COMMUNITY MEMORIAL HEALTH SYSTEM: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY MEMORIAL HEALTH SYSTEM (EIN 95-1683892)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-09
- IRS object ID
- 202243139349302434
- Schema version
- 2021v4.2
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-09T10:16:53-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4365 EXECUTIVE DR STE 1600 | AddressLine1Txt |
| City | SAN DIEGO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92121 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 951683892 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Community Memorial Health System | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % KATHRYN YAMADA | InCareOfNm |
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 8056525050 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 147 NORTH BRENT STREET | AddressLine1Txt |
| City | VENTURA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93003 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JIM CORWIN | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 8056525012 | PhoneNum |
| Signature | 2022-11-07 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JIM | PersonFirstNm |
| Person Last | CORWIN | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOCELYNE MILLER | PreparerPersonNm |
| PTIN | P00634378 | PTIN |
| Phone | 8585357200 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | GARY K WILDE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 147 NORTH BRENT STREET | AddressLine1Txt |
| City | VENTURA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93003 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $534,415,215 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CMHSHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1933 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | TO HEAL, COMFORT AND PROMOTE HEALTH FOR THE COMMUNITIES WE SERVE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 21 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 19 | VotingMembersIndependentCnt |
| Total Employee | 3407 | TotalEmployeeCnt |
| Total Volunteers | 243 | TotalVolunteersCnt |
| Total Gross UBI | $7,035 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $18,792,571 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,907,738 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $475,939,105 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $516,652,052 | CYProgramServiceRevenueAmt |
| PY Investment Income | $5,172,302 | PYInvestmentIncomeAmt |
| CY Investment Income | $4,253,748 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,055,481 | PYOtherRevenueAmt |
| CY Other Revenue | $2,800,700 | CYOtherRevenueAmt |
| PY Total Revenue | $502,959,459 | PYTotalRevenueAmt |
| CY Total Revenue | $526,614,238 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $548,442 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $513,643 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $255,764,360 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $270,092,775 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $267,684,578 | PYOtherExpensesAmt |
| CY Other Expenses | $275,206,469 | CYOtherExpensesAmt |
| PY Total Expenses | $523,997,380 | PYTotalExpensesAmt |
| CY Total Expenses | $545,812,887 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$21,037,921 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$19,198,649 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $960,902,375 | TotalAssetsBOYAmt |
| Total Assets EOY | $944,703,940 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $500,514,123 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $516,133,098 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $460,388,252 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $428,570,842 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $496,116,700 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $516,652,052 | RevenueAmt |
| Desc | PATIENT SERVICES TO INCLUDE 81,425 PATIENT DAYS, 158,032 OUTPATIENT VISITS, AND 340,567 VISITS TO THE CENTERS FOR FAMILY HEALTH AND MIDTOWN MEDICAL GROUP (THE HEALTHCARE SYSTEM'S OUTPATIENT CARE CLINICS). INCLUDED IN PATIENT SERVICE EXPENSE ARE THE SYSTEM'S EFFORTS TO PREVENT THE SPREAD OF COVID-19 AND TREAT COVID-19 PATIENTS. THROUGHOUT 2021, THE HEALTHCARE SYSTEM PROVIDED COVID-19 VACCINES AND BOOSTERS TO EMPLOYEES, MEDICAL STAFF, AREA PHYSICIAN OFFICES, SCHOOL DISTRICT EMPLOYEES, AND ELIGIBLE MEMBERS OF THE GENERAL PUBLIC. SEE SCHEDULE O FOR FURTHER DETAIL ON THE SYSTEM'S COVID-19 RESPONSE EFFORTS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $979,968 | ExpenseAmt |
| Grant | $513,643 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | STANDARD COMMUNITY OUTREACH PROGRAMS INCLUDE: FREE BLOOD PRESSURE CHECKS; CANCER RESOURCE CENTER AND SUPPORT GROUPS; HEART-AWARE PROGRAM THAT PROVIDES FREE RISK EVALUATION, PREVENTATIVE INFORMATION AND RESOURCES. IN ADDITION TO OUR REGULAR OUTREACH PROGRAMS, THE HEALTHCARE SYSTEM PROVIDED THE COMMUNITY WITH INFORMATION ON COVID-19 TESTING, TREATMENT, SUPPORT RESOURCES AND VACCINATIONS. THE HEALTHCARE SYSTEM'S SOCIAL MEDIA PLATFORMS WERE MOBILIZED TO POSITION CMHS AS THE COMMUNITY'S TRUSTED RESOURCE FOR PUBLIC HEALTH UPDATES AND VENTURA COUNTY MANDATES. SEE SCHEDULE O. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $497,096,668 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (true) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (true) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 599 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 3407 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (true) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 21 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 19 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KATHRYN YAMADA | PersonNm |
| Phone | 8056525012 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2590 EAST MAIN STREET SUITE 200 | AddressLine1Txt |
| City | VENTURA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93003 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (45 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|---|
| GARY K WILDE | |||||||||
| PRESIDENT & CEO | 36.0 | 4.0 | Yes (X) | $1,023,407 | $0 | $25,684 | |||
| ADAM THUNELL | |||||||||
| VP OPERATIONS | 40.0 | 0.0 | $556,576 | $0 | $31,752 | Yes (X) | |||
| ANTHONY RUSSELL | |||||||||
| CAO AMBULATORY MEDICINE | 40.0 | 0.0 | $493,504 | $0 | $30,690 | Yes (X) | |||
| JAMES CORWIN | |||||||||
| CFO | 40.0 | 0.0 | Yes (X) | $488,847 | $0 | $32,042 | |||
| SAMUEL SMALL | |||||||||
| CHIEF OF MEDICAL EDUCATION | 40.0 | 0.0 | $442,276 | $0 | $25,685 | Yes (X) | |||
| DIANE DREXLER | |||||||||
| CNO | 40.0 | 0.0 | $369,611 | $0 | $31,087 | Yes (X) | |||
| KEITH MCWILLIAMS | |||||||||
| CIO | 40.0 | 0.0 | $370,835 | $0 | $29,411 | Yes (X) | |||
| SCOTT GOODFRIEND | |||||||||
| PHYSICIAN ADVISOR | 40.0 | 0.0 | $375,056 | $0 | $23,894 | Yes (X) | |||
| KARI ANNE OSBORN | |||||||||
| VP HUMAN RESOURCES | 40.0 | 0.0 | $332,767 | $0 | $25,453 | Yes (X) | |||
| HAADY LASHKARI | |||||||||
| CHIEF ADMN OFFICER OJAI/VP CMH | 40.0 | 0.0 | $325,632 | $0 | $30,110 | Yes (X) | |||
| WILFRED GARAND | |||||||||
| VP PLANNING & MANAGED CARE | 40.0 | 0.0 | $339,200 | $0 | $10,757 | Yes (X) | |||
| KATHRYN YAMADA | |||||||||
| DIRECTOR OF FINANCE | 40.0 | 0.0 | $298,311 | $0 | $25,662 | Yes (X) | |||
| PILAR PARKER | |||||||||
| RN III | 40.0 | 0.0 | $301,440 | $0 | $18,707 | Yes (X) | |||
| EUGENE DAY | |||||||||
| DIRECTOR OF PHARMACY | 40.0 | 0.0 | $297,867 | $0 | $22,235 | Yes (X) | |||
| CYNTHIA DEMOTTE | |||||||||
| VP QUALITY | 40.0 | 0.0 | $286,659 | $0 | $16,123 | Yes (X) | |||
| MICHELLE AZIMOV | |||||||||
| DIRECTOR | 40.0 | 0.0 | $276,085 | $0 | $8,994 | Yes (X) | |||
| MICHAEL ELLINGSON | |||||||||
| VP MARKETING & DEVELOPMENT | 36.0 | 4.0 | $213,472 | $0 | $15,608 | Yes (X) | |||
| EMILIE RAYMAN | |||||||||
| Compliance Officer | 40.0 | 0.0 | $214,460 | $0 | $11,018 | Yes (X) | |||
| STANLEY FROCHTZWAJG | |||||||||
| CMO, INPATIENT | 40.0 | 0.0 | $204,493 | $0 | $5,849 | Yes (X) | |||
| DEBORAH CARLSON MD | |||||||||
| BOARD MEMBER | 1.0 | 0.0 | $210,000 | $0 | $0 | Yes (X) | |||
| RICHARD REISMAN | |||||||||
| VP AMBULATORY MEDICINE | 36.0 | 0.0 | $202,353 | $0 | $7,221 | Yes (X) | |||
| CARL CONSTANTINE MD | |||||||||
| BOARD MEMBER THROUGH 1/2021 | 1.0 | 0.0 | $151,464 | $0 | $0 | Yes (X) | |||
| CHRIS JOHNSON MD | |||||||||
| BOARD MEMBER | 1.0 | 1.0 | $16,775 | $0 | $0 | Yes (X) | |||
| CATHERINE FERGUSON MD | |||||||||
| BOARD MEMBER | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| CELINA L ZACARIAS | |||||||||
| BOARD MEMBER | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| DAVID FUKUTOMI | |||||||||
