Community Health Partners

Nonprofit profile at a glance

EIN
852103299
IRS 990 coverage
2020–2024
Forms available
Form 990 2024, Form 990-N 2019
Location
Fresno, CA, USA
Phone
5596037300
Rating
69
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Health Treatment Facilities, Primarily Outpatient

Official website

Reported finances

Revenue
$236,748,977
Expenses
$361,802,686
Assets
$79,231,024
Liabilities
$499,432,896

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

22 people listed

Executive titles in this filing

  • PATRICK RAMIREZ (PRESIDENT/CHIEF EXECUTIVE OFFICER)

Highest reported compensation

  • CRAIG WAGONER (BOARD MEMBER, CHAIR): $1,767,621 total reported compensation
  • ALDO DE LA TORRE (BOARD MEMBER): $960,558 total reported compensation
  • CARLA MILTON (BOARD MEMBER, SECRETARY): $932,116 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Community health partners' mission is to build the valley's premier integrated healthcare delivery system that reliably meets the healthcare needs of our region while exceeding patient expectations.

What it reported doing in 2024

Community health partners is a nonprofit public benefit corporation. It operates many clinics in the central valley and offers an extensive range of healthcare services to its community. The services it offers include: (i) anesthesiology, (ii) endocrinology, (iii) hospital care, (iv) maternal fetal medicine, (v) neurology, (vi) ob/gyn, (vii) oncology, (viii) pediatrics, (ix) pharmacy, (x) physical rehabilitation, (xi) primary care, (xii) rheumatology, (xiii) surgery, (xiv) urology, (xv) dentistry, (xvi) orthopedics, (xvii) pulmonology, (xviii) genetics, (xx) ent, and (xxi) urgent care. These services were provided by a total of 502 practitioners. During the year, community health partners served approximately 112,000 patients at its clinics.

Operating model

Revenue model
Earned-program. 100% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and a relatively small share of voting board members are independent.

Rating breakdown

  • Financial Efficiency: 85
  • Transparency & Controls: 64
  • Accountability: 53
  • Sustainability: 10
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 100%; rating input score 100
  • Program expense ratio: 88.9%; rating input score 89
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
  • Pay-setting controls: 0 of 6 controls in place; rating input score 0
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Missing
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Limited
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 42.9%; rating input score 43; 12th percentile among comparable filings
  • Governance controls: 6 of 9 controls in place; rating input score 67
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Fail
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Fail
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -52.8%; rating input score 1; 1st percentile among comparable filings
  • Total-asset coverage ratio: 0.22; rating input score 7; 7th percentile among comparable filings
  • Liabilities to assets ratio: 6.3; rating input score 0; 0th percentile among comparable filings
  • Officer compensation ratio: 1.5%; rating input score 65; 65th percentile among comparable filings

Growth

  • Program expense growth: 36.1% per year; rating input score 100; 97th percentile among comparable filings
  • Revenue growth: 38.1% per year; rating input score 100; 98th percentile among comparable filings
  • Asset growth: 26.1% per year; rating input score 100; 96th percentile among comparable filings

Details

  • Where the money goes: 100% of revenue deployed · 88.9% of spending went to programs
  • Governance: 3 of 7 board members independent · 6 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $321.6M in reported program spending
  • Leadership: top reported pay $1.8M · 22 people listed · 0 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $240M reported
  • Consistency: 30 of 30 current checks pass
  • Schedules: 5 filed schedules · includes executive pay
  • Filing history: 5 filing years from 2020 to 2024
  • Contacts: How to reach this organization
  • Money network: 15 filed money-flow records
  • Related organizations: 9 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • Moderate — Accountability: Independent voting board scored 43/100.
  • Review — Accountability: Governance controls: 3 of 9 not reported.
  • High — Sustainability: Operating margin scored 1/100.
  • High — Sustainability: Total-asset coverage ratio scored 7/100.
  • High — Sustainability: Liabilities to assets ratio scored 0/100.