COMMUNITY HEALTH GROUP: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY HEALTH GROUP (EIN 95-3766170)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-15
- IRS object ID
- 201103199349310375
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-15T18:55:10-06:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE CALIFORNIA STREET 4TH FLOOR | AddressLine1 |
| City | SAN FRANCISCO | City |
| State | CA | State |
| ZIP Code | 94111 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 953766170 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HEALTH GROUP | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | COMM | NameControl |
| Phone | 6194220422 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 740 BAY BLVD | AddressLine1 |
| City | CHULA VISTA | City |
| State | CA | State |
| ZIP Code | 91910 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | WILLIAM RICE | Name |
| Title | CFO | Title |
| Phone | 6194220422 | Phone |
| Date Signed | 2011-11-10 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RENIE BURBANK | Name |
| Phone | 4159561500 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | WILLIAM RICE | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 740 BAY BLVD | AddressLine1 |
| City | CHULA VISTA | City |
| State | CA | State |
| ZIP Code | 91910 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 47478204 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1982 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | COMMUNITY HEALTH GROUP IS A HEALTH PLAN THAT IS DEDICATED TO IMPROVEMENT AND MAINTENANCE OF HEALTH FOR OUR MEMBERS TO HELP THEM ACHIEVE OPTIMUM HEALTH WHILE DEMONSTRATING EXCEPTIONAL SERVICE AND COMPETENCY IN SERVING DIVERSE POPULATION. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 171 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 260241 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -49410 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 31421794 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 33746484 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 69019 | InvestmentIncomePriorYear |
| Investment Income Current Year | 51345 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 8502035 | OtherRevenuePriorYear |
| Other Revenue Current Year | 9730225 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 39992848 | TotalRevenuePriorYear |
| Total Revenue Current Year | 43528054 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 7314009 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 8224355 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 30522518 | OtherExpensePriorYear |
| Other Expenses Current Year | 32483536 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 37836527 | TotalExpensesPriorYear |
| Total Expenses Current Year | 40707891 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 2156321 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 2820163 | RevenuesLessExpensesCY |
| Total Assets BOY | 24657682 | TotalAssetsBOY |
| Total Assets EOY | 36140130 | TotalAssetsEOY |
| Total Liabilities BOY | 7330429 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 15984365 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 17327253 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 20155765 | NetAssetsOrFundBalancesEOY |
| Mission Description | COMMUNITY HEALTH GROUP IS A HEALTH PLAN THAT IS DEDICATED TO IMPROVEMENT AND MAINTENANCE OF HEALTH FOR OUR MEMBERS TO HELP THEM ACHIEVE OPTIMUM HEALTH WHILE DEMONSTRATING EXCEPTIONAL SERVICE AND COMPETENCY IN SERVING DIVERSE POPULATION. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 28806143 | Expense |
| Revenue | 43216468 | Revenue |
| Description | TO PROVIDE COMPREHENSIVE HEALTH CARE SERVICES TO MEMBERS UNDER THE HEALTHY FAMILIES PROGRAM IN THE COUNTY OF SAN DIEGO AND PORTIONS OF THE COUNTY OF RIVERSIDE UNDER CONTRACT WITH THE STATE OF CALIFORNIA. ALSO TO PROVIDE COMPREHENSIVE HEALTH CARE SERVICES TO MEMBERS UNDER A MEDICARE ADVANTAGE SPECIAL NEEDS PLAN OPEN TO PEOPLE ELIGIBLE FOR MEDI-CAL AND MEDICARE UNDER CONTRACT WITH THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. | Description |