| BOARD MEMBER | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| F TED MUEGENBURG JR | |||||||||
| SECRETARY | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| GARY WOLFE | |||||||||
| TREASURER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| JEFFREY BRACKETT MD | |||||||||
| BOARD MEMBER | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| JEFFREY PAUL | |||||||||
| BOARD MEMBER | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| JEFFREY W LOEBL | |||||||||
| BOARD MEMBER | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| JOHN HAMMER | |||||||||
| BOARD MEMBER | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| JOHN RUSSELL | |||||||||
| BOARD MEMBER THROUGH 3/2021 | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| JUDITH HALE NORRIS | |||||||||
| BOARD MEMBER | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| LAMAR BUSHNELL MD | |||||||||
| BOARD MEMBER THROUGH 1/2021 | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| LINDA PETTIT | |||||||||
| BOARD MEMBER | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| LIZ H PAVLOV | |||||||||
| BOARD MEMBER | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| LYDIA HOPPS | |||||||||
| BOARD MEMBER | 1.0 | 1.0 | $0 | $0 | $0 | Yes (X) | |||
| MARTIN POPS MD | |||||||||
| BOARD MEMBER | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| MICHAEL BRADBURY | |||||||||
| BOARD MEMBER | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| MIRANDA MARGETTS | |||||||||
| BOARD MEMBER | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| RICHARD RUSH MD | |||||||||
| CHAIR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| TIMOTHY GALLAGHER | |||||||||
| BOARD MEMBER | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| TRUDY COOK | |||||||||
| BOARD MEMBER THROUGH 1/2021 | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| WILLIAM KEARNEY | |||||||||
| VICE CHAIR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $7,791,090 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $427,982 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 747 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| FLEXCARE MEDICAL STAFFING | |||||
| PO BOX 203684 | DALLAS | TX | 753203684 | REGISTRY NURSING | $2,590,544 |
| AYA HEALTHCARE INC | |||||
| 5930 CORNERSTONE CT SUITE 300 | SAN DIEGO | CA | 92121 | REGISTRY NURSING | $2,358,492 |
| ALLIED UNIVERSAL | |||||
| 161 WASHINGTON ST SUITE 600 | CONSHOHOCKEN | PA | 19428 | SECURITY SERVICES | $1,660,112 |
| AEROTEK INC | |||||
| PO BOX 198531 | ATLANTA | GA | 303848531 | STAFFING SERVICES | $1,458,122 |
| FASTAFF LLC | |||||
| PO BOX 911452 | DENVER | CO | 802911452 | REGISTRY NURSING | $1,163,838 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 94 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $0 | FundraisingAmt |
| Related Organizations | $965,079 | RelatedOrganizationsAmt |
| Government Grants | $1,557,750 | GovernmentGrantsAmt |
| All Other Contributions | $384,909 | AllOtherContributionsAmt |
| Total Contributions | $2,907,738 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SVC REVENUE | 621500 | $467,225,684 | $467,225,684 |
| MEDI-CAL SUPPLEMENTAL PMT | 621500 | $43,627,356 | $43,627,356 |
| CAFETERIA REVENUE | 722514 | $1,940,730 | $1,940,730 |
| HEALTHCARE SVC RENTAL INC | 532000 | $1,774,092 | $1,774,092 |
| BREAST/PROSTATE CENTER | 900099 | $1,346,170 | $1,346,170 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $738,020 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $738,020 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $516,652,052 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,550,650 | TotalRevenueColumnAmt |
| Exclusion | $2,550,650 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $251,310 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $253,143 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$1,833 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$1,833 | TotalRevenueColumnAmt |
| Exclusion | -$1,833 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $9,250,932 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $7,547,834 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,703,098 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,703,098 | TotalRevenueColumnAmt |
| Exclusion | $1,703,098 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| REBATES/REFUNDS | 900099 | $1,066,784 | $1,066,784 | |
| PHARMACY REVENUE | 446110 | $886,084 | $884,258 | $1,826 |
| ALL OTHER REVENUE | 900099 | $849,665 | $844,456 | $5,209 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,802,533 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $526,614,238 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $516,652,052 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $7,035 | UnrelatedBusinessRevenueAmt |
| Exclusion | $7,047,413 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $513,643 | TotalAmt |
| Program Services | $513,643 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,419,362 | TotalAmt |
| Program Services | $1,428,503 | ProgramServicesAmt |
| Management And General | $4,990,859 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $177,468,511 | TotalAmt |
| Program Services | $171,437,912 | ProgramServicesAmt |
| Management And General | $6,030,599 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,455,593 | TotalAmt |
| Program Services | $7,170,593 | ProgramServicesAmt |
| Management And General | $285,000 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,449,912 | TotalAmt |
| Program Services | $61,001,978 | ProgramServicesAmt |
| Management And General | $2,447,934 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,299,397 | TotalAmt |
| Program Services | $14,497,000 | ProgramServicesAmt |
| Management And General | $802,397 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,232,591 | TotalAmt |
| Program Services | $1,206,904 | ProgramServicesAmt |
| Management And General | $25,687 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,282,081 | TotalAmt |
| Management And General | $1,282,081 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $346,133 | TotalAmt |
| Management And General | $346,133 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,188,263 | TotalAmt |
| Program Services | $38,903,916 | ProgramServicesAmt |
| Management And General | $1,284,347 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $668,416 | TotalAmt |
| Program Services | $668,416 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,531,648 | TotalAmt |
| Program Services | $100,329,527 | ProgramServicesAmt |
| Management And General | $202,121 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,219,675 | TotalAmt |
| Program Services | $16,652,758 | ProgramServicesAmt |
| Management And General | $566,917 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,008,714 | TotalAmt |
| Program Services | $211,774 | ProgramServicesAmt |
| Management And General | $796,940 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,954,457 | TotalAmt |
| Program Services | $9,821,123 | ProgramServicesAmt |
| Management And General | $133,334 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $231,060 | TotalAmt |
| Program Services | $231,060 | ProgramServicesAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $595,629 | TotalAmt |
| Program Services | $406,297 | ProgramServicesAmt |
| Management And General | $189,332 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,008,445 | TotalAmt |
| Management And General | $16,008,445 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,288,154 | TotalAmt |
| Program Services | $30,774,450 | ProgramServicesAmt |
| Management And General | $513,704 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,850,103 | TotalAmt |
| Program Services | $499,202 | ProgramServicesAmt |
| Management And General | $3,350,901 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PURCHASED SERVICES | $24,028,651 | $17,938,876 | $6,089,775 |
| HOSP QUAL ASSURANCE FEE | $18,125,902 | $18,125,902 | |
| RECRUITING | $2,343,664 | $1,295,394 | $1,048,270 |
| DUES & SUBSCRIPTIONS | $1,270,339 | $866,517 | $403,822 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,032,544 | TotalAmt |
| Program Services | $3,114,923 | ProgramServicesAmt |
| Management And General | $1,917,621 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $545,812,887 | TotalAmt |
| Program Services | $497,096,668 | ProgramServicesAmt |
| Management And General | $48,716,219 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,738,478 | BOYAmt |
| EOY | $37,424,147 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,861,407 | BOYAmt |
| EOY | $70,175,396 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,919,042 | BOYAmt |
