COMMUNITY MEDICAL CENTERS INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY MEDICAL CENTERS INC (EIN 94-2437106)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-03-28
IRS object ID
201200899349300710
Schema version
2010v3.4
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)
Timestamp2012-03-28T20:06:50-07:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Lucy Reimche CPA MBABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11701 W Manor DriveAddressLine1
CityVisaliaCity
StateCAState
ZIP Code93291ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN942437106EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Community Medical Centers IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCOMMNameControl
Phone2093732800Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line17210 Murray DriveAddressLine1
CityStocktonCity
StateCAState
ZIP Code95210ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDavid JomaoasName
TitleCEOTitle
Phone2093732828Phone
Date Signed2012-03-28DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameM L ReimcheName
Phone5593090943Phone
Date Prepared2012-02-06DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDavid Jomaoas CEONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line17210 Murray DriveAddressLine1
CityStocktonCity
StateCAState
ZIP Code95210ZIPCode
FieldValueIRS element (for citing)
Gross Receipts36859573GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
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 with 12 medical sites, 1 dental and 1 administrative location. Services are delivered to adults, children, elderly and include family medicine, ob/gyn, internal medicine, pediatrics, general dentistry, family planning, nutrition (WIC), health education, counseling, and HIV early intervention care and case management. Care is provided to all patients regardless of ability to pay .ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees445TotalNbrEmployees
Total Nbr Volunteers10TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year7844350ContributionsGrantsPriorYear
Contributions Grants Current Year7970656ContributionsGrantsCurrentYear
Program Service Revenue Prior Year25568396ProgramServiceRevenuePriorYear
Program Service Revenue CY28784164ProgramServiceRevenueCY
Investment Income Prior Year47503InvestmentIncomePriorYear
Investment Income Current Year102060InvestmentIncomeCurrentYear
Other Revenue Prior Year4823OtherRevenuePriorYear
Other Revenue Current Year2693OtherRevenueCurrentYear
Total Revenue Prior Year33465072TotalRevenuePriorYear
Total Revenue Current Year36859573TotalRevenueCurrentYear
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 Year21950697SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year10802603OtherExpensePriorYear
Other Expenses Current Year36320730OtherExpensesCurrentYear
Total Expenses Prior Year32753300TotalExpensesPriorYear
Total Expenses Current Year36320730TotalExpensesCurrentYear
Revenues Less Expenses Prior Year711772RevenuesLessExpensesPriorYear
Revenues Less Expenses CY538843RevenuesLessExpensesCY
Total Assets BOY16190363TotalAssetsBOY
Total Assets EOY17716375TotalAssetsEOY
Total Liabilities BOY6209207TotalLiabilitiesBOY
Total Liabilities EOY7196376TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY9981156NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY10519999NetAssetsOrFundBalancesEOY
