Civic Intelligence

Central California Health Centers

EIN 84-4171789 • 501(c)3 • Bakersfield, CA

Profile

Central california health centers' (cchc's) mission is to deliver accessible, compassionate high-quality care in each and every community through affordbale health care services and integrated clinical practices regardless of income. With a patient-centered healthcare model, cchc will deliver excellence in quality and service in order to make a difference in the patients' lives.

300 Old River Road 200Bakersfield, CA 93311

n/A

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2024

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on the latest valid filing.

Source year 2024

Net Margin

Score unavailable

No value available

Net margin requires both revenue and expenses on the latest valid filing.

Source year 2024

Top Officer Pay

100th percentile

$1,652,839

Higher top officer pay than 100% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2024

Asset Growth

Score unavailable

No value available

A valid growth rate could not be computed from the available filing history.

Annualized from 2023 to 2024

Revenue Growth

Score unavailable

No value available

A valid growth rate could not be computed from the available filing history.

Annualized from 2023 to 2024

Assets

Flat

$0

Flat from 2023

Liabilities

Down

$3,260,043

Down $2,706 (-0.1%) from 2023

Net Assets

Up

-$3,260,043

Up $2,706 (+0.1%) from 2023

Revenue

Flat

$0

Flat from 2023

Expenses

Down

$0

Down $1,965 (-100%) from 2023

Net Income

Up

$0

Up $1,965 (+100%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$4.0M$2.0M$0-$2.0M-$4.0MAssets 2020: $0Liabilities 2020: $1,112,325Net Assets 2020: -$1,112,3252020Assets 2021: $144,811Liabilities 2021: $2,724,334Net Assets 2021: -$2,579,5232021Assets 2022: $0Liabilities 2022: $3,263,210Net Assets 2022: -$3,263,2102022Assets 2023: $0Liabilities 2023: $3,262,749Net Assets 2023: -$3,262,7492023Assets 2024: $0Liabilities 2024: $3,260,043Net Assets 2024: -$3,260,0432024

Highlighted filing

2024

Assets$0
Liabilities$3,260,043
Net Assets-$3,260,043

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$1.0M$500K$0-$500K-$1.0MRevenue 2020: $0Expenses 2020: $38,865Net Income 2020: -$38,8652020Revenue 2021: $49,561Expenses 2021: $667,246Net Income 2021: -$617,6852021Revenue 2022: $0Expenses 2022: $503,832Net Income 2022: -$503,8322022Revenue 2023: $0Expenses 2023: $1,965Net Income 2023: -$1,9652023Revenue 2024: $0Expenses 2024: $0Net Income 2024: $02024

Highlighted filing

2024

Revenue$0
Expenses$0
Net Income$0

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
Apr 30, 2025
Return Version
2023v6.0
Gross Receipts
$0
Mission and Program Overview

Mission

Central california health centers' (cchc's) mission is to deliver accessible, compassionate high-quality care in each and every community through affordbale health care services and integrated clinical practices regardless of income. With a patient-centered healthcare model, cchc will deliver excellence in quality and service in order to make a difference in the patients' lives.

Central california health centers was formed on december 9, 2019, in the state of california to serve and provide medical, clinical, and other health care or social services for residents of the counties of calaveras, fresno, kern, kings, madera, merced, san joaquin, stanislaus, and tulare.

Balance Sheet Detail
LineBeginningEndChange
Assets
Total Assets$0$0→ $0
Liabilities
Other Liabilities$3,262,749$3,260,043▼ $2,706
Accounts Payable and Accrued Expenses$0$0→ $0
Total Liabilities$3,262,749$3,260,043▼ $2,706
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$-3,262,749$-3,260,043▲ $2,706
Total Net Assets Fund Balance$-3,262,749$-3,260,043▲ $2,706
Total Liabilities and Net Assets / Fund Balance$0$0→ $0
Compensation and Service Providers

Board Members and Trustees

NameTitle
Jon Van BoeningFormer Officer (president/CEO)
Scott Robertson MdPresident/CEO
David YeagerDivision CFO, Socal
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$0
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$0
Other Expenses$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Related Parties$3,260,043
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

The organization's sole corporate member is dignity community care, a 501(c)(3) exempt organization.