| EOY | $69,750,443 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,029,340 | BOYAmt |
| EOY | $10,102,309 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,877,134 | BOYAmt |
| EOY | $12,499,381 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $737,857,978 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $203,280,965 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $547,762,464 | BOYAmt |
| EOY | $534,577,013 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,935,486 | BOYAmt |
| EOY | $100,988,715 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,839,512 | BOYAmt |
| EOY | $10,738,929 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,571,300 | BOYAmt |
| EOY | $8,571,300 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,368,212 | BOYAmt |
| EOY | $89,876,307 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $960,902,375 | BOYAmt |
| EOY | $944,703,940 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,568,133 | BOYAmt |
| EOY | $92,144,120 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,979,081 | BOYAmt |
| EOY | $33,352,407 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $307,818,600 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,737,361 | BOYAmt |
| EOY | $383,573,795 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,410,948 | BOYAmt |
| EOY | $7,062,776 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $500,514,123 | BOYAmt |
| EOY | $516,133,098 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $458,792,786 | BOYAmt |
| EOY | $427,370,039 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,595,466 | BOYAmt |
| EOY | $1,200,803 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $460,388,252 | BOYAmt |
| EOY | $428,570,842 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $960,902,375 | BOYAmt |
| EOY | $944,703,940 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$19,198,649 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $8,028,079 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$20,646,840 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $72,228 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $72,228 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1 | FormAndLineReferenceDesc |
| Explanation | LOBBYING ACTIVITIES THE ORGANIZATION IS A MEMBER OF THE HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA AND THE CALIFORNIA ASSOCIATION OF HOSPITALS AND HEALTH SERVICES. IN 2021, $223,373 WAS INCLUDED IN EXPENSES FOR ANNUAL MEMBERSHIP DUES, A PORTION OF WHICH IS DIRECTED BY THESE ORGANIZATIONS TO CONDUCT LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $45,886,701 | OtherCostOrOtherBasisAmt |
| Book Value | $45,886,701 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $492,743,862 | OtherCostOrOtherBasisAmt |
| Depreciation | $108,396,744 | DepreciationAmt |
| Book Value | $384,347,118 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $189,102,061 | OtherCostOrOtherBasisAmt |
| Depreciation | $94,884,221 | DepreciationAmt |
| Book Value | $94,217,840 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,125,354 | OtherCostOrOtherBasisAmt |
| Book Value | $10,125,354 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $534,577,013 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| MORTGAGE ESCROW FUNDS | $46,133,648 |
| OPERATING LEASE ROU ASSETS | $29,638,935 |
| DEPOSITS WITH INSURANCE CO | $6,366,590 |
| ASSETS LIMITED TO USE | $5,665,424 |
| OTHER ASSETS | $1,676,008 |
| DUE FROM THIRD PARTIES | $395,702 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $89,876,307 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | SELF-INSURANCE LIABILITIES | Desc |
| Amt | $7,062,776 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $7,062,776 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FIN 48(ASC740) Footnote | FormAndLineReferenceDesc |
| Explanation | THE FOLLOWING FOOTNOTE IS FROM THE CONSOLIDATED FINANCIAL STATEMENTS OF COMMUNITY MEMORIAL HEALTH SYSTEM: THE SYSTEM ACCOUNTS FOR INCOME TAXES UNDER THE PROVISIONS OF ASC 740, INCOME TAXES, WHICH PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE CONSOLIDATED FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. UNDER ASC 740, THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS MAY BE RECOGNIZED ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED, BASED SOLELY ON ITS TECHNICAL MERITS, WITH THE TAXING AUTHORITY HAVING FULL KNOWLEDGE OF ALL RELEVANT INFORMATION. THE SYSTEM RECORDS A LIABILITY FOR UNRECOGNIZED TAX BENEFITS FROM UNCERTAIN TAX POSITIONS AS DISCRETE TAX ADJUSTMENTS IN THE FIRST INTERIM PERIOD THAT THE MORE-LIKELY-THAN-NOT THRESHOLD IS NOT MET. THE SYSTEM RECOGNIZES DEFERRED TAX ASSETS AND LIABILITIES FOR TEMPORARY DIFFERENCES BETWEEN THE FINANCIAL REPORTING BASIS AND THE TAX BASIS OF ITS ASSETS AND LIABILITIES ALONG WITH NET OPERATING LOSS AND TAX CREDIT CARRYOVERS FOR TAX POSITIONS THAT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION CRITERIA. THE SYSTEM COMPLETED AN ANALYSIS OF ITS TAX POSITION, IN ACCORDANCE WITH ASC 740, AND DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN. NO SIGNIFICANT TAX LIABILITY FOR UNRECOGNIZED TAX BENEFITS, INTEREST, OR PENALTIES WAS ACCRUED AS OF DECEMBER 31, 2021 OR 2020. THE SYSTEM IS SUBJECT TO ROUTINE AUDITS BY THE TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE SYSTEM BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2018. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 700. | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $692,379 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $692,379 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $118,228,159 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $97,176,086 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $21,052,073 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03860 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $118,920,538 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $97,176,086 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $21,744,452 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03990 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,452,122 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,452,122 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00270 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,359,426 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,028,629 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,330,797 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02260 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $73,428,413 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $41,886,879 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $31,541,534 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05780 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $56,702 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,822 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $52,880 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $513,643 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $513,643 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $90,810,306 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $44,919,330 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $45,890,976 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08410 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $209,730,844 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $142,095,416 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $67,635,428 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12400 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,342 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $23,342 | NetCommunityBenefitExpnsAmt |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,779,737 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,779,737 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00330 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,803,079 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,803,079 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00330 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Reimbursed By Medicare | $96,970,751 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $117,548,006 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$20,577,255 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|
| SEE PART VI | ||
| IMAGING CENTER | 0.51 | 0.49 |
| SEE PART VI | ||
| MANAGEMENT SERVICES | 0.5 | 0.5 |
| SEE PART VI | ||
| REAL ESTATE | 0.7525 | 0.2475 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Teaching HospitalTeachingHospitalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Facility Reporting GroupFacilityReportingGroupCd | Critical Access HospitalCriticalAccessHospitalInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COMMUNITY MEMORIAL HOSPITAL | ||||||||||||