| Total Program Service Expense | 28806143 | TotalProgramServiceExpense |
| Described In501 C3 | 0 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 1 | PoliticalActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 1877 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 171 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 0 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIANE ERK | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6194986427 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 740 BAY BLVD | AddressLine1 |
| City | CHULA VISTA | City |
| State | CA | State |
| ZIP Code | 91910 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (20 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| ALBERT VITELA | |||||||
| CHAIRMAN OF THE BOARD | 2.00 | X | 2400 | 0 | 0 | ||
| PAUL DATO | |||||||
| VICE CHAIRMAN OF THE BOARD | 2.00 | X | 2400 | 0 | 0 | ||
| CARLOTA SALAS | |||||||
| SECRETARY OF THE BOARD | 2.00 | X | 2400 | 0 | 0 | ||
| CARLOS CESENA | |||||||
| BOARD MEMBER | 2.00 | X | 2400 | 0 | 0 | ||
| JOSE LUIS VALDIVIA | |||||||
| BOARD MEMBER | 2.00 | X | 2400 | 0 | 0 | ||
| GRACE KOJIMA | |||||||
| BOARD MEMBER | 2.00 | X | 2400 | 0 | 0 | ||
| TITO CALSADA | |||||||
| BOARD MEMBER | 2.00 | X | 2400 | 0 | 0 | ||
| ANITA HOLT | |||||||
| BOARD MEMBER | 2.00 | X | 2400 | 0 | 0 | ||
| WILLIAM MACFARLAND | |||||||
| BOARD MEMBER | 2.00 | X | 500 | 0 | 0 | ||
| NORMA DIAZ | |||||||
| CHIEF EXECUTIVE OFFICER | 20.00 | 447701 | 0 | 23399 | X | ||
| EDWARD HUTT | |||||||
| CHIEF MEDICAL OFFICER | 20.00 | 381593 | 0 | 18827 | X | ||
| WILLIAM RICE | |||||||
| CHIEF FINANCIAL OFFICER | 20.00 | 625474 | 0 | 20994 | X | ||
| JOSEPH GARCIA | |||||||
| CHIEF OF OPERATIONS | 20.00 | 307915 | 0 | 17849 | X | ||
| JONATHAN TAMAYO | |||||||
| VP INFORMATION SYSTEMS | 20.00 | 190948 | 0 | 25532 | X | ||
| ANN WARREN | |||||||
| CHIEF GOV'T & RELATIONS | 20.00 | 154315 | 0 | 18214 | X | ||
| DIANE ERK | |||||||
| DIRECTOR OF FINANCE | 20.00 | 143431 | 0 | 17475 | X | ||
| DAVID RITCHIE | |||||||
| DIRECTOR OF CONTRACT ADMIN. | 20.00 | 128543 | 0 | 17387 | X | ||
| NOREEN KOIZUMI | |||||||
| DIRECTOR OF HEALTH CARE OPS | 20.00 | 127089 | 0 | 19466 | X | ||
| CAROLE ANDERSON | |||||||
| DIRECTOR OF CORPORATE QUALITY | 20.00 | 105097 | 0 | 15889 | X | ||
| NORA PINTADO | |||||||
| DIRECTOR OF CLAIMS ADMIN. | 20.00 | 104338 | 0 | 13940 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2736144 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 208972 | TotalOtherCompensation |
| Number Individuals GT100 K | 12 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| KP ON CALL | |||||
| 5855 COPLEY DRIVE STE 250 | SAN DIEGO | CA | 92111 | TELEPHONE ADVICE NURSE | 216255 |
| HEALTH MANAGEMENT SYSTEMS INC | |||||
| 401 PARK AVE SOUTH | NEW YORK | NY | 10016 | CLAIMS COORDINATION BENEFITS CONSULTANT | 176652 |
| PMPM CONSULTING GROUP INC | |||||
| 1900 POINT WEST WAY SUITE 111 | SACRAMENTO | CA | 95815 | CONSULTING SERVICES | 120000 |
| AXENE HEALTH PARTNERS | |||||
| 35067 MAHOGANY GLEN DRIVE | WINCHESTER | CA | 92596 | ACTUARIAL SERVICES | 116726 |
| MOSS ADAMS LLP | |||||
| 2030 MAIN ST SUITE 1400 | IRVINE | CA | 92614 | AUDITING AND TAX SERVICES | 114400 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 6 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| HEALTHY FAMILY REVENUE | 524114 | 23064027 | 23064027 |
| MEDICARE REVENUES | 524114 | 10682457 | 10682457 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 33746484 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 51354 | TotalRevenueColumn |
| Exclusion | $51,354 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 3950141 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 3950150 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -9 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -9 | TotalRevenueColumn |
