSIONAL SERVICES 635,497 CONTRACT SERVICES 348,463 CONSULTING ------------- $ 4,260,342

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