| 1 | 147 NORTH BRENT STREET | VENTURA | CA | 93003 | WWW.CMHSHEALTH.ORG | 050000026 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | A | |
| OJAI VALLEY COMMUNITY HOSPITAL | ||||||||||||
| 2 | 1306 MARICOPA HWY | OJAI | CA | 93023 | WWW.CMHSHEALTH.ORG | 050000045 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | A | Yes (X) |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | A | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 12 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Part V, Section C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | See Part V, Section C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 700. | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Other Method | Yes (X) | OtherMethodInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, SECTION B, LINE 3E | THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. |
| PART V, SECTION B, LINE 5 | COMMUNITY MEMORIAL HEALTH SYSTEM (CMHS) CONDUCTED ITS MOST RECENT CHNA THROUGH A COORDINATED EFFORT WITH ITS PARTNERS AT THE VENTURA COUNTY DEPARTMENT OF PUBLIC HEALTH, ADVENTIS HEALTH SIMI VALLEY, CAMARILLO HEALTH CARE DISTRICT, CLINICAS DEL CAMINO REAL, ST. JOHN'S REGIONAL MEDICAL CENTER, ST. JOHN'S PLEASANT VALLEY HOSPITAL, VENTURA COUNTY PUBLIC HEALTH AND THE VENTURA COUNTY HEALTH CARE AGENCY COMMUNITY HEALTH CENTER. THESE PARTNERS MAKE UP THE VENTURA COUNTY COMMUNITY NEEDS ASSESSMENT COLLABORATIVE (VCCNAC). A COMMUNITY HEALTH ASSESSMENT SURVEY (2019) WAS DESIGNED AND DISSEMINATED BY THE VENTURA COUNTY COMMUNITY NEEDS ASSESSMENT COLLABORATIVE. THE CHNA FINDINGS ARE DRAWN FROM AN ANALYSIS OF AN EXTENSIVE SET OF SECONDARY DATA (OVER 240 INDICATORS FROM NATIONAL AND STATE DATA SOURCES) AND IN-DEPTH PRIMARY DATA FROM COMMUNITY HEALTH LEADERS AND ORGANIZATIONS THAT SERVE THE COMMUNITY AT LARGE, AS WELL AS NON-HEALTH PROFESSIONALS AND COMMUNITY MEMBERS. THE MAIN SOURCE FOR THE SECONDARY DATA IS THE HEALTH MATTERS IN VENTURA COUNTY PLATFORM, A PUBLIC DATA PLATFORM MADE AVAILABLE BY VENTURA COUNTY PUBLIC HEALTH. THE PRIMARY DATA COLLECTION PROCESS INCLUDED A COMMUNITY HEALTH ASSESSMENT SURVEY. A TOTAL OF 2,722 RESPONSES WERE COLLECTED. ONE OF THE KEY OBJECTIVES OF THE ASSESSMENT WAS TO ENGAGE THE COMMUNITY, INCLUDING VULNERABLE POPULATIONS, PHYSICIANS, AND OTHER SERVICE PROVIDERS TO SHARE THEIR PERCEPTIONS ON HEALTH NEEDS FOR VENTURA COUNTY RESIDENTS. KEY INFORMATION INTERVIEWS AND FOCUS GROUP DISCUSSIONS WERE HELD TO HELP DEVELOP A DEEPER UNDERSTANDING OF THE DATA COLLECTED. ON APRIL 23, 2019, 25 STAKEHOLDERS OF THE VCCNAC CONVENED IN AN ALL-DAY EXERCISE TO REVIEW THE FINDINGS FROM THE PRIMARY DATA AND THE SECONDARY DATA COLLECTION EFFORTS TO PRIORITIZE THE SIGNIFICANT HEALTH ISSUES THAT AROSE THROUGH THIS ANALYSIS. |
| PART V, SECTION B, LINE 6A | CHNA CONDUCTED WITH OTHER HOSPITAL FACILITIES ADVENTIST HEALTH SIMI VALLEY ST. JOHN'S REGIONAL MEDICAL CENTER, DIGNITY HEALTH ST. JOHN'S PLEASANT VALLEY HOSPITAL, DIGNITY HEALTH |
| PART V, SECTION B, LINE 6B | CHNA CONDUCTED WITH OTHER ORGANIZATIONS CAMARILLO HEALTH CARE DISTRICT CLINICAS DEL CAMINO REAL, INC. VENTURA COUNTY HEALTH CARE AGENCY COMMUNITY HEALTH CENTER VENTURA COUNTY PUBLIC HEALTH |
| PART V, SECTION B, LINE 7 | CHNA WEBSITE https://www.cmhshealth.org/about/community-health-needs-assessment/ |
| PART V, SECTION B, LINE 10 | IMPLEMENTATION STRATEGY WEBSITE https://www.cmhshealth.org/about/community-health-needs-assessment/ |
| PART V, SECTION B, LINE 11 | THE COMMUNITY MEMORIAL HEALTH SYSTEM BOARD OF TRUSTEES ESTABLISHED A COMMUNITY BENEFIT COMMITTEE TO OVERSEE THE DEVELOPMENT, IMPLEMENTATION, AND EVALUATION OF ONGOING COMMUNITY BENEFIT ACTIVITIES AND THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE CMHS BOARD OF TRUSTEES APPROVES THE IMPLEMENTATION STRATEGY RECOMMENDED BY THE COMMITTEE. THE CHNA IDENTIFIED FIVE HEALTH PRIORITIES FOR THE COUNTY OF VENTURA: 1. IMPROVE ACCESS TO HEALTH SERVICES 2. REDUCE THE IMPACT OF BEHAVIORAL HEALTH ISSUES 3. IMPROVE HEALTH AND WELLNESS FOR OLDER ADULTS 4. REDUCE THE BURDEN OF CHRONIC DISEASE 5. ADDRESS SOCIAL NEEDS OF THE FIVE INDENTIFIED PRIORITIES, THE ORGANIZATIONS PARTICIPATING IN THE JOINT COMMUNITY HEALTH IMPLEMENTATION STRATEGY HAVE CHOSEN NOT TO ADDRESS TWO OF THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE CHNA: 1. REDUCE THE IMPACT OF BEHAVIORAL HEALTH ISSUES 2. REDUCE THE BURDEN OF CHRONIC DISEASE THE PRIORITIZED HEALTH NEEDS WERE NOT SELECTED BECAUSE VCCNAC HAS IDENTIFIED OTHER COMMUNITY STAKEHOLDERS THAT ARE CURRENTLY LEADING INTERVENTIONS TO ADDRESS THESE HEALTH NEEDS IN THE COUNTY, INCLUDING VENTURA COUNTY BEHAVIORAL HEALTH. COMMUNITY MEMORIAL HEALTH SYSTEM HAS SEPARATELY IMPLENTED ALL FIVE PRIORITIES IDENTIFIED IN THE CHNA. COMMUNITY MEMORIAL HEALTH SYSTEM ADDRESSED THE PRIORITY AREAS BY: IMPROVE ACCESS TO HEALTH SERVICES - COLLABORATING WITH CLINICAS DEL CAMINO REAL TO ENHANCE PATIENT ACCESS TO SPECIALTY CARE. INVESTMENT IN TECHNOLOGY HAS REDUCED THE NO-SHOW RATE AND THE APPOINTMENT BACKLOG. ONGOING PARTICIPATION WITH GOLD COAST HEALTH PLAN ON INITIATIVE TO IMPROVE "CHILDREN AND ADOLESCENTS' ACCESS TO PRIMARY CARE PRACTITIONERSINCREASE HEDIS SCORES FOR GCHP. - CONTINUED TO IMPROVE PHYSICIAN RESIDENT TRAINING AT THE CMHS GRADUATE MEDICAL EDUCATION PROGRAM THROUGH FACULTY RECRUITMENT AND LOCAL PARTNERSHIPS. - ENHANCING THE PHYSICIAN RESIDENT FREE CLINIC PROGRAM IN UNDERSERVED COMMUNITIES. - CONTINUED GROWTH OF THE MULTI-SPECIALTY CLINIC IN OJAI. THIS CLINIC WAS CLOSED IN 2020 DUE TO COVID-19 AND REOPENED IN 2021 WITH RENEWED FAMILY PRACTICE AND SPECIALTY PHYSICIANS. - PARTICIPATING IN THE UNITED WAY'S BUILDING HEALTHY SMILES CAMPAIGN TO ADDRESS THE NEED FOR ACCESS TO DENTAL CARE. - RECRUITING SPECIALTY AND FAMILY PHYSICIANS. REDUCE THE IMPACT OF BEHAVIORAL HEALTH ISSUES - LAUNCHING TELEMEDICINE FOR BEHAVIORAL HEALTH. - ENHANCING ACCESS TO BEHAVIORAL HEALTH PROVIDERS BY COLLABORATING WITH CLINICAS DEL CAMINO REAL AND WORKING WITH VISTA DEL MAR FOR DEVELOPING INTEGRATED SERVICES AT CMHS' OUTPATIENT CLINICS. IMPROVE HEALTH AND WELLNESS FOR OLDER ADULTS - PROVIDING IN-KIND SUPPORT AND STAFF ENGAGEMENT TO THE EXPLORATION AND DEVELOPMENT EFFORTS OF SENIOR INDEPENDENT LIVING SUPPORT IN THE OJAI VALLEY AND WEST VENTURA. REDUCE THE BURDEN OF CHRONIC DISEASE - CMHS AMBULATORY MEDICINE RELAUNCHED INTENSIVE CASE MANAGEMENT TO IMPROVE COORDINATION OF CARE. THE CHRONIC CARE MANAGEMENT PROGRAM HAS OVER 1,000 PATIENTS ON SERVICE. - CMHS HEALTHAWARE HAS PROMOTED CARDIAC AND VASCULAR HEATLH BY PROVIDING THOUSANDS OF COMMUNITY MEMBERS WITH ONGOING HEALTH EDUCATION, SUPPORT, FREE SCREENINGS, AND HEALTH ASSESSMENTS. - PROVIDING FREE CHRONIC DISEASE DETECTION AND SCREENING SERVICES - THE HEALTH AREA OF OBESE/OVERWEIGHT YOUTH WAS NOT ADDRESSED IN 2020. ADDRESS SOCIAL NEEDS - IMPLEMENTED ELECTRONIC PRESCRIBING AT THE OUTPATIENT HOSPITAL CLINICS FOR CONTROLLED SUBSTANCES TO SET A GENERAL STANDARD OF PRESCRIBING OPIOID PAIN MEDICATION TO REDUCE OPIOID OVERDOSE RELATED DEATHS. - THREE PHYSICIANS OBTAINED CERTIFICATION FOR PRESCRIBING SUBOXONE FOR OPIOID DEPENDENCE TREATMENT. - THE SYSTEM CONTRACTED THE SERVICES OF A PHYSICIAN THAT SPECIALIZES IN ADDICTION MEDICINE TO PROVIDE LEADERSHIP AND IMPROVE THE QUALITY OF THE SYSTEM'S ADDICTION MEDICINE PROGRAM. - CONNECTING WITH WEST VENTURA SCHOOLS TO CONTRIBUTE TO MOTIVATING STUDENTS TO GRADUATE FROM HIGH SCHOOL INCLUDING ACTIVITIES SUCH AS CAREER DAY, CPR AND FIRST AID EDUCATION, AND DISASTER PLANNING. - OFFERING EDUCATIONAL PROGRAMS. - HOSTING SUPPORT GROUPS THAT ARE WIDELY AVAILABLE TO THE PUBLIC. - PROVIDING RECUPERATIVE CARE TO THE HOMELESS WITH SHORT TERM CARE AND CASE MANAGEMENT. - A PILOT PROJECT WAS IMPLEMENTED TO REDUCE FOOD INSECURITY BY CONNECTING HIGH NEED/HIGH RISK CLIENTS TO FEDERAL/STATE/LOCAL FOOD ACCESS PROGRAMS AND FOOD RESOURCES FOR THEIR UNMET NEEDS. THE PROJECT ADMINISTERS FOOD INSECURITY SCREENING IN CLINICAL ENVIRONMENTS AND MAKE REFERRALS TO THE COUNTY FOR ENROLLMENT IN CALFRESH AND/OR WIC. |
| PART V, SECTION B, LINE 15E | CMHS PUBLICIZES A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY ON THE FACILITY'S WEBSITE. INCLUDED ON THE BACK OF EACH BILLING STATEMENT IS A DISCLAIMER REGARDING FINANCIAL ASSISTANCE BEING AVAILABLE AND A CONTACT NUMBER TO CALL IF INTERESTED. MOREOVER, CMHS HAS SIGNAGE POSTED IN THE ADMITTING AND EMERGENCY ROOM AREAS. A WRITTEN COPY OF THIS POLICY IS AVAILABLE UPON REQUEST, AS INDICATED ON THIS SIGNAGE DISPLAYED. |
| PART V, SECTION B, LINE 16A | FINANCIAL ASSISTANCE POLICY WEBSITE HTTP://WWW.CMHSHEALTH.ORG/PATIENTS-AND-VISITORS/PATIENT-INFORMATION/COMMUN ITY-MEMORIAL-HOSPITAL/FINANCIAL-SERVICES/ |