Form 990, Part VI, Section A, Line 7A

Dignity community care, as the sole corporate member, ratifies the selection of members and the dignity community care board approves new board members of the organization.

Form 990, Part VI, Section A, Line 7B

Reserved rights of the sole member include adoption of mission and philosophy statements, amendment or restatement of articles of incorporation and bylaws, dissolution of the corporation, acquisition of another corporation, creation of a new subsidiary, merger or consolidation with another corporation, participation as a general or limited partner in any venture, incurring longterm indebtedness in excess of normal operating requirements, ratification of board member appointments and dismissals, selection and removal of independent auditors, and transactions outside the ordinary course of business.

Form 990, Part VI, Section B, Line 11B

Form 990 is reviewed by the related organization's tax department and is provided to the organization for a final review prior to filing the return.

Form 990, Part VI, Section B, Line 12C

The organization has adopted the related organization, commonspirit health's ("commonspirit") conflicts of interest policy. The conflicts of interest ("coi") policy (the "policy") was put in place to protect the interests of commonspirit in circumstances that may result in a conflict between personal interests of a person and the interests of the organization and those it serves. Commonspirit's coi policy applies to commonspirit, its direct affiliates and subsidiaries and any related entity the governing documents of which require the entity to comply with commonspirit policy (collectively the "system entities"). The following persons are required to disclose actual or potential conflicts of interest at least annually (via a formal system-administered survey) if the person's affiliation with commonspirit continues: -members of corporate and community boards of system entities -members of committees of corporate and community boards of system entities -members of the executive leadership team ("elt") of commonspirit -key employees and highest compensated employees as specified by the internal revenue service for form 990 purposes who are not otherwise included in the categories above -corporate officers of system entities - employed physicians and advanced practice providers -employees of system entities at the vice president level and above -all individuals engaged in research at institutions owned or operated by a system entity -select employees as determined from time to time by leadership disclosure, review, and management of perceived, potential, or actual conflicts of interest are accomplished through a defined coi disclosure review process. Each person is required to promptly and fully disclose any situation or circumstance that may create a conflict of interest as soon as she/he becomes aware of it. In addition, at the inception of an individual's relationship with commonspirit (e.g. Hiring, board appointment), and for certain positions, annually thereafter, written conflict of interest disclosure forms must be completed. A failure to disclose may result in disciplinary or corrective actions. Reported potential or actual conflicts of interest are initially reviewed by legal, corporate responsibility or research integrity staff. If necessary, a conflict of interest management plan is developed, which plan shall be subject to acceptance by the appropriate direct manager, supervisor, medical staff office, board or board committee (for board, board committee, elt or corporate officer conflicts), or other appropriate individual or body. Once accepted, the conflict of interest management plan is communicated to the person with the actual or potential conflict and the individual must conduct themselves in conformity with the plan. In the event that a transactional conflict interest arises in connection with a system entity board meeting, the conflicted individual must disclose that conflict prior to or at the beginning of the meeting in which the matter is to be considered. The conflicted individual is excluded from voting on the transaction and is prohibited from using personal influence with respect to the matter, but is not prohibited from providing input if requested to do so.

Form 990, Part VI, Section B, Line 15

For 2023 compensation, compensation levels for the organization's top management official were established by the related organization, commonspirit. Commonspirit's board of stewardship trustees appoints a human resources and compensation committee, comprised exclusively of independent directors, who are accountable for setting reasonable compensation practices for the organization. The human resources and compensation committee approves, consistent with the organization's philosophy and principles, the annual performance goals and criteria to be used in determining merit increases and variable compensation criteria. The human resources and compensation committee also engages an independent consultant as necessary and qualified independent compensation and benefits specialists (independent experts) to validate the organization's benchmarking approach for the total compensation and benefits packages for certain executives. Appropriate comparable data is obtained by the commonspirit health compensation department from independent third-party salary surveys, (e.g., total economic benefits paid by similarly situated organizations, both taxable and tax-exempt, for similar job responsibilities). The documentation of compensation decisions includes (a) the decision made and the date approved; and (b) the comparability data obtained and relied upon by the compensation department and the sources from which the data was obtained.

Form 990, Part VI, Section C, Line 19

Federal tax laws do not mandate that the organization's governing documents, conflict of interest policy and financial statements be made available for public inspection. The organization is included in commonspirit's consolidated financial statements which is available on commonspirit's website and upon request.