| Exclusion | -$9 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| ADMIN. FEE FROM FNDTN. | 900099 | 9422193 | 9422193 | |
| TPA ADMIN. INCOME | 900099 | 264147 | 3906 | 260241 |
| OTHER OPER. REVENUE | 900099 | 43885 | 43885 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 9730225 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 43528054 | TotalRevenueColumn |
| Related Or Exempt Function Income | 43216468 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 260241 | UnrelatedBusinessRevenue |
| Exclusion | $51,345 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2252461 | Total |
| Management And General | 2252461 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4534869 | Total |
| Program Services | 418909 | ProgramServices |
| Management And General | 4115960 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 181919 | Total |
| Management And General | 181919 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 762437 | Total |
| Program Services | 50652 | ProgramServices |
| Management And General | 711785 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 492669 | Total |
| Program Services | 27274 | ProgramServices |
| Management And General | 465395 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 175000 | Total |
| Management And General | 175000 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 114570 | Total |
| Management And General | 114570 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 650762 | Total |
| Management And General | 650762 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 43008 | Total |
| Management And General | 43008 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 816577 | Total |
| Program Services | 21655 | ProgramServices |
| Management And General | 794922 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 755053 | Total |
| Program Services | 21018 | ProgramServices |
| Management And General | 734035 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 291219 | Total |
| Program Services | 21018 | ProgramServices |
| Management And General | 270201 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 71215 | Total |
| Management And General | 71215 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20128 | Total |
| Management And General | 20128 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24818 | Total |
| Program Services | 18753 | ProgramServices |
| Management And General | 6065 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 618099 | Total |
| Management And General | 618099 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 189095 | Total |
| Management And General | 189095 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| HEALTH FACILITY PYMTS | 9122188 | 9122188 |
| CAPITATION | 6272070 | 6272070 |
| PHARMACY & MED. SRVCS | 5300581 | 5300581 |
| PROVIDER PRO. FEES | 5052151 | 5052151 |
| OTHER PROFESSIONAL SVCS | 1046588 | 1046588 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1920414 | Total |
| Program Services | 1433286 | ProgramServices |
| Management And General | 487128 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 40707891 | Total |
| Program Services | 28806143 | ProgramServices |
| Management And General | 11901748 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1698537 | BOY |
| EOY | 3881314 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16317660 | BOY |
| EOY | 25279843 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2141085 | BOY |
| EOY | 2037735 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 377308 | BOY |
| EOY | 546665 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 6188789 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 2482234 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3157913 | BOY |
| EOY | 3706555 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 229668 | BOY |
| EOY | 130474 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 727652 | BOY |
| EOY | 545739 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7859 | BOY |