| PART V, SECTION B, LINE 16B | FINANCIAL ASSISTANCE POLICY APPLICATION WEBSITE HTTP://WWW.CMHSHEALTH.ORG/PATIENTS-AND-VISITORS/PATIENT-INFORMATION/COMMUN ITY-MEMORIAL-HOSPITAL/FINANCIAL-SERVICES/ |
| PART V, SECTION B, LINE 16C AND 16F | PLAIN LANGUAGE SUMMARY WEBSITE HTTP://WWW.CMHSHEALTH.ORG/PATIENTS-AND-VISITORS/PATIENT-INFORMATION/COMMUN ITY-MEMORIAL-HOSPITAL/FINANCIAL-SERVICES/ |
| PART V, SECTION B, LINE 16H | CMHS CREATED A BILINGUAL FINANCIAL ASSISTANCE FLYER THAT IS DISTRIBUTED TO THE COMMUNITY AT HEALTH FAIRS, FREE CLINICS, COMMUNITY EVENTS AND SUPPORT GROUPS. THIS FLYER PROVIDES DETAILS ON THE CMHS FINANCIAL ASSISTANCE PROGRAM AS WELL AS DIRECTION ON HOW TO SOLICIT SUPPORT WITH ENROLLMENT. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 25 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (25 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| GROSSMAN IMAGING CENTER OF CMH LLC | ||||
| 2001 N SOLAR DRIVE SUITE 135 | OXNARD | CA | 93030 | FOR PROFIT |
| SAVIERS CENTER FOR FAMILY HEALTH | ||||
| 2921 S SAVIERS ROAD | OXNARD | CA | 93033 | OP CLINIC |
| ASHWOOD CENTER FOR FAMILY HEALTH | ||||
| 116 ASHWOOD DRIVE | VENTURA | CA | 93003 | OP CLINIC |
| VINEYARD CENTER FOR FAMILY HEALTH | ||||
| 2361 VINEYARD AVENUE | OXNARD | CA | 93036 | OP CLINIC |
| CAMARILLO CENTER FOR FAMILY HEALTH | ||||
| 422 B ARNEILL ROAD | CAMARILLO | CA | 93010 | OP CLINIC |
| MSO SAN BUENAVENTURA UROLOGY CENTER | ||||
| 2705 LOMA VISTA ROAD SUITE 206 | VENTURA | CA | 93003 | OP CLINIC |
| AIRPORT MARINA CENTER FOR FAMILY HEALTH | ||||
| 3641 W FIFTH STREET | OXNARD | CA | 93035 | OP CLINIC |
| SANTA PAULA CENTER FOR FAMILY HEALTH | ||||
| 242 E HARVARD BLVD | SANTA PAULA | CA | 93060 | OP CLINIC |
| MSO PACIFIC INPATIENT PHYSICIANS | ||||
| 147 N BRENT STREET | VENTURA | CA | 93003 | OP CLINIC |
| MAIN STREET CENTER FOR FAMILY HEALTH | ||||
| 138 W MAIN STREET | VENTURA | CA | 93001 | OP CLINIC |
| MIDTOWN MEDICAL GROUP CLINIC | ||||
| 2721 E MAIN STREET | VENTURA | CA | 93003 | OP CLINIC |
| SANTA ROSA CENTER FOR FAMILY HEALTH | ||||
| 5800 SANTA ROSA ROAD | CAMARILLO | CA | 93010 | OP CLINIC |
| MSO SAN BUENAVENTURA UROGYNECOLOGY | ||||
| 2705 LOMA VISTA ROAD SUITE 206 | VENTURA | CA | 93003 | OP CLINIC |
| FILLMORE CENTER FOR FAMILY HEALTH | ||||
| 852 VENTURA STREET | FILLMORE | CA | 93015 | OP CLINIC |
| PREMIERE HEALTH SANTA PAULA | ||||
| 258 262 E HARVARD BLVD | SANTA PAULA | CA | 93060 | OP CLINIC |
| MIDTOWN MEDICAL GROUP CLINIC - SPECIALTY | ||||
| 168 N BRENT STREET SUITE 302 | VENTURA | CA | 93003 | OP CLINIC |
| PORT HUENEME CENTER FOR FAMILY HEALTH | ||||
| 321 E PORT HUENEME ROAD | PORT HUENEME | CA | 93041 | OP CLINIC |
| MSO VENTURA COAST FAMILY CARE | ||||
| 124 N BRENT STREET | VENTURA | CA | 93003 | OP CLINIC |
| OAK VIEW CENTER FOR FAMILY HEALTH | ||||
| 655 N VENTURA AVENUE | OAK VIEW | CA | 93022 | OP CLINIC |
| MIDTOWN MEDICAL GROUP CLINIC - OJAI | ||||
| 655 N VENTURA AVENUE | OAK VIEW | CA | 93022 | OP CLINIC |
| MSO PREMIERE DERMATOLOGY & MOHS SURGERY | ||||
| 168 N BRENT STREET SUITE 403 | VENTURA | CA | 93003 | OP CLINIC |
| MSO VENTURA PLASTIC SURGERY | ||||
| 1280 S VICTORIA STE 201 | VENTURA | CA | 93003 | OP CLINIC |
| CENTRAL COAST CENTER FOR GYNECOLOGIC ONC | ||||
| 2900 LOMA VISTA ROAD SUITE 205 | VENTURA | CA | 93003 | OP CLINIC |
| MIDTOWN MEDICAL GROUP CLINIC - OJAI PIRI | ||||
| 117 PIRIE ROAD | OJAI | CA | 93023 | OP CLINIC |
| STROKE CLINIC | ||||
| 147 N BRENT STREET | VENTURA | CA | 93003 | OP CLINIC |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C | IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, THE ORGANIZATION ALSO USED AN ALGORITHM TO DETERMINE QUALIFICATION OF CHARITY CARE FROM INFORMATION PROVIDED BY PATIENTS AT INTAKE AS WELL AS INFORMATION FROM CREDIT REPORTS. |
| PART I, LINE 7 | COSTING METHOD USED IS COST-TO-CHARGE USING WORKSHEET 2. |
| PART I, LINE 7B | UNREIMBURSED MEDICAID THE CALIFORNIA HOSPITAL FEE PROGRAM (THE PROGRAM) AND AMENDING-LEGISLATION WAS SIGNED INTO LAW BY THE GOVERNOR OF CALIFORNIA ON JANUARY 1, 2010 AND SEPTEMBER 8, 2010, RESPECTIVELY. THE PRIMARY LEGISLATION (AB 1383) AND AMENDING LEGISLATION (AB 1653) CONTAINS TWO COMPONENTS: THE QUALITY ASSURANCE FEE ACT, WHICH GOVERNS THE "HOSPITAL FEE"QUALITY ASSURANCE FEE" (QA FEE) PAID BY PARTICIPATING HOSPITALS, AND THE MEDI-CAL HOSPITAL PROVIDER STABILIZATION ACT, WHICH GOVERNS SUPPLEMENTAL MEDI-CAL PAYMENTS (SUPPLEMENTAL PAYMENTS) MADE TO PROVIDERS FROM THE FUND. HOSPITAL PARTICIPATION IS MANDATORY, WITH LIMITED EXCEPTIONS. IN JUNE 2012, THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) AMENDED LEGISLATION TO ALLOW FOR THE FEE-FOR-SERVICE PORTION OF THE PROGRAM TO BE ADMINISTERED SEPARATELY FROM THE MANAGED CARE COMPONENT. THE SYSTEM MADE PAYMENTS TO THE DHCS FOR THE QA FEE IN THE AMOUNT OF $18,549,262 IN 2021. THE SYSTEM MADE CALIFORNIA HEALTH FOUNDATION AND TRUST PAYMENTS IN THE AMOUNT OF $423,360 IN 2021, AND THE PLEDGE PAYMENTS WERE RECORDED WITHIN THE QA FEE IN OPERATING EXPENSES WITHIN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS. THE SYSTEM RECEIVED SUPPLEMENTAL PAYMENTS OF $43,627,356 OVER THE COURSE OF THE PROGRAM IN 2021. THE SYSTEM RECORDED THE SUPPLEMENTAL PAYMENTS AS OPERATING REVENUE WITHIN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS. PART I, LINE 7E COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS COMMUNITY HEALTH IMPROVEMENT SERVICES INCLUDE: - PROJECT SAFE HARBOR, WHICH SUPPORTS VICTIMS OF DOMESTIC ABUSE - CANCER CENTER SERVICES, WHICH INCLUDE INFORMATIONAL MATERIALS, PATIENT AND FAMILY CONSULTATIVE SERVICES, AND CANCER SUPPORT GROUPS - HEALTHAWARE SERVICES, INCLUDING FREE HEALTH ASSESSMENTS, ANNUAL HEALTH SCREENINGS, AND FREE EDUCATIONAL CLASSES - TUMOR REGISTRY, WHICH IS A GROUP OF RADIOLOGISTS, MEDICAL AND RADIATION ONCOLOGISTS, SURGEONS, PATHOLOGISTS, AND OTHER PHYSICIANS, WHO'S MISSION IS TO SHARE THEIR INDIVIDUAL EXPERTISE, EXPERIENCES AND KNOWLEDGE IN AN EFFORT TO BATTLE CANCER TOGETHER - HEALTH SEMINARS AND CONFERENCES, WHICH ARE PROVIDED FREE TO THE COMMUNITY. EXPENSES INCLUDE PROGRAM MATERIALS, PRODUCTION COSTS, AND MAILERS. - NEW PARENT RESOURCE CENTER SERVICES, WHICH INCLUDE CHILDBIRTH CLASSES, BREASTFEEDING CLASSES AND CONSULTATIONS, PRENATAL YOGA, AND SUPPORT GROUPS COMMUNITY BENEFIT OPERATIONS INCLUDE: - COMMUNITY RELATIONS ADMINISTRATIVE COSTS, WHICH INCLUDES LABOR EXPENSES FOR THE SYSTEM'S HEALTH SEMINARS AND CONFERENCES (SOCIAL MEDIA POSTING, RADIO ADVERTISEMENTS, PRESS RELEASES, PRESENTATION SLIDE PREPARATION AND DISSEMINATION, EVENT RECORDING AND POSTING TO YOUTUBE, AND FOLLOW-UP CAMPAIGNS) - TRANSPORTATION EXPENSES FOR DISCHARGED PATIENTS, WHICH INCLUDES TAXI AND RIDE-SHARE COSTS - HOMELESS DISCHARGE PROGRAM, WHICH PROVIDES PHARMACEUTICALS, CLOTHING, AND TRANSPORTATION SERVICES - COMMUNITY BENEFIT REPORT PREPARATION, WHICH INCLUDES IDENTIFYING COMMUNITY BENEFIT NEEDS, COLLECTING COMMUNITY BENEFIT EXPENSES, AND PREPARING THE COMMUNTIY BENEFIT REPORT |
| PART I, LINE 7G | NO AMOUNT ATTRIBUTABLE TO A PHYSICIAN CLINIC WAS INCLUDED AS SUBSIDIZED HEALTH SERVICES ON PART I, LINE 7G. PART I, LINE 7H RESEARCH ACTIVITIES INCLUDE: - INDUSTRY SPONSORED REGISTRY FOR ATRIAL FIBRILLATION ABLATIONS - INDUSTRY SPONSORED CLINICAL EVALUATIONS OF ELECTROPHYSIOLOGY CARDIAC MAPPING SOFTWARE - INVESTIGATOR INITIATED CROSS-SECTIONAL NURSING STUDY UTILIZING SURVEY OF SUBJECTS - INVESTIGATOR INITIATED CLINICAL TRIAL OF PROCEDURAL CHANGE DURING TAVR - INVESTIGATOR INITIATED RETROSPECTIVE STUDY USING CHART REVIEW FOR DATA COLLECTION PART I, LINE 7, COLUMN F THE ORGANIZATION INCLUDED ($1,988) OF BAD DEBT EXPENSE IN PART IX. THE AMOUNT HAS BEEN SUBTRACTED FROM THE CALCULATION OF COLUMN F. COVID-19 IN MARCH 2020, THE WORLD HEALTH ORGANIZATION DECLARED THE NOVEL CORONAVIRUS DISEASE (COVID-19) A PANDEMIC. THE CENTERS FOR DISEASE CONTROL AND PREVENTION CONFIRMED ITS SPREAD TO THE UNITED STATES AND IT WAS DECLARED A NATIONAL PUBLIC HEALTH EMERGENCY. CALIFORNIA FOLLOWED BY DECLARING A STATE OF EMERGENCY ACROSS ALL COUNTIES AND HAD SOME LEVEL OF STAY-AT-HOME ORDERS THROUGHOUT 2020 TO PREVENT THE SPREAD OF COVID-19. THE NEED FOR THE SYSTEM TO RESPOND TO COVID-19 HAS BEEN AND CONTINUES TO BE A COSTLY AND DIFFICULT ENDEAVOR. BELOW DESCRIBES THE SYSTEM'S RESPONSE TO COVID-19 AND THE ACTIVITIES TAKEN TO TREAT COVID-19 PATIENTS AND PROTECT THE LIFE, HEALTH AND SAFETY OF THE COMMUNITY AND HEALTHCARE PROVIDERS. - TO PROTECT PATIENTS, EMPLOYEES AND MEMBERS OF THE COMMUNITY, CMHS MANDATED A STRICT PPE (PERSONAL PROTECTIVE EQUIPMENT) POLICY IN WHICH IT REQUIRED EVERYONE ENTERING ALL LOCATIONS (BOTH CLINICAL AND NON-CLINICAL) TO WEAR A MASK. FREE MASKS WERE AVAILABLE AT THE ENTRANCES