Filing and Contact Details

Filer

Filer Name
Central California Health Centers
EIN
84-4171789
Phone
6616642300
Address
300 OLD RIVER ROAD 200, BAKERSFIELD, CA 93311

Signing Officer

Name
Brandon Merlo
Title
VP/CFO
Phone
8057393853
Signed
2025-04-30
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Scott Robertson Md
Formed
2019
Legal Domicile
CA
Voting Board Members
0
Independent Board Members
0
Employees
0
Volunteers
0

Preparer

Firm
Commonspirit Health
Address
198 INVERNESS DRIVE WEST, ENGLEWOOD, CO 80112
Preparer
Mark Stocki
Phone
3032989100
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 3

During the december 15, 2021 cchc board of directors meeting, it was approved that the organization and its board of directors will dissolve in accordance with the alignment of the bakersfield area health centers managed under the authority of the related organization, pacific central coast health centers. The organization dissolved its board of directors effective june 30, 2022. The organization is currenlty in the process of being dissolved.

FORM 990, PART XII, LINE 2C:

The organization did not change its oversight or selection process during the tax year.

Financial Statement Notes

PART X, LINE 2:

The organization reviews its tax positions quarterly and has determined that there are no material uncertain tax positions that require recognition in the accompanying consolidated financial statements.