| EOY | 11805 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24657682 | BOY |
| EOY | 36140130 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6530874 | BOY |
| EOY | 6233454 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 57774 | BOY |
| EOY | 40780 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 741781 | BOY |
| EOY | 9710131 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7330429 | BOY |
| EOY | 15984365 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16827253 | BOY |
| EOY | 19855765 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 500000 | BOY |
| EOY | 300000 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17327253 | BOY |
| EOY | 20155765 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24657682 | BOY |
| EOY | 36140130 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 2820163 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 8349 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Political Expenditures | 1750 | PoliticalExpenditures |
| Volunteer Hours | 0 | VolunteerHours |
| Amt Expended For527 Activities | 0 | AmtExpendedFor527Activities |
| Amt Of Internal Funds Contributed | 0 | AmtOfInternalFundsContributed |
| Substantially All Dues Nondeduct | 0 | SubstantiallyAllDuesNondeduct |
| Only In House Lobbying | 1 | OnlyInHouseLobbying |
| Agree To Carryover Prior Year | 0 | AgreeToCarryoverPriorYear |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ORGANIZATIONS DIRECT AND INDIRECT POLITICAL CAMPAIGN ACTIVITIES: | Identifier |
| Return Reference | PART I-A, LINE 1: | ReturnReference |
| Explanation | DONATION TO POLITICAL CANDIDATES CAMPAIGN FUNDS. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1586659 | OtherCostOrOtherBasis |
| Book Value | 1586659 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3492487 | OtherCostOrOtherBasis |
| Depreciation | 1927380 | Depreciation |
| Book Value | 1565107 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 765754 | OtherCostOrOtherBasis |
| Depreciation | 361217 | Depreciation |
| Book Value | 404537 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 343889 | OtherCostOrOtherBasis |
| Depreciation | 193637 | Depreciation |
| Book Value | 150252 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 3706555 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DUE TO CHG FOUNDATION | Description |
| Amount | $9,710,131 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 9710131 | TotalOfAmounts |
| Total Revenue | 43528054 | TotalRevenue |
| Total Expenses | 40707891 | TotalExpenses |
| Excess Or Deficit For Year | 2820163 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 8349 | NetUnrealizedGLOnInvestments |
| Total Adjustments | 8349 | TotalAdjustments |
| Excess Or Deficit Per FS | 2828512 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 210604569 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 8349 | NetUnrealizedGainsInvestments |
| Other Revenues | 167071927 | OtherRevenues |
| Revenue Not Rptd F990 | 167080276 | RevenueNotRptdF990 |
| Revenue Subtotal | 43524293 | RevenueSubtotal |
| Other Revenues Not Included | 3761 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 3761 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 43528054 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 183371621 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 142669089 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 142669089 | ExpensesNotRptdF990 |
| Expenses Subtotal | 40702532 | ExpensesSubtotal |