OF ALL LOCATIONS. - EMPLOYEES IN PATIENT CARE AREAS WERE ALSO REQUIRED TO WEAR EYE PROTECTION. - SCREENING TENTS WERE SET UP AT THE ENTRANCES TO BOTH HOSPITALS AND THE URGENT CARE CLINICS TO SCREEN EMPLOYEES AND VISITORS FOR COVID-19 SYMPTOMS. - AT THE CMH FACILITY, 209 PATIENT ROOMS WERE CONVERTED TO NEGATIVE-PRESSURE ROOMS WHERE THE ORIGINAL GLASS WINDOWS WERE REMOVED AND REPLACED WITH TEMPORARY WINDOWS COVERS TO ACCOMMODATE AIR SCRUBBERS WITH HEPA FILTRATION. IN HEALTHCARE SETTINGS, NEGATIVE PRESSURE ROOMS ARE USED TO ISOLATE PATIENTS WITH AIRBORNE INFECTIONS. ROOMS ARE NEGATIVELY PRESSURIZED IN RELATION TO THE HOSPITAL CORRIDOR IN ORDER TO PREVENT INFECTIOUS PARTICLES FROM ESCAPING THE ROOM. AT THE OJAI FACILITY, 3 PATIENT ROOMS WERE CONVERTED, AND AT CENTERS FOR FAMILY HEALTH SAVIERS, SANTA PAULA AND CAMARILLO 2 EXAM ROOMS WERE CONVERTED. - NURSING UNITS IN THE DECOMMISSIONED MOUNTAIN TOWER AT THE CMH CAMPUS RECEIVED TEMPORARY LICENSING IN ORDER TO EXPAND PATIENT ROOM CAPACITY DURING SURGE CONDITIONS. THE UNITS WERE SUPPLIED WITH PATIENT CARE ITEMS SUCH AS BEDS, MEDICATION DISPENSERS, NURSING UNIT COMPUTERS, PATIENT MONITORING EQUIPMENT AND NEGATIVE PRESSURE ROOM UNITS. - INVESTMENT WAS MADE IN ULTRAVIOLET DISINFECTION ROBOTS THAT HAVE THE ABILITY TO DISINFECT AREAS THROUGHOUT THE HOSPITAL AND SPECIFICALLY IN AREAS WHERE COVID-19 PATIENTS ARE TREATED. UVC ROBOTS ARE CRITICAL FOR INFECTION CONTROL AND PROVIDES AN EXTRA LAYER OF SAFETY THAT CAN DISINFECT LARGE AREAS EFFICIENTLY AND EFFECTIVELY. - HAND SANITIZER, AND OTHER CLEANING PRODUCTS WERE PURCHASED TO SANITIZE ALL FACILITIES. - THE SYSTEM INCURRED EXTRAORDINARY COSTS FOR PPE SUCH AS MASKS, GLOVES, EYE WEAR, AND GOWNS. - DISPOSABLE OXISENSOR TRANDUCERS WERE PURCHASED TO MONITOR OXYGEN LEVELS IN PATIENTS WITH WEAK PULSES. THE SINGLE USE MONTITORS MINIMIZE POTENTIAL FOR CROSS CONTAMINATION. - THE SYSTEM PURCHASED PNEUMATIC OXYGEN UNITS FOR USE WITH COUNTY SUPPLIED VENTILATORS TO ACCESS OXYGEN SUPPLY. - THE SYSTEM CONTRACTED THE SERVICES OF AN INFECTION DISEASE PHYSICIAN TO AID IN THE DEVELOPMENT OF POLICIES AND PROTOCOLS FOR PPE USE, PATIENT TREATMENT AND ISOLATION, EXPOSURE INVESTIGATION, LAB TESTING, COVID-19 EDUCATION AND EMPLOYEE TRAVEL AND EXPOSURE GUIDELINES. - IN ACCORDANCE WITH THE CALIFORNIA DEPARTMENT OF PUBLIC HEALTH, EMPLOYEES AT THE OJAI CONTINUING CARE CENTER WERE REQUIRED TO BE TESTED FOR COVID-19 WEEKLY TO PROTECT PATIENTS. - ALL EMPLOYEES WERE REQUIRED TO BE TESTED FOR COVID-19 WHEN SYMPTOMATIC, EXPOSED TO SOMEONE WITH A POSITIVE COVID-19 DIAGNOSIS, OR RETURNING FROM TRAVEL OUTSIDE OF THE STATE. - INVESTMENT WAS MADE IN LAB ANALYZER EQUIPMENT IN ORDER TO IMPROVE THE TURN AROUND TIME FOR RECEIVING COVID-19 TEST RESULTS. - CMHS HIRED ADDITIONAL PERSONNEL TO CONDUCT ENTRANCE SCREENINGS, CARE FOR THE SURGE OF COVID-19 PATIENTS, SANITIZE FACILITIES, SECURE ENTRY WAYS, STAY CURRENT ON CDC AND CDPH INFECTION DISEASE PANDEMIC GUIDANCE, AND DIRECT PATIENT FLOW. - ONCE AVAILABLE, CMHS MADE THE COVID-19 VACCINES AVAILABLE TO ALL EMPLOYEES, THEIR DEPENDENTS, AND PATIENTS. CMHS ALSO COLLABORATED WITH THE COUNTY OF VENTURA TO VACCINATE SCHOOL DISTRICT EMPLOYEES AND ELEGIBLE MEMBERS OF THE GENERAL PUBLIC AT NORDHOFF HIGH SCHOOL IN OJAI. CMHS REQUESTED $10,430,614 AND $9,493,590 IN REIMBURSEMENT FOR THE ABOVE COVID-19 RELATED EXPENSES INCURRED IN 2021 AND 2020, RESPECTIVELY, FROM THE FEDERAL EMERGENCY MANAGEMENT AGENCY (FEMA). CMHS RECEIVED $920,291 FROM FEMA DURING 2021. |
| PART II | COMMUNITY BUILDING ACTIVITIES CMHS REGULARLY EVALUATES THE HEALTH NEEDS OF THE COMMUNITIES SURROUNDING ITS OUTPATIENT AND HOSPITAL LOCATIONS AND STRATEGICALLY RECRUITS FAMILY AND SPECIALTY PHYSICIANS TO MEET THE IDENTIFIED NEEDS. CMHS ALSO SUPPORTS ITS AFFILIATED MEDICAL GROUPS WITH PHYSICIAN RECRUITMENT WHERE A COMMUNITY NEED IS DEMONSTRATED. THE MARKET NEED IS EVALUATED BY A TARGETED STUDY OF THE NUMBER OF PHYSICIANS NEEDED PER PRACTICE AREA BASED ON POPULATION SIZE. AS A MEMBER AND ENGAGED PARTICIPANT IN THE VENTURA COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT COLLABORATIVE, CMHS HAS TAKEN AN ACTIVE LEADERSHIP ROLE IN THE SHARING OF VALUABLE INFORMATION ON HEALTH IMPROVEMENT INITIATIVES AND THE PLANNING OF THE JOINT COMMUNITY HEALTH NEEDS ASSESSMENT PROJECT IN 2019. THE 2019 JOINT CHNA WAS A SYNERGISTIC PROCESS INVOLVING ALL MEMBERS OF THE CHNA COLLABORATIVE WORKGROUP. A COORDINATED, CROSS-ORGANIZATIONAL STRATEGY WAS UTILIZED TO EVALUATE AND ADDRESS THE HEALTH NEEDS OF COMMUNITIES ACROSS VENTURA COUNTY. |
| PART III, LINE 8 | THE ENTIRE SHORTFALL OF MEDICARE EXPENSES OVER MEDICARE REIMBURSEMENTS SHOULD BE CONSIDERED A COMMUNITY BENEFIT EXPENSE. THE MEDICARE COST REPORT WAS USED TO DETERMINE THE COSTS ATTRIBUTABLE TO SERVICE MEDICARE PATIENTS. THE SYSTEM IS REIMBURSED FOR SERVICES PROVIDED TO PATIENTS UNDER CERTAIN PROGRAMS ADMINISTERED BY GOVERNMENTAL AGENCIES, WHICH INCLUDES THE MEDICARE PROGRAM. THE MEDICARE PROGRAM CONSISTS OF 22.8% OF THE SYSTEMS NET REVENUE FOR 2021. HOSPITALS DO NOT DETERMINE THE LEVEL OF PAYMENT FROM THE MEDICARE PROGRAM, AND THE MEDICARE PROGRAM DOES NOT COVER THE COSTS OF TREATING THE SYSTEM'S MEDICARE PATIENTS, ALTHOUGH THE QUALITY OF CARE AND ACCESS TO CARE IS THE SAME FOR ALL PATIENTS, REGARDLESS OF PAYER SOURCE. UNREIMBURSED COST UNDER THE MEDICARE PROGRAM IS A TRUE LOSS TO THE SYSTEM AND THE LOSS IS REFLECTED IN THE SYSTEM'S FINANCIAL STATEMENTS. AS SUCH, MEDICARE LOSSES SHOULD BE CONSIDERED A COMMUNITY BENEFIT PROVIDED BY THE SYSTEM. |
| PART III, LINE 9B | THE PATIENT'S ABILITY TO PAY IS EVALUATED UPON ADMISSION. A PATIENT FINANCIAL SERVICES STAFF ASSISTS PATIENTS WITH APPLYING FOR LOCAL, STATE AND FEDERAL PROGRAMS WHEN THERE IS NO OTHER SOURCE OF PAYMENT. IN THE EVENT THAT NO THIRD-PARTY PAYMENT SOURCE IS AVAILABLE, PATIENTS ARE PROVIDED WITH INFORMATION ON THE SYSTEM'S FINANCIAL ASSISTANCE PROGRAM. FINANCIAL ASSISTANCE AND CHARITY CARE IS BASED ON A SLIDING SCALE FEE SCHEDULE UTILIZING THE CURRENT UNITED STATES FEDERAL POVERTY GUIDELINES. INFORMATION FROM THE APPLICANT'S FINANCIAL APPLICATION AND SUPPORTING DOCUMENTATION IS USED TO DETERMINE THE AMOUNT OF THE QUALIFIED FINANCIAL ASSISTANCE TO BE GRANTED. THE SYSTEM HAS A WRITTEN COLLECTION POLICY TO PROVIDE FOR AN EQUITABLE PROCESS BY WHICH A PATIENT AND/OR RESPONSIBLE PARTY CAN MAKE A PAYMENT OR PAYMENT ARRANGEMENT PRIOR TO OR AT THE TIME OF SERVICE. THE SYSTEM WILL PROACTIVELY DETERMINE THE PATIENT'S ABILITY TO PAY. A DEPOSIT, BASED UPON SELF-PAY LIABILITY IS COLLECTED PRIOR TO ADMISSION OR AT THE TIME OF SERVICE. FOR PATIENTS WHO ARE UNABLE TO PAY THEIR ESTIMATED LIABILITY AT THE TIME OF SERVICE, THE SYSTEM WILL OFFER A FINANCING OPTION. PATIENTS WHO MEET CHARITY OR INDIGENT GUIDELINES WILL BE REFERRED TO A FINANCIAL ADVOCATE FOR FINANCIAL AID. |
| PART VI, LINE 1 | MANAGEMENT COMPANIES AND JOINT VENTURES GROSSMAN IMAGING CENTER OF CMH, LLC BUENAVISTA MEDICAL PROPERTIES, LTD VENTURA CARDIOVASCULAR CO-MANAGEMENT COMPANY, LLC |
| PART VI, LINE 2 | IN 2019, CMHS WORKED CLOSELY WITH THE VENTURA COUNTY DEPARTMENT OF PUBLIC HEALTH, ADVENTIST HEALTH SIMI VALLEY, CAMARILLO HEALTH CARE DISTRICT, CLINICAS DEL CAMINO REAL, ST. JOHN'S REGIONAL MEDICAL CENTER, ST. JOHN'S PLEASANT VALLEY HOSPITAL, AND THE VENTURA COUNTY HEALTH CARE AGENCY COMMUNITY HEALTH CENTER TO UPDATE ITS COMMUNITY NEEDS ASSESSMENT. THE AREA-WIDE SURVEY AND STUDY CONSISTED OF AN ANALYSIS OF THE SOCIO-ECONOMIC PROFILE OF VENTURA COUNTY, A COMPREHENSIVE EXAMINATION OF THE HEALTH CARE STATUS AND NEEDS OF COMMUNITIES ACROSS VENTURA COUNTY, THE STATE OF HEALTHCARE DELIVERY AND ITS ASSOCIATED SERVICES, COMMUNITY REPORTED HEALTH NEEDS, AND COMMUNITY PRIORITIZATION AND IMPLEMENTATION STRATEGIes. |
| PART VI, LINE 3 | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE FINANCIAL ASSISTANCE PROGRAM BROCHURES EXPLAINING THE SYSTEM'S POLICY ARE POSTED AND MADE AVAILABLE TO PATIENTS AT THE TIME OF ADMITTANCE. SIGNS ALERTING PATIENTS TO THE AVAILABILITY OF FINANCIAL ASSISTANCE ARE PROMINENTLY DISPLAYED. AN INSERT REGARDING FINANCIAL ASSISTANCE ACCOMPANIES EACH INVOICE OF HOSPITAL SERVICES SENT TO EACH PATIENT. |