Mission DescriptionThe organization provides primary medical and dental care to the population of San Joaquin, Solano and Yolo counties with 12 medical sites, 1 dental and 1 administrative location. Services are delivered to adults, children, elderly and include family medicine, ob/gyn, internal medicine, pediatrics, general dentistry, family planning, nutrition (WIC), health education, counseling, and HIV early intervention care and case management. Care is provided to all patients regardless of ability to pay . The organization provided 252,000 patient visits during the fiscal year.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense31348393Expense
Grants0Grants
Revenue37102580Revenue
DescriptionCMC provides primary medical and dental care to people of San Joaquin, Solano and Yolo counties with 11 medical sites, 1 dental & 1 administrative location regardless of ability to pay. Services are delivered to adults, children, elderly & include family medicine ob/gyn, internal medicine, pediatrics, general dentistry, family planning, nutrition (WIC), health education, counseling, & HIV early intervention & case management.Description
Total Of Other Program Service Exp0TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense31348393TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109619NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees445NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMichelle BagalayosNamePerson
Telephone Number2093732838TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line17210 Murray DriveAddressLine1
CityStocktonCity
StateCAState
ZIP Code95210ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Rene Verduzco
Board Member2X000
Fred Turchan
Board Member2X000
Martha Dukes RN PHN
President2X000
Roger I Speed
Vice President2X000
Beatrice Villa
Board Member2X000
Mark McElyea
Board Member2X000
Lily Aman
Secretary/Treasurer2X000
Almus Aldridge
Board Member2X000
Michelle Duckworth
Board Member2X000
Elvis Cintora
Board Member2X000
David B Jomaoas
Chief Operating Officer4017522900XX
Michael Kirpatrick
Chief Executive Officer4021269200XXX
Thomas Mahoney MD
Medical Director4018782100XX
Kathleen Marshal
Director of Quality Improvement4013148500X
Pak-Hei Hui
Pharmacist4018096800X
James Liang
MD4017801400X
Alaud Din
MD4018359200X
Aziz Khambati
MD4020687600X
Benjamin Morrison MD
MD4017432900X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1631006TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K42NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Larry Tamplin MIS
2130 OrioleBakersfieldCA93309Programmer142160
San Joaquin General Hospital
1212 N California StStocktonCA95202OB GYN Providers1700608
Pre-sort Center
3806 Coronado Ave numbe AStocktonCA95204print patient statements155967
Jeffreys Cleaning Service
7210 Murray DriveStocktonCA95210Janitorial113700
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Federated Campaigns0FederatedCampaigns
Membership Dues0MembershipDues
Fundraising Events0FundraisingEvents
Related Organizations0RelatedOrganizations
Government Grants7128088GovernmentGrants
All Other Contributions842568AllOtherContributions
Noncash Contributions0NoncashContributions
Total Contributions7970656TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPatient Revenue, NetDescription
Business Code621400BusinessCode
Total Revenue Column28784164TotalRevenueColumn
Related Or Exempt Function Income28784164RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue28784164TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column102060TotalRevenueColumn
Related Or Exempt Function Income102060RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other0Other
FieldValueIRS element (for citing)
Cntrbtns Rprtd Fundraising Events0CntrbtnsRprtdFundraisingEvents