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IRS990/ActivityOrMissionDesc0CENTRAL CALIFORNIA HEALTH CENTERS WAS FORMED ON DECEMBER 9, 2019, IN THE STATE OF CALIFORNIA TO SERVE AND PROVIDE MEDICAL, CLINICAL, AND OTHER HEALTH CARE OR SOCIAL SERVICES FOR RESIDENTS OF THE COUNTIES OF CALAVERAS, FRESNO, KERN, KINGS, MADERA, MERCED, SAN JOAQUIN, STANISLAUS, AND TULARE.
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IRS990/Desc0CCHC WILL OPERATE AS LICENSED COMMUNITY CARE CLINICS. THE CENTERS INCLUDE MULTI-SPECIALTY CLINICS SERVING THE MEDICAL NEEDS OF THE COMMUNITIES BY PROVIDING AFFORDABLE HEALTH CARE SERVICES BY HIGHLY TRAINED, COMPASSIONATE PHYSICIANS. CCHC HAS FOUR HEALTH CENTERS THAT ARE LICENSED AS 1204 (A) COMMUNITY CLINICS UNDER THE CA DEPARTMENT OF PUBLIC HEALTH, WHICH IS A SEPARATE LICENSURE FROM THE HOSPITAL. THESE HEALTH CENTERS WILL PROVIDE THE FOLLOWING SERVICES: ADVANCED ORTHOPEDICS, WOMEN'S HEALTH, UROLOGY AND WEIGHT LOSS.DURING THE DECEMBER 15, 2021 CCHC BOARD OF DIRECTORS MEETING, IT WAS APPROVED THAT THE ORGANIZATION AND ITS BOARD OF DIRECTORS WILL DISSOLVE IN ACCORDANCE WITH THE ALIGNMENT OF THE BAKERSFIELD AREA HEALTH CENTERS MANAGED UNDER THE AUTHORITY OF THE RELATED ORGANIZATION, PACIFIC CENTRAL COAST HEALTH CENTERS. THE ORGANIZATION DISSOLVED ITS BOARD OF DIRECTORS EFFECTIVE JUNE 30, 2022. THE ORGANIZATION IS CURRENLTY IN THE PROCESS OF BEING DISSOLVED.
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IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0THE ORGANIZATION IS NOT LICENSED AS A HOSPITAL. IT IS LICENSED AS A HEALTH CARE CLINIC AND PROVIDES MEDICAL SERVICES TO THE COMMUNITY IT SERVES. DURING THE DECEMBER 15, 2021 CCHC BOARD OF DIRECTORS MEETING, IT WAS APPROVED THAT THE ORGANIZATION AND ITS BOARD OF DIRECTORS WILL DISSOLVE IN ACCORDANCE WITH THE ALIGNMENT OF THE BAKERSFIELD AREA HEALTH CENTERS MANAGED UNDER THE AUTHORITY OF THE RELATED ORGANIZATION, PACIFIC CENTRAL COAST HEALTH CENTERS. THE ORGANIZATION DISSOLVED ITS BOARD OF DIRECTORS EFFECTIVE JUNE 30, 2022. THE ORGANIZATION IS CURRENLTY IN THE PROCESS OF BEING DISSOLVED.
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1SCOTT ROBERTSON MD
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm2DAVID YEAGER
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1PRESIDENT/CEO
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt2DIVISION CFO, SOCAL
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IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0THE ORGANIZATION RELIED ON A RELATED ORGANIZATION, COMMONSPIRIT, THAT USED ONE OR MORE OF THE METHODS DESCRIBED IN SCHEDULE J, PART I, LINE 3, TO ESTABLISH THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) HUMAN RESOURCES AND COMPENSATION COMMITTEE OF THE COMMONSPIRIT BOARD OF STEWARDSHIP TRUSTEES ("BOARD"); (2) INDEPENDENT COMPENSATION CONSULTANT; (3) COMPENSATION SURVEY OR STUDY; AND (4) APPROVAL BY THE BOARD OR HUMAN RESOURCES AND COMPENSATION COMMITTEE. SEE SCHEDULE O DISCLOSURE FOR FORM 990, PART VI, SECTION B, LINE 15 FOR ADDITIONAL INFORMATION. SCHEDULE J, PART I, LINE 4A CERTAIN LISTED PERSONS ARE COVERED BY AN EXECUTIVE SEVERANCE POLICY THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 9 TO 24 MONTHS OF BASE COMPENSATION, DEPENDING ON THE EXECUTIVE'S POSITION, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE POLICY. NO PAYMENTS WERE MADE DURING 2023 PURSUANT TO THIS PLAN.