| PART VI, LINE 4 | COMMUNITY INFORMATION THE HEALTH SYSTEM'S TWO HOSPITALS ARE LOCATED IN THE CITY OF VENTURA AND THE CITY OF OJAI. THE HEALTH SYSTEM PROVIDES SERVICES THROUGH ITS HOSPITALS AND CENTERS FOR FAMILY HEALTH TO ALL WESTERN VENTURA COUNTY, WHICH INCLUDES THE CITIES AND UNINCORPORATED AREAS SURROUNDING VENTURA, OJAI, SANTA PAULA, FILLMORE, OXNARD, PORT HUENEME AND CAMARILLO. THE POPULATION OF VENTURA COUNTY IS APPROXIMATELY 860,000 AND MADE UP OF 43% HISPANIC, 41% WHITE AND 16% OTHER RESIDENTS. THE POPULATION IS MADE UP OF 50.5% FEMALES AND 49.5% MALE WITH 15% OF THE POPULATION OVER THE AGE OF 65. THE POVERTY RATE FOR THE COUNTY IS 10.3% AND 9.3% OF THE POPULATION UNDER 65 YEARS IS UNINSURED. THE COUNTY OF VENTURA PROVIDES COMMUNITY DATA THROUGH ITS WEBSITE "HEALTH MATTERS IN VCCAN BE ACCESSED AT HTTP://WWW.HEALTHMATTERSINVC.ORG/ FOR FURTHER INFORMATION. IT HAS LONG BEEN ESTABLISHED THAT THERE ARE SIGNIFICANT VARIANCES IN PHYSICAL AND BEHAVIORAL HEALTH CONCERNS BETWEEN GROUPS BASED ON ETHNICITY, INCOME AND RESIDENCE. AS A RESULT, CMHS CAREFULLY CONSIDERS MEANINGFUL DEMOGRAPHIC VARIABLES SUCH AS AGE, RACE AND ETHNICITY WHEN PLANNING FOR BOTH INPATIENT AND OUTPATIENT CARE TO ENSURE THAT THE PATIENT CARE SERVICES IT PROVIDES ARE SENSITIVE AND RELEVANT TO THE PROGRAM PLANNING NEEDS OF THE COMMUNITIES IT SERVES. |
| PART VI, LINE 5 | PROMOTION OF COMMUNITY HEALTH CMHS IS GOVERNED BY A DIVERSE BOARD OF DIRECTORS WHOSE MEMBERS ARE REPRESENTATIVE OF THE COMMUNITY, HOSPITAL AND MEDICAL STAFF LEADERSHIP. CONSISTENT WITH THE IRS "COMMUNITY BENEFIT STANDARD", A MAJORITY OF THE BOARD OF DIRECTORS ARE NEITHER EMPLOYEES, CONTRACTORS, NOR FAMILY MEMBERS OF THE ORGANIZATION. CMHS HAS AN OPEN MEDICAL STAFF, EXTENDING STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS FOR ALL AREAS AND DEPARTMENTS OF ITS FACILITY. THE EMERGENCY DEPARTMENTS AT BOTH COMMUNITY MEMORIAL HOSPITAL AND OJAI VALLEY COMMUNITY HOSPITAL TREAT ALL PATIENTS, REGARDLESS OF THEIR SOCIO-ECONOMIC STATUS OR ABILITY TO PAY. THE HEALTH SYSTEM PROVIDES EMERGENCY SERVICES TO ALL PATIENTS, WITH OR WITHOUT INSURANCE, AND CONTRACTS WITH PHYSICIANS TO PROVIDE SPECIALTY EMERGENCY COVERAGE. THIS EMERGENCY TEAM INCLUDES BOARD-CERTIFIED EMERGENCY PHYSICIANS, PHYSICIAN ASSISTANTS; BOARD CERTIFIED NURSES, EMERGENCY MEDICAL TECHNICIANS, RESPIRATORY THERAPISTS AND OTHER HIGHLY TRAINED EMERGENCY CARE PROFESSIONALS. ALL ARE DEDICATED TO PROVIDING TECHNOLOGICALLY ADVANCED AND LIFESAVING MEDICAL SERVICES. CMHS OFFERS FREE, EDUCATIONAL SEMINARS ON A MONTHLY BASIS TO COMMUNITIES ACROSS VENTURA COUNTY. THESE EVENTS COVER A WIDE VARIETY OF HEALTH-RELATED TOPICS SUCH AS DIABETES, CANCER, HEART DISEASE AND VASCULAR HEALTH. CMHS ALSO OFFERS NUMEROUS CLASSES AND SUPPORT GROUPS THROUGH ITS CANCER RESOURCE CENTER, NEW PARENT RESOURCE CENTER, WELLNESS AND FITNESS CENTER, AND HEART AND VASCULAR HEALTH DEPARTMENT. THESE RESOURCES ARE DESIGNED TO PROVIDE A COMMUNITY OF SUPPORT TO THOSE NAVIGATING A SERIOUS ILLNESS, WORKING TO PREVENT OR ADDRESS A CHRONIC DISEASE, OR BUILDING A HEALTHY FUTURE FOR THEIR NEW FAMILY. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | false | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| CALIFORNIA HEALTH FOUNDATION & TRUST | |||||||
| 1215 K STREET STE 800 | SACRAMENTO | CA | 95814 | 941498697 | 501(c)(3) | $423,360 | CA HOSPITAL FEE PROGRAM |
| NATIONAL HEALTH FOUNDATION | |||||||
| 515 S FIGUEROA ST STE 1300 | LA | CA | 90071 | 237314808 | 501(c)(3) | $63,000 | GENERAL SUPPORT |
| VENTURA FAMILY YMCA | |||||||
| 3760 TELEGRAPH ROAD | VENTURA | CA | 93003 | 951643379 | 501(c)(3) | $15,000 | GENERAL SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 3 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | MONITORING USE OF GRANT FUNDS | FormAndLineReferenceDesc |
| Explanation | FORM 990, SCHEDULE I, PART I, LINE 2 DESCRIPTION OF PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS THE GRANTS MADE BY COMMUNITY MEMORIAL HEALTH SYSTEM (CMHS) ARE ONLY GIVEN TO 501(C)(3) AND GOVERNMENT ORGANIZATIONS. ONCE THE GRANT IS GIVEN, IT IS NOT MONITORED BY CMHS AND IS LEFT UP TO THE DISCRETION OF THE GRANTEE. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Discretionary Spending Acct | Yes (X) | DiscretionarySpendingAcctInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | false | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ADAM THUNELL | ||||||||||||||
| VP OPERATIONS | $438,965 | $0 | $102,850 | $0 | $14,761 | $0 | $11,310 | $0 | $20,442 | $0 | $588,328 | $0 | $0 | $0 |
| ANTHONY RUSSELL | ||||||||||||||
| CAO AMBULATORY MEDICINE | $427,557 | $0 | $62,850 | $0 | $3,097 | $0 | $10,248 | $0 | $20,442 | $0 | $524,194 | $0 | $0 | $0 |
| CARL CONSTANTINE MD | ||||||||||||||
| BOARD MEMBER THROUGH 1/2021 | $151,464 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $151,464 | $0 | $0 | $0 |
| CYNTHIA DEMOTTE | ||||||||||||||
| VP QUALITY | $223,357 | $0 | $52,710 | $0 | $10,592 | $0 | $8,961 | $0 | $7,162 | $0 | $302,782 | $0 | $0 | $0 |
| DEBORAH CARLSON MD | ||||||||||||||
| BOARD MEMBER | $210,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $210,000 | $0 | $0 | $0 |
| DIANE DREXLER | ||||||||||||||
| CNO | $320,002 | $0 | $45,000 | $0 | $4,609 | $0 | $10,645 | $0 | $20,442 | $0 | $400,698 | $0 | $0 | $0 |
| EMILIE RAYMAN | ||||||||||||||
| Compliance Officer | $115,001 | $0 | $26,131 | $0 | $73,328 | $0 | $8,337 | $0 | $2,681 | $0 | $225,478 | $0 | $6,000 | $0 |
| EUGENE DAY | ||||||||||||||
| DIRECTOR OF PHARMACY | $264,774 | $0 | $27,411 | $0 | $5,682 | $0 | $8,173 | $0 | $14,062 | $0 | $320,102 | $0 | $0 | $0 |
| GARY K WILDE | ||||||||||||||
| PRESIDENT & CEO | $770,220 | $0 | $217,850 | $0 | $35,337 | $0 | $11,600 | $0 | $14,084 | $0 | $1,049,091 | $0 | $0 | $0 |
| HAADY LASHKARI | ||||||||||||||
| CHIEF ADMN OFFICER OJAI/VP CMH | $253,932 | $0 | $62,850 | $0 | $8,850 | $0 | $9,668 | $0 | $20,442 | $0 | $355,742 | $0 | $0 | $0 |
| JAMES CORWIN | ||||||||||||||
| CFO | $432,996 | $0 | $25,000 | $0 | $30,851 | $0 | $11,600 | $0 | $20,442 | $0 | $520,889 | $0 | $0 | $0 |
| KARI ANNE OSBORN | ||||||||||||||
| VP HUMAN RESOURCES | $275,012 | $0 | $47,850 | $0 | $9,905 | $0 | $9,543 | $0 | $15,910 | $0 | $358,220 | $0 | $0 | $0 |
| KATHRYN YAMADA | ||||||||||||||
| DIRECTOR OF FINANCE | $256,346 | $0 | $26,614 | $0 | $15,351 | $0 | $11,600 | $0 | $14,062 | $0 | $323,973 | $0 | $0 | $0 |
| KEITH MCWILLIAMS | ||||||||||||||
| CIO | $312,504 | $0 | $47,850 | $0 | $10,481 | $0 | $8,969 | $0 | $20,442 | $0 | $400,246 | $0 | $0 | $0 |
| MICHAEL ELLINGSON | ||||||||||||||
| VP MARKETING & DEVELOPMENT | $160,819 | $0 | $42,784 | $0 | $9,869 | $0 | $8,448 | $0 | $7,160 | $0 | $229,080 | $0 | $0 | $0 |
| PILAR PARKER | ||||||||||||||
| RN III | $281,179 | $0 | $20,233 | $0 | $28 | $0 | $11,558 | $0 | $7,149 | $0 | $320,147 | $0 | $0 | $0 |
| RICHARD REISMAN | ||||||||||||||
| VP AMBULATORY MEDICINE | $166,002 | $0 | $27,016 | $0 | $9,335 | $0 | $7,221 | $0 | $0 | $0 | $209,574 | $0 | $0 | $0 |
| SAMUEL SMALL | ||||||||||||||
| CHIEF OF MEDICAL EDUCATION | $375,664 | $0 | $47,850 | $0 | $18,762 | $0 | $11,600 | $0 | $14,085 | $0 | $467,961 | $0 | $0 | $0 |
| SCOTT GOODFRIEND | ||||||||||||||
| PHYSICIAN ADVISOR | $323,742 | $0 | $15,850 | $0 | $35,464 | $0 | $9,832 | $0 | $14,062 | $0 | $398,950 | $0 | $0 | $0 |
| STANLEY FROCHTZWAJG | ||||||||||||||
| CMO, INPATIENT | $157,929 | $0 | $26,786 | $0 | $19,778 | $0 | $5,849 | $0 | $0 | $0 | $210,342 | $0 | $0 | $0 |
| WILFRED GARAND | ||||||||||||||
| VP PLANNING & MANAGED CARE | $274,035 | $0 | $52,850 | $0 | $12,315 | $0 | $10,757 | $0 | $0 | $0 | $349,957 | $0 | $0 | $0 |
| MICHELLE AZIMOV | ||||||||||||||
| DIRECTOR | $228,121 | $0 | $17,219 | $0 | $30,745 | $0 | $8,994 | $0 | $0 | $0 | $285,079 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, SCHEDULE J, PART I, LINE 1A | CERTAIN EXECUTIVES ON FORM 990, PART VII AND SCHEDULE J, PART II RECEIVE AN AUTOMOBILE ALLOWANCE. THE ALLOWANCE IS INCLUDED IN TAXABLE WAGES AND REPORTED ON THEIR W-2. |
| FORM 990, SCHEDULE J, PART I, LINE 7 | BONUSES ARE AWARDED TO EXECUTIVES BASED ON THEIR CONTRIBUTION TO THE OVERALL GOALS OF THE SYSTEM, THEIR ACHIEVEMENT OF INDIVIDUAL GOALS AND WITH REGARD TO REASONABLE COMPENSATION PRACTICES FOR COMPARABLE POSITIONS IN LIKE ORGANIZATIONS. THE COMPENSATION COMMITTEE REVIEWS AND RECOMMENDS THE BONUSES AND MOVES FOR APPROVAL BY THE BOARD OF TRUSTEES. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CA CARDIOVASCULAR AND THORACIC SURG | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | SEE PART V | RelationshipDescriptionTxt |
| Transaction | $1,049,033 | TransactionAmt |
| Transaction | PAYMENT FOR MEDICAL SERVICES | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule L, Part IV, Column B | FormAndLineReferenceDesc |
| Explanation | MEDICAL PRACTICE OWNED MORE THAN 35% BY LAMAR BUSHNELL MD, A MEMBER OF THE BOARD THROUGH 1/2021 | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 1 | TO ESTABLISH, EQUIP AND MAINTAIN ONE OR MORE NONPROFIT HOSPITALS, MEDICAL CENTERS, INSTITUTIONS, CLINICS OR OTHER PLACES FOR THE RECEPTION AND CARE OF THE SICK, INJURED AND DISABLED, WITH PERMANENT FACILITIES THAT INCLUDE INPATIENT BED AND MEDICAL SERVICES; TO PROVIDE DIAGNOSIS AND TREATMENT FOR PATIENTS; AND TO PROVIDE ASSOCIATED SERVICES, OUTPATIENT CARE AND HOME CARE IN FURTHERANCE OF THIS CORPORATION'S CHARITABLE PURPOSES; TO PROMOTE AND CARRY ON EDUCATION ACTIVITIES RELATED TO THE CARE OF SICK, INJURED AND DISABLED, TO THE PROMOTION OF HEALTH; TO PROMOTE AND CARRY OUT SCIENTIFIC AND MEDICAL RESEARCH RELATED TO THE CARE OF THE SICK, INJURED AND DISABLED; AND TO PROMOTE OR CARRY OUT OTHER SUCH ACTIVITIES AS MAY BE DEEMED ADVISABLE FOR THE BETTERMENT OF THE GENERAL HEALTH OF THE COMMUNITIES SERVED. |