| Other Expenses Not Included | 5359 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 5359 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 40707891 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | CHG ADOPTED THE PROVISIONS OF FINANCIAL ACCOUNTING STANDARDS BOARD ("FASB") ACCOUNTING STANDARDS CODIFICATION ("ASC") 740-10, INCOME TAXES, RELATING TO ACCOUNTING FOR UNCERTAIN TAX POSITIONS ON JANUARY 1, 2009. CHG FILES FEDERAL AND CALIFORNIA EXEMPT ORGANIZATION RETURNS. THEY ARE NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY TAXING AUTHORITIES FOR YEARS BEFORE 2007 FOR ITS FEDERAL AND 2006 FOR ITS STATE TAX FILINGS. THE COMPANY HAS NO UNCERTAIN TAX POSITIONS AT DECEMBER 31, 2010 AND 2009. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | TOTAL REVENUE ATTRIBUTABLE TO CHG FOUNDATION 176,494,120. LESS - MANAGEMENT FEE FROM FOUNDATION (ELIMINATED IN CONSOLIDATION) -9,422,193. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | AMOUNTS ATTRIBUTABLE TO COMMUNITY CARE COMMITTEE NOT INCLUDED IN AFS 3,761. | |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | TOTAL EXPENSES ATTRIBUTABLE TO CHG FOUNDATION 152,091,282. LESS - MANAGEMENT FEE FROM FOUNDATION (ELIMINATED IN CONSOLIDATION) -9,422,193. | |
| PART XIII, LINE 4B - OTHER ADJUSTMENTS: | AMOUNTS ATTRIBUTABLE TO COMMUNITY CARE COMMITTEE NOT INCLUDED IN AFS 5,359. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NORMA DIAZ | |||||||||||||
| 446290 | 0 | 0 | 0 | 1411 | 0 | 7350 | 0 | 16049 | 0 | 471100 | 0 | 0 | 0 |
| EDWARD HUTT | |||||||||||||
| 371428 | 0 | 0 | 0 | 10165 | 0 | 7350 | 0 | 11477 | 0 | 400420 | 0 | 0 | 0 |
| WILLIAM RICE | |||||||||||||
| 276530 | 0 | 345000 | 0 | 3944 | 0 | 7350 | 0 | 13644 | 0 | 646468 | 0 | 0 | 0 |
| JOSEPH GARCIA | |||||||||||||
| 259391 | 0 | 0 | 0 | 48524 | 0 | 7350 | 0 | 10499 | 0 | 325764 | 0 | 0 | 0 |
| JONATHAN TAMAYO | |||||||||||||
| 190051 | 0 | 0 | 0 | 897 | 0 | 5975 | 0 | 19557 | 0 | 216480 | 0 | 0 | 0 |
| ANN WARREN | |||||||||||||
| 153899 | 0 | 0 | 0 | 416 | 0 | 4711 | 0 | 13503 | 0 | 172529 | 0 | 0 | 0 |
| DIANE ERK | |||||||||||||
| 142255 | 0 | 0 | 0 | 1176 | 0 | 4348 | 0 | 13127 | 0 | 160906 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | NORMA DIAZ (CEO) IS MARRIED TO JOSEPH GARCIA (CHIEF OF OPERATIONS). | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE BOARD OF DIRECTORS ENGAGES THE SERVICES OF AN INDEPENDENT PUBLIC ACCOUNTING FIRM (MOSS ADAMS, LLP) AS OUTSIDE EXPERTS TO COMPLETE THE ANNUAL CERTIFIED AUDIT. THE CERTIFIED FINANCIAL STATEMENTS ARE REVIEWED WITH AND APPROVED BY THE BOARD OF DIRECTORS. THE SERVICES OF MOSS ADAMS, LLP ARE ALSO ENGAGED TO PREPARE AND COMPLETE FORM 990. THE FORM 990 IS PREPARED UNDER THE DIRECTION, REVIEW AND OVERSIGHT OF COMMUNITY HEALTH GROUPS' FINANCE DEPARTMENT. THE BOARD OF DIRECTORS RELIES ON THE EXPERTISE OF INTERNAL MANAGEMENT AND MOSS ADAMS, LLP AS OUTSIDE EXPERTS. | |
| ANNUALLY THE BOARD OF DIRECTORS AND KEY MANAGEMENT RECEIVE REFRESHER TRAINING, CONDUCTED BY OUTSIDE LEGAL COUNSEL, ON THE IMPORTANCE OF IDENTIFYING ANY CONFLICT OF INTEREST AND THE DISCLOSURE OF ANY REAL OR POTENTIAL CONFLICTS OF INTEREST IS AN INTEGRAL PART OF THE CULTURE AT COMMUNITY HEALTH GROUP. ANY POTENTIAL CONFLICTS ARE REPORTED TO THE COMPLIANCE OFFICER FOR INVESTIGATION AND FOLLOW-UP. | FORM 990, PART VI, SECTION B, LINE 12C | |
| A SALARY ANALYSIS IS PREPARED BY THE HUMAN RESOURCES DEPARTMENT USING THE WARREN SURVEY, WHICH IS THE ONLY SURVEY FOR HMO'S. THIS ANALYSIS IS THEN VALIDATED BY AN OUTSIDE CONSULTANT. AN EVALUATION COMMITTEE CONSISTING OF THE CHAIRMAN OF THE BOARD AND FOUR ADDITIONAL BOARD MEMBERS, REVIEWS THIS ANALYSIS AND MAKES A RECOMMENDATION TO THE BOARD OF DIRECTORS, WHO MAKE THE FINAL DECISION. THE ANALYSIS IS DONE ANNUALLY IN DECEMBER. SALARY ANALYSIS ARE PREPARED BY AN OUTSIDE CONSULTANT FOR ALL EXECUTIVE POSITIONS AND SOME MANAGEMENT POSITIONS. RESULTS ARE PRESENTED TO THE HUMAN RESOURCES DEPARTMENT. RECOMMENDATIONS ARE THEN MADE TO THE CEO FOR APPROVAL. | FORM 990, PART VI, SECTION B, LINE 15 | |
| CONSOLIDATED AUDITED FINANCIAL STATEMENTS, INCLUDING COMMUNITY HEALTH GROUP AND COMMUNITY HEALTH GROUP FOUNDATION, ARE AVAILABLE TO THE PUBLIC ON THE DEPARTMENT OF MANAGED CARE WEBSITE. THE GOVERNING/ORGANIZING DOCUMENTS ARE ON FILE WITH THE DEPARTMENT OF MANAGED CARE AND CAN BE OBTAINED UNDER THE CALIFORNIA PUBLIC RECORDS ACT. THE CONFLICT OF INTEREST POLICY IS NOT MADE AVAILABLE TO THE PUBLIC. | FORM 990, PART VI, SECTION C, LINE 19 | |