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column2693TotalRevenueColumn
Related Or Exempt Function Income2693RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue2693TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column36859573TotalRevenueColumn
Related Or Exempt Function Income28888917RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total36320730Total
Program Services31348393ProgramServices
Management And General4972337ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total36320730Total
Program Services31348393ProgramServices
Management And General4972337ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY9105BOY
EOY9855EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4551952BOY
EOY6170528EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1230479BOY
EOY695372EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2465605BOY
EOY2063721EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY29487BOY
EOY29114EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY583812BOY
EOY779140EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis8465442LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3721630LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4605885BOY
EOY4743812EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2714038BOY
EOY3224833EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY16190363BOY
EOY17716375EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3318759BOY
EOY4487682EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY290448BOY
EOY263694EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY2600000BOY
EOY2445000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY6209207BOY
EOY7196376EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY9981156BOY
EOY10519999EOY

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)
BOY9981156BOY
EOY10519999EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY16190363BOY
EOY17716375EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses538843ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6569658CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6352426CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6866731CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7844350CurrentTaxYearMinus1Year
Current Tax Year7970656CurrentTaxYear
Total35603821Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6569658CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6352426CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6866731CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7844350CurrentTaxYearMinus1Year
Current Tax Year7970656CurrentTaxYear
Total35603821Total
FieldValueIRS element (for citing)
Public Support Total17035603821PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years96577CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years84193CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years71046CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year47503CurrentTaxYearMinus1Year
Current Tax Year102060CurrentTaxYear
Total401379Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years122790CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years23839CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3267CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4823CurrentTaxYearMinus1Year
Current Tax Year2693CurrentTaxYear
Total157412Total
FieldValueIRS element (for citing)
Total Support36162612TotalSupport
Gross Receipts From Admissions Etc113447063GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.98455PublicSupportPertcentage170
Public Support Pertcent Prior Year0.98371PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
General ExplanationCMC is a 501 (c)(3) per the IRS and classified under Section 170(b)(1)(A)(vi) of the code.GeneralExplanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis242272InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Book Value242272BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis2529713InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation1082971Depreciation
Book Value1446742BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis1589893InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation760525Depreciation
Book Value829368BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis3663529InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation1878134Depreciation
Book Value1785395BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis440035InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value440035BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4743812TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
Third-party settlements receivable894439
Assets limited as to use2183872
Bond issuance costs, net of accumulated amortization146522
FieldValueIRS element (for citing)
Total Book Value Other Assets3224833TotalBookValueOtherAssets
Total Revenue36859573TotalRevenue
Total Expenses36320730TotalExpenses
Excess Or Deficit For Year538843ExcessOrDeficitForYear
Net Unrealized GL On Investments0NetUnrealizedGLOnInvestments
Donated Services And Facilities0DonatedServicesAndFacilities
Investment Expenses0InvestmentExpenses
Prior Period Adjustments0PriorPeriodAdjustments
Other$0OtherAmount
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS538843ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt36859573TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments0NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities0DonatedSrvcAndUseOfFacilities
Recoveries Of Prior Year Grants0RecoveriesOfPriorYearGrants
Other Revenues0OtherRevenues
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal36859573RevenueSubtotal
Investment Expenses Not Included0InvestmentExpensesNotIncluded
Other Revenues Not Included0OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99036859573TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt36320730TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities0DonatedServicesUseOfFacilities
Prior Year Adjustments0PriorYearAdjustments
Losses Reported0LossesReported
Other Expenses Included0OtherExpensesIncluded
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal36320730ExpensesSubtotal
Investment Expenses Not Included20InvestmentExpensesNotIncluded2
Other Expenses Not Included0OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99036320730TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

Base 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
Michael Kirpatrick
177030000003566200021269201717100
Aziz Khambati
176838000003003800020687601781170
Thomas Mahoney MD
157524000003029700018782101215120
Alaud Din
147384000003620800018359201781170
Pak-Hei Hui
167968000001300000018096801700150

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1California Health Facilities Financing AuthorityBusinessNameLine1
FieldValueIRS element (for citing)
Date Issued2005-04-01DateIssued
Issue Price22545000IssuePrice
Description Of PurposeRedeem the 1994 Series B Bonds & finance capital improvmentsDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired0AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds22545000TotalProceeds
Amount In Reserve Fund0AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow0RefundingEscrow
Issuance Costs From Proceeds0IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures0CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent0AmountUnspent
Year Of Subst Completion2005YearOfSubstCompletion
Current Refunding1CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Bond Counsel Routinely Engaged0BondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others0PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0PercentageOfPrvtBusinessReUBI
Total Private Business Use0TotalPrivateBusinessUse
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue1VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate0ExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonMark McElyeaNamePerson
FieldValueIRS element (for citing)
RelationshipBoad memberRelationship
Amount Of Transaction33360AmountOfTransaction
Description Of Transactionspace rental for WICDescriptionOfTransaction
Sharing Of Revenues1SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
F990_P06_S0B_L11aForm 990, Part VI, Section B, Line 11aPresented to the Finance Committee of the Board for review and recommendation of approval by the Board or the 990 is provided/reviewed and approved by the full Board.
F990_P06_S0B_L12cForm 990, Part VI, Section B, Line 12cChecks are monitored weekly by the CEO and a member of the Board accuracy and to identify any potential conflict of interest--Outside compliance reviewers also review transactions and agreements for potential conflict of interest.
F990_P06_S0B_L15Form 990, Part VI, Section B, Line 15Industry compensation surveys for like organizations in similar geographic area are reviewed by the Board and the CEO to determine key employees compensation adjustments.
F990_P06_S0C_L19Form 990, Part VI, Section C, Line 19Upon Request

Reasonable Cause Explanation ReasonableCauseExplanation

FieldValueIRS element (for citing)
ExplanationReturn is not late and automatic three month extension was approved by the IRS.Explanation

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