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt1CERTAIN LISTED PERSONS PARTICIPATE IN THE DIGNITY HEALTH EXCESS BENEFIT PLAN, A NONQUALIFIED SUPPLEMENTAL BENEFIT PLAN LIMITED TO PARTICIPANTS IN THE DIGNITY HEALTH RETIREMENT PLAN WHOSE BENEFITS ARE AFFECTED BY THE LIMITATIONS IMPOSED BY SECTIONS 401(A)(17) AND 415 OF THE INTERNAL REVENUE CODE. BENEFIT SERVICE UNDER THIS PLAN WAS FROZEN AS OF JANUARY 1, 2008. NO PAYMENTS WERE MADE TO ANY LISTED PERSONS DURING 2023 PURSUANT TO THIS PLAN. CERTAIN LISTED PERSONS ARE ELIGIBLE TO PARTICIPATE IN NONQUALIFIED 457(F) PLANS THAT ARE SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE, AS REQUIRED BY THE IRS. THE 2007 EXECUTIVE DEFERRED COMPENSATION PLAN IS FOR EXECUTIVES HIRED PRIOR TO JUNE 30, 2006. THE BENEFIT IS INTENDED TO BRIDGE THE DIFFERENCE, IF ANY, BETWEEN THE BENEFIT PROVIDED UNDER THE DIGNITY HEALTH EXCESS BENEFIT PLAN HAD BENEFIT SERVICE NOT BEEN FROZEN AT JANUARY 1, 2008, AND THE BENEFITS PROVIDED FROM ALL OTHER QUALIFIED AND NONQUALIFIED PLANS. BENEFITS VEST UNDER THIS 457(F) PLAN AT THE LATER OF THE DATE THE PARTICIPANT ATTAINS AGE 62 OR IS CREDITED WITH 15 YEARS OF SERVICE. THE 2010 EXECUTIVE DEFERRED COMPENSATION PLAN IS FOR CERTAIN OFFICERS AND KEY EMPLOYEES, PRIMARILY THOSE WHO ARE NOT ELIGIBLE TO PARTICIPATE IN THE DIGNITY HEALTH EXCESS BENEFIT PLAN OR THE 2007 EXECUTIVE DEFERRED COMPENSATION PLAN DESCRIBED ABOVE. THIS BENEFIT PROVIDES AN ANNUAL ACCRUAL OF 10% OF TOTAL COMPENSATION AND IS PAYABLE ANNUALLY ON JULY 1 ONCE VESTED, WHICH IS AGE 62 WITH 5 YEARS OF SERVICE; THE PLAN ALSO ALLOWS FOR SPECIAL AWARDS. A PAYMENT WAS MADE DURING 2023 TO J. VAN BOENING, $263,543. COMPENSATION AMOUNTS FOR THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS DISCUSSED ABOVE ARE REPORTED AS DEFERRED COMPENSATION IN THE YEAR ACCRUED (SCHEDULE J, PART II, COLUMN C) AND ARE REFLECTED AGAIN AS OTHER REPORTABLE COMPENSATION IN THE YEAR PAID (SCHEDULE J, PART II, COLUMN B(III)).
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt2THE ORGANIZATION FOLLOWS COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY. COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST THE ORGANIZATION IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVES REQUIRED TO ENABLE THE ORGANIZATION TO FULFILL ITS MISSION OF PROVIDING HIGH QUALITY HEALTH CARE FOR ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES, IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES THE ORGANIZATION SERVES, PROMOTING EMPLOYEE SATISFACTION, AND ENSURING FINANCIAL STABILITY. A SUBSTANTIAL PORTION OF EXECUTIVE COMPENSATION IS PERFORMANCE BASED AND IS LINKED TO ORGANIZATIONAL GOALS APPROVED IN ADVANCE BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE. THESE GOALS INCLUDE ATTAINMENT OF ANNUAL AND LONG-TERM FINANCIAL PERFORMANCE, CERTAIN HEALTHCARE QUALITY STANDARDS AND ITS COMMITMENT TO SERVING THE POOR AND DISENFRANCHISED IN THE COMMUNITIES IT SERVES. TOTAL COMPENSATION, WHICH INCLUDES BASE SALARY, ANNUAL AND LONGTERM INCENTIVE COMPENSATION, IS ESTABLISHED TO APPROXIMATE THE PREVAILING MARKET CONDITIONS FOR EXECUTIVES OF COMPANIES OF SIMILAR SIZE, REVENUES AND COMPLEXITY. PAYMENTS PURSUANT TO A LONG-TERM FINANCIAL PERFORMANCE GOAL WERE PAID IN CALENDAR YEAR 2023.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 3
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc1PART I, LINE 4B
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc2SCHEDULE J, PART II - SUPPLEMENTAL DISCLOSURES