| HOURS PER WEEK DEVOTED TO RELATED ORGANIZATION | ALBERT VITELA'S TIME IS DIVIDED AS FOLLOWS: COMMUNITY HEALTH GROUP: 2 HOURS CHG FOUNDATION: 2 HOURS PAUL DATO'S TIME IS DIVIDED AS FOLLOWS: COMMUNITY HEALTH GROUP: 2 HOURS CHG FOUNDATION: 2 HOURS CARLOTA SALAS' TIME IS DIVIDED AS FOLLOWS: COMMUNITY HEALTH GROUP: 2 HOURS CHG FOUNDATION: 2 HOURS CARLOS CESENA'S TIME IS DIVIDED AS FOLLOWS: COMMUNITY HEALTH GROUP: 2 HOURS CHG FOUNDATION: 2 HOURS JOSE LUIS VALDIVIA'S TIME IS DIVIDED AS FOLLOWS: COMMUNITY HEALTH GROUP: 2 HOURS CHG FOUNDATION: 2 HOURS GRACE KOJIMA'S TIME IS DIVIDED AS FOLLOWS: COMMUNITY HEALTH GROUP: 2 HOURS CHG FOUNDATION: 2 HOURS TITO CALSADA'S TIME IS DIVIDED AS FOLLOWS: COMMUNITY HEALTH GROUP: 2 HOURS CHG FOUNDATION: 2 HOURS ANITA HOLT'S TIME IS DIVIDED AS FOLLOWS: COMMUNITY HEALTH GROUP: 2 HOURS CHG FOUNDATION: 2 HOURS WILLIAM MCFARLAND'S TIME IS DIVIDED AS FOLLOWS: COMMUNITY HEALTH GROUP: 2 HOURS CHG FOUNDATION: 2 HOURS NORMA DIAZ'S TIME IS DIVIDED AS FOLLOWS: COMMUNITY HEALTH GROUP: 20 HOURS CHG FOUNDATION: 20 HOURS EDWARD HUTT'S TIME IS DIVIDED AS FOLLOWS: COMMUNITY HEALTH GROUP: 20 HOURS CHG FOUNDATION: 20 HOURS WILLIAM RICE'S TIME IS DIVIDED AS FOLLOWS: COMMUNITY HEALTH GROUP: 20 HOURS CHG FOUNDATION: 20 HOURS JOSEPH GARCIA'S TIME IS DIVIDED AS FOLLOWS: COMMUNITY HEALTH GROUP: 20 HOURS CHG FOUNDATION: 20 HOURS JONATHAN TAMAYO'S TIME IS DIVIDED AS FOLLOWS: COMMUNITY HEALTH GROUP: 20 HOURS CHG FOUNDATION: 20 HOURS ANN WARREN'S TIME IS DIVIDED AS FOLLOWS: COMMUNITY HEALTH GROUP: 20 HOURS CHG FOUNDATION: 20 HOURS DIANE ERK'S TIME IS DIVIDED AS FOLLOWS: COMMUNITY HEALTH GROUP: 20 HOURS CHG FOUNDATION: 20 HOURS DAVID RITCHIE'S TIME IS DIVIDED AS FOLLOWS: COMMUNITY HEALTH GROUP: 20 HOURS CHG FOUNDATION: 20 HOURS NOREEN KOIZUMI'S TIME IS DIVIDED AS FOLLOWS: COMMUNITY HEALTH GROUP: 20 HOURS CHG FOUNDATION: 20 HOURS CAROLE ANDERSON'S TIME IS DIVIDED AS FOLLOWS: COMMUNITY HEALTH GROUP: 20 HOURS CHG FOUNDATION: 20 HOURS NORA PINTADO'S TIME IS DIVIDED AS FOLLOWS: COMMUNITY HEALTH GROUP: 20 HOURS CHG FOUNDATION: 20 HOURS | 990, PART VII, SECTION A |
| CHANGES IN NET ASSETS OR FUND BALANCES: | NET UNREALIZED GAINS ON INVESTMENTS: 8,349. | FORM 990, PART XI, LINE 5: |
| AUDIT COMMITTEE AND OVERSIGHT | THERE HAVE BEEN NO CHANGES TO THIS PROCESS FROM PRIOR YEAR. | FORM 990, PART XII, LINE 2C |
| EXCESS OR (DEFICIT) FOR THE YEAR PER FINANCIAL STATEMENTS. | THE AMOUNT AT SCHEDULE D, PART XI, LINE 10 DOES NOT TIE TO THE AUDITED FINANCIAL STATEMENTS AS THE AUDITED FINANCIAL STATEMENTS ARE PREPARED ON A CONSOLIDATED BASIS. THE AMOUNT AT SCHEDULE D, PART XI IS THE EXCESS FOR COMMUNITY HEALTH GROUP ONLY AND DOES NOT INCLUDE THE EXCESS OR DEFICIT ATTRIBUTABLE TO CHG FOUNDATION. THIS IS THE AMOUNT NECESSARY TO PROPERLY ROLL FORWARD NET ASSETS FOR THIS ENTITY ONLY. | SCHEDULE D, PART XI, LINE 10 |
| AUDITED FINANCIAL STATEMENTS | THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS ARE PREPARED ON A CONSOLIDATED BASIS; HOWEVER, THE ORGANIZATION MAINTAINS SEPARATE FINANCIAL RECORDS FOR EACH ENTITY. THIS SEPARATE FINANCIAL INFORMATION HAS BEEN USED TO COMPLETE THE RECONCILIATION AT SCHEDULE D, PART XI. CONSOLIDATED INFORMATION FROM THE AUDITED FINANCIAL STATEMENTS HAS BEEN USED IN PARTS XII & XIII. | FORM 990, PART XII, LINE 2 & PART IV, LINE 12 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHG FOUNDATION | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 740 BAY BLVD | AddressLine1 |
| City | CHULA VISTA | City |
| State | CA | State |
| ZIP Code | 91910 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 330586911 | EIN |
| Primary Activities | HEALTHCARE | PrimaryActivities |
| Legal Domicile State | CA | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Public Charity Status | 9 | PublicCharityStatus |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Controlled Org | 1 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| CHG FOUNDATION | ||
| E | 9710131 | BOOK/ACTUAL VALUE |
| CHG FOUNDATION | ||
| P | 9422193 | BOOK/ACTUAL VALUE |
Comments