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0DURING THE DECEMBER 15, 2021 CCHC BOARD OF DIRECTORS MEETING, IT WAS APPROVED THAT THE ORGANIZATION AND ITS BOARD OF DIRECTORS WILL DISSOLVE IN ACCORDANCE WITH THE ALIGNMENT OF THE BAKERSFIELD AREA HEALTH CENTERS MANAGED UNDER THE AUTHORITY OF THE RELATED ORGANIZATION, PACIFIC CENTRAL COAST HEALTH CENTERS. THE ORGANIZATION DISSOLVED ITS BOARD OF DIRECTORS EFFECTIVE JUNE 30, 2022. THE ORGANIZATION IS CURRENLTY IN THE PROCESS OF BEING DISSOLVED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE ORGANIZATION'S SOLE CORPORATE MEMBER IS DIGNITY COMMUNITY CARE, A 501(C)(3) EXEMPT ORGANIZATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2DIGNITY COMMUNITY CARE, AS THE SOLE CORPORATE MEMBER, RATIFIES THE SELECTION OF MEMBERS AND THE DIGNITY COMMUNITY CARE BOARD APPROVES NEW BOARD MEMBERS OF THE ORGANIZATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3RESERVED RIGHTS OF THE SOLE MEMBER INCLUDE ADOPTION OF MISSION AND PHILOSOPHY STATEMENTS, AMENDMENT OR RESTATEMENT OF ARTICLES OF INCORPORATION AND BYLAWS, DISSOLUTION OF THE CORPORATION, ACQUISITION OF ANOTHER CORPORATION, CREATION OF A NEW SUBSIDIARY, MERGER OR CONSOLIDATION WITH ANOTHER CORPORATION, PARTICIPATION AS A GENERAL OR LIMITED PARTNER IN ANY VENTURE, INCURRING LONGTERM INDEBTEDNESS IN EXCESS OF NORMAL OPERATING REQUIREMENTS, RATIFICATION OF BOARD MEMBER APPOINTMENTS AND DISMISSALS, SELECTION AND REMOVAL OF INDEPENDENT AUDITORS, AND TRANSACTIONS OUTSIDE THE ORDINARY COURSE OF BUSINESS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4FORM 990 IS REVIEWED BY THE RELATED ORGANIZATION'S TAX DEPARTMENT AND IS PROVIDED TO THE ORGANIZATION FOR A FINAL REVIEW PRIOR TO FILING THE RETURN.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THE ORGANIZATION HAS ADOPTED THE RELATED ORGANIZATION, COMMONSPIRIT HEALTH'S ("COMMONSPIRIT") CONFLICTS OF INTEREST POLICY. THE CONFLICTS OF INTEREST ("COI") POLICY (THE "POLICY") WAS PUT IN PLACE TO PROTECT THE INTERESTS OF COMMONSPIRIT IN CIRCUMSTANCES THAT MAY RESULT IN A CONFLICT BETWEEN PERSONAL INTERESTS OF A PERSON AND THE INTERESTS OF THE ORGANIZATION AND THOSE IT SERVES. COMMONSPIRIT'S COI POLICY APPLIES TO COMMONSPIRIT, ITS DIRECT AFFILIATES AND SUBSIDIARIES AND ANY RELATED ENTITY THE GOVERNING DOCUMENTS OF WHICH REQUIRE THE ENTITY TO COMPLY WITH COMMONSPIRIT POLICY (COLLECTIVELY THE "SYSTEM ENTITIES"). THE FOLLOWING PERSONS ARE REQUIRED TO DISCLOSE ACTUAL OR POTENTIAL CONFLICTS OF INTEREST AT LEAST ANNUALLY (VIA A FORMAL SYSTEM-ADMINISTERED SURVEY) IF THE PERSON'S AFFILIATION WITH COMMONSPIRIT CONTINUES: -MEMBERS OF CORPORATE AND COMMUNITY BOARDS OF SYSTEM ENTITIES -MEMBERS OF COMMITTEES OF CORPORATE AND COMMUNITY BOARDS OF SYSTEM ENTITIES -MEMBERS OF THE EXECUTIVE LEADERSHIP TEAM ("ELT") OF COMMONSPIRIT -KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES AS SPECIFIED BY THE INTERNAL REVENUE SERVICE FOR FORM 990 PURPOSES WHO ARE NOT OTHERWISE INCLUDED IN THE CATEGORIES ABOVE -CORPORATE OFFICERS OF SYSTEM ENTITIES - EMPLOYED PHYSICIANS AND ADVANCED PRACTICE PROVIDERS -EMPLOYEES OF SYSTEM ENTITIES AT THE VICE PRESIDENT LEVEL AND ABOVE -ALL INDIVIDUALS ENGAGED IN RESEARCH AT INSTITUTIONS OWNED OR OPERATED BY A SYSTEM ENTITY -SELECT EMPLOYEES AS DETERMINED FROM TIME TO TIME BY LEADERSHIP DISCLOSURE, REVIEW, AND MANAGEMENT OF PERCEIVED, POTENTIAL, OR ACTUAL CONFLICTS OF INTEREST ARE ACCOMPLISHED THROUGH A DEFINED COI DISCLOSURE REVIEW PROCESS. EACH PERSON IS REQUIRED TO PROMPTLY AND FULLY DISCLOSE ANY SITUATION OR CIRCUMSTANCE THAT MAY CREATE A CONFLICT OF INTEREST AS SOON AS SHE/HE BECOMES AWARE OF IT. IN ADDITION, AT THE INCEPTION OF AN INDIVIDUAL'S RELATIONSHIP WITH COMMONSPIRIT (E.G. HIRING, BOARD APPOINTMENT), AND FOR CERTAIN POSITIONS, ANNUALLY THEREAFTER, WRITTEN CONFLICT OF INTEREST DISCLOSURE FORMS MUST BE COMPLETED. A FAILURE TO DISCLOSE MAY RESULT IN DISCIPLINARY OR CORRECTIVE ACTIONS. REPORTED POTENTIAL OR ACTUAL CONFLICTS OF INTEREST ARE INITIALLY REVIEWED BY LEGAL, CORPORATE RESPONSIBILITY OR RESEARCH INTEGRITY STAFF. IF NECESSARY, A CONFLICT OF INTEREST MANAGEMENT PLAN IS DEVELOPED, WHICH PLAN SHALL BE SUBJECT TO ACCEPTANCE BY THE APPROPRIATE DIRECT MANAGER, SUPERVISOR, MEDICAL STAFF OFFICE, BOARD OR BOARD COMMITTEE (FOR BOARD, BOARD COMMITTEE, ELT OR CORPORATE OFFICER CONFLICTS), OR OTHER APPROPRIATE INDIVIDUAL OR BODY. ONCE ACCEPTED, THE CONFLICT OF INTEREST MANAGEMENT PLAN IS COMMUNICATED TO THE PERSON WITH THE ACTUAL OR POTENTIAL CONFLICT AND THE INDIVIDUAL MUST CONDUCT THEMSELVES IN CONFORMITY WITH THE PLAN. IN THE EVENT THAT A TRANSACTIONAL CONFLICT INTEREST ARISES IN CONNECTION WITH A SYSTEM ENTITY BOARD MEETING, THE CONFLICTED INDIVIDUAL MUST DISCLOSE THAT CONFLICT PRIOR TO OR AT THE BEGINNING OF THE MEETING IN WHICH THE MATTER IS TO BE CONSIDERED. THE CONFLICTED INDIVIDUAL IS EXCLUDED FROM VOTING ON THE TRANSACTION AND IS PROHIBITED FROM USING PERSONAL INFLUENCE WITH RESPECT TO THE MATTER, BUT IS NOT PROHIBITED FROM PROVIDING INPUT IF REQUESTED TO DO SO.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6FOR 2023 COMPENSATION, COMPENSATION LEVELS FOR THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL WERE ESTABLISHED BY THE RELATED ORGANIZATION, COMMONSPIRIT. COMMONSPIRIT'S BOARD OF STEWARDSHIP TRUSTEES APPOINTS A HUMAN RESOURCES AND COMPENSATION COMMITTEE, COMPRISED EXCLUSIVELY OF INDEPENDENT DIRECTORS, WHO ARE ACCOUNTABLE FOR SETTING REASONABLE COMPENSATION PRACTICES FOR THE ORGANIZATION. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE APPROVES, CONSISTENT WITH THE ORGANIZATION'S PHILOSOPHY AND PRINCIPLES, THE ANNUAL PERFORMANCE GOALS AND CRITERIA TO BE USED IN DETERMINING MERIT INCREASES AND VARIABLE COMPENSATION CRITERIA. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE ALSO ENGAGES AN INDEPENDENT CONSULTANT AS NECESSARY AND QUALIFIED INDEPENDENT COMPENSATION AND BENEFITS SPECIALISTS (INDEPENDENT EXPERTS) TO VALIDATE THE ORGANIZATION'S BENCHMARKING APPROACH FOR THE TOTAL COMPENSATION AND BENEFITS PACKAGES FOR CERTAIN EXECUTIVES. APPROPRIATE COMPARABLE DATA IS OBTAINED BY THE COMMONSPIRIT HEALTH COMPENSATION DEPARTMENT FROM INDEPENDENT THIRD-PARTY SALARY SURVEYS, (E.G., TOTAL ECONOMIC BENEFITS PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR SIMILAR JOB RESPONSIBILITIES). THE DOCUMENTATION OF COMPENSATION DECISIONS INCLUDES (A) THE DECISION MADE AND THE DATE APPROVED; AND (B) THE COMPARABILITY DATA OBTAINED AND RELIED UPON BY THE COMPENSATION DEPARTMENT AND THE SOURCES FROM WHICH THE DATA WAS OBTAINED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7FEDERAL TAX LAWS DO NOT MANDATE THAT THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS BE MADE AVAILABLE FOR PUBLIC INSPECTION. THE ORGANIZATION IS INCLUDED IN COMMONSPIRIT'S CONSOLIDATED FINANCIAL STATEMENTS WHICH IS AVAILABLE ON COMMONSPIRIT'S WEBSITE AND UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8THE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT OR SELECTION PROCESS DURING THE TAX YEAR.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART III, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 6
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IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8FORM 990, PART XII, LINE 2C:
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IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EIN37951912528
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EIN38931216943
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EIN39911480569
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EIN40760637138
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EIN41710710785
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EIN42822383629
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EIN43981065338

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