| FORM 990, PART III, LINE 4A-4C | COMMUNITY BENEFIT PLAN CMHS IS DEDICATED TO ENHANCING THE HEALTH OF THE COMMUNITIES IT SERVES. IT DEMONSTRATES THIS COMMITMENT THROUGH A CONTINUED FOCUS ON THE FOLLOWING FOUR AREAS: COMMUNITY EDUCATION OUTREACH 1. CONTINUING TO PROVIDE FINANCIAL SUPPORT/SPONSORSHIPS AND PARTICIPATE IN HEALTH FAIRS, PUBLIC EXPOS, EVENTS AND OTHER COMMUNITY OUTREACH OPPORTUNITIES TO PROMOTE HEALTH SERVICES, HEALTH EDUCATION, AND PREVENTION RESOURCES THROUGHOUT THE COMMUNITY. HEALTH RELATED EDUCATION AND PREVENTION RESOURCES WILL BE FOCUSED AROUND DIABETES, OBESITY, PRENATAL CARE, HEART HEALTH, AND HEALTHY LIVING AND NUTRITION. 2. PROVIDE COMMUNITY MEMBERS AND EMPLOYEES OF LOCAL BUSINESSES WITH THE HEARTAWARE HEART DISEASE DETECTION AND SCREENING PROGRAM. 3. CONTINUE TO PARTICIPATE IN THE STATE CPSP PROGRAM TO PROVIDE EDUCATIONAL RESOURCES TO LOW INCOME CHILDREN AND PREGNANT WOMEN. 4. PROVIDE COMMUNITY FORUMS IN VENTURA AND OJAI HIGHLIGHTING THE STATUS OF OUR HEALTH SYSTEM (THE HOSPITALS AND THE CENTERS FOR FAMILY HEALTH), THE AVAILABILITY OF NEW SERVICES TO BENEFIT RESIDENTS OF THE COMMUNITY, AND OTHER COMMUNITY BENEFITS AND OUTREACH PROGRAMS PROVIDED BY THE HEALTH SYSTEM. 5. DISTRIBUTE A HEALTH INFORMATION CARD TO INDIVIDUALS IN THE COMMUNITY TO FACILITATE THE TRACKING OF PERSONAL HEALTH INFORMATION, AND EMPHASIZE THE IMPORTANCE OF THIS VITAL INFORMATION WHEN ACCESSING THE HOSPITAL, AND IN PARTICULAR, THE EMERGENCY DEPARTMENT. 6. ADD NEW DISEASE DETECTION AND SCREENING SERVICES WITH AN EMPHASIS ON DIFFERENT CONDITIONS OF IMPORTANCE, INCLUDING BUT NOT LIMITED TO, MAJOR CHRONIC DISEASES. ACCESS TO CARE CMHS IS COMMITTED TO INCREASING ACCESS OF THE UNDERSERVED AND VULNERABLE POPULATIONS TO PRIMARY AND SECONDARY MEDICAL CARE IN VARIOUS GEOGRAPHIC LOCATIONS THROUGHOUT ITS SERVICE AREA. 1. CONTINUE TO OFFER A FREE PHYSICIAN REFERRAL SERVICE FOR MEMBERS OF THE COMMUNITY, PROVIDING AT LEAST 1,000 REFERRALS PER YEAR TO LOCAL PHYSICIANS AND OTHER HEALTH SERVICES. 2. CONTINUE EXPANSION OF EXISTING CENTERS FOR FAMILY HEALTH CLINICS AS INDICATED BY AN INCREASE IN PATIENT VISITS. 3. CONTINUE TO PROVIDE ACCESS THROUGH THE CENTERS FOR FAMILY HEALTH CLINICS TO SIGNIFICANT NUMBERS OF MEDI-CAL PATIENTS AND UNINSURED INDIVIDUALS THROUGHOUT WESTERN VENTURA COUNTY. 4. CONTINUE TO PROVIDE GENERAL MEDICAL, SURGICAL, AND SPECIALTY PROFESSIONAL COVERAGE OF ER PATIENTS THROUGH THE "ER FUND". PROVIDE STIPENDS TO PHYSICIANS, AS NECESSARY, TO INSURE COVERAGE, ESPECIALLY FOR MEDI-CAL AND UNINSURED PATIENTS, BY ALL MEDI-CAL SPECIALTIES. 5. THROUGH THE CENTERS FOR FAMILY HEALTH CLINICS, CONTINUE TO PROVIDE AN EXTENSIVE CHILDHOOD IMMUNIZATION PROGRAM. 6. ENGAGE THE SENIOR AND AGING POPULATION IN DIALOGUE SURROUNDING HEALTH CARE OBJECTIVES AND ASSIST WITH CARE COORDINATION. 7. ENHANCE OUT-OF-AREA TRANSPORTATION SERVICES TO IMPROVE ACCESS TO CARE. 8. CONTINUE TO TRAIN RESIDENT PHYSICIANS THROUGH THE SYSTEM'S GRADUATE MEDICAL EDUCATION PROGRAM WITH AN EMPHASIS ON FAMILY AND INTERNAL MEDICINE. RESIDENT PHYSICIANS IN THE GME PROGRAM PROVIDE FREE HEALTHCARE SERVICES AND HEALTH EDUCATION OUTREACH IN MEDICALLY UNDERSERVED AREAS OF VENTURA COUNTY. UNCOMPENSATED AND UNDERFUNDED CARE 1. CONTINUE TO PROVIDE ACCESS TO A SIGNIFICANT NUMBER OF MEDI-CAL BENEFICIARIES ACROSS A BROAD RANGE OF MEDICAL SERVICES (MEASURED AS A PERCENTAGE OF GROSS REVENUE AND TOTALING AT LEAST 9%). 2. CONTINUE TO PROVIDE A SIGNIFICANT LEVEL OF SUBSIDIZED CARE THROUGH THE CENTERS FOR FAMILY HEALTH. SPONSORSHIP OF COMMUNITY RESOURCES 1. CONTINUE TO ASSIST THE VENTURA COUNTY DISTRICT ATTORNEY'S OFFICE IN SUPPORTING VICTIMS OF DOMESTIC ABUSE THROUGH THE "PROJECT SAFE HARBOR" PROGRAM. 2. PROVIDE A ROTATION FOR TRAINING OB/GYN, ORTHOPEDIC SURGERY, INTERNAL MEDICINE, AND FAMILY MEDICINE PHYSICIAN RESIDENTS. 3. CONTINUE TO PROVIDE TOURS OF THE HOSPITALS TO THE YOUTH IN THE COMMUNITY. 4. CONTINUE TO PROVIDE DATA TO A NATIONAL TUMOR REGISTRY THAT SUPPORTS A KNOWLEDGE BASE DEDICATED TO ENHANCING THE CARE OF CANCER PATIENTS IN OUR COMMUNITY. 5. CONTINUE TO PROVIDE A CANCER RESOURCE CENTER THAT OFFERS NO-COST SUPPORT GROUPS AND OTHER RESOURCES TO HELP PATIENTS AND THEIR FAMILIES NAVIGATE THEIR CANCER DIAGNOSIS, TREATMENT, AND RECOVERY. 6. PROVIDE SUPPORT TO MEDICALLY FRAGILE 65+ YEAR ADULTS AND THEIR CAREGIVERS AFTER AN ACUTE CARE HOSPITALIZATION TO REDUCE HOSPITAL RE-ADMISSIONS AND IMPROVE THE PROVISION OF VALUE-BASED SERVICES THROUGH THE CAREGIVER NAVIGATOR PROGRAM. THIS PROGRAM OFFERS A MONTHLY HEALTH AND WELLNESS SEMINAR, WHICH ARE FREE TO CAREGIVERS AND ADDRESS TOPICS WITH EXPERTS INCLUDING LEGAL SERVICES, IN-HOME CARE, CAREGIVER RESOURCES, LONG TERM CARE OMBUDSMAN, ALZHEIMER'S DISEASES, NEUROLOGICAL SERVICES AND MORE. |
| FORM 990, PART VI, LINE 11B | PROCESS TO REVIEW 990 FORM 990 WAS PREPARED BY ERNST & YOUNG AND COMMUNITY MEMORIAL HEALTH SYSTEM (CMHS) FINANCE WITH INPUT FROM THE SYSTEM'S PLANNING AND MANAGED CARE OFFICE. FORM 990 WAS REVIEWED BY THE CEO, CFO, CORPORATE COMPLIANCE OFFICER AND AUDIT COMMITTEE. IN ADDITION, A FULL COPY OF THE 990 WAS PROVIDED TO THE BOARD OF TRUSTEES VIA EMAIL IN ADVANCE OF FILING THE FORM 990 WITH THE IRS. |
| FORM 990, PART VI, LINE 12C | DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST CONFLICT OF INTEREST STATEMENTS ARE COMPLETED BY AND COLLECTED FROM DIRECTORS, OFFICERS AND KEY EMPLOYEES ON AN ANNUAL BASIS. SUCH STATEMENT SENSURE FULL DISCLOSURE OF FINANCIAL INTERESTS AND TRANSACTIONS WHERE CONFLICT OF INTEREST IS A POSSIBILITY, AND SHALL ENSURE THE AVOIDANCE OF POTENTIAL CONFLICT OF INTEREST IN CHOOSING NEW DIRECTORS, AND OTHER MATTERS INVOLVING OFFICERS, DIRECTORS, AND KEY EMPLOYEES. IT IS THE POLICY OF CMHS THAT REQUIRES DIRECTORS TO DISQUALIFY HIMSELF/HERSELF FROM MAKING A DECISION WHERE HE/SHE HAS A CONFLICT OF INTEREST. |
| FORM 990, PART VI, LINES 15A AND 15B | PROCESS FOR DETERMINING COMPENSATION THE ORGANIZATION USED AN INDEPENDENT CONSULTANT TO SURVEY EXECUTIVE COMPENSATION. NATIONWIDE SURVEYS WERE USED TO COMPARE THE COMPENSATION OF THE HEALTH SYSTEM'S EXECUTIVE STAFF TO THE 50TH PERCENTILE OF THOSE SURVEYED AND BY ORGANIZATIONAL SIZE AND SCOPE. THE BOARD COMPENSATION COMMITTEE IS RESPONSIBLE FOR ENGAGING THE INDEPENDENT COMPENSATION CONSULTANT AND FOR DETERMINING THE COMPENSATION OF THE CEO. THE COMPENSATION FOR ALL OTHER EXECUTIVES IS DETERMINED BY THE CEO AND SUBJECT TO THE APPROVAL BY THE BOARD COMPENSATION COMMITTEE. THE RECOMMENDATION OF THE BOARD COMPENSATION COMMITTEE IS THEN APPROVED BY THE BOARD OF TRUSTEES. THIS PROCESS IS DOCUMENTED IN THE BOARD MINUTES. THE PROCESS WAS LAST COMPLETED IN AUGUST 2020. |
| FORM 990, PART VI, LINES 16A AND 16B | JOINT VENTURES CMHS HAS MAINTAINED A LONG-STANDING PRACTICE OF REVIEWING ALL POTENTIAL JOINT VENTURE OR SIMILAR ARRANGEMENTS TO ENSURE THAT CONTRACT TERMS ARE CONSISTENT WITH THE PROTECTION OF ITS TAX-EXEMPT STATUS. |
| FORM 990, PART VI, LINE 19 | PUBLIC DISCLOSURE OF CERTAIN DOCUMENTS THE AUDITED FINANCIAL STATEMENTS, FORM 990 TAX RETURNS, GOVERNING AND ORGANIZATIONAL DOCUMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE THROUGH THE ADMINISTRATIVE OFFICES AND ARE PROVIDED UPON REQUEST. |
| FORM 990, PART XI, LINE 9 | OTHER CHANGES IN NET ASSETS REFINANCE LOSS ($20,654,548) CHANGE IN PLEDGE RECEIVABLE RESERVE $ 7,708 -------------- TOTAL ($20,646,840) |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|
| ACCOUNTABLE CARE ALLIANCE OF VENTURALLC | ||||||||
| 147 N BRENT STREET | VENTURA | CA | 93003 | 462843182 | MGMT SVCS | CA | $25 | CMHS |
| COMMUNITY MEMORIAL PHYSICIANS SERVICES | ||||||||
| 147 N BRENT STREET | VENTURA | CA | 93003 | 463142917 | MGMT SVCS | CA | $0 | CMHS |
| VENTURA ORTHOPEDIC CO-MANAGEMENT COMPANY | ||||||||
| 147 N BRENT STREET | VENTURA | CA | 93003 | 453483342 | MGMT SVCS | CA | $0 | CMHS |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY MEMORIAL HEALTHCARE FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 147 N BRENT STREET | AddressLine1Txt |
| City | VENTURA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93003 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 953847251 | EIN |
| Primary Activities | FUNDRAISING | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Exempt Code Section | 501(c)(3) | ExemptCodeSectionTxt |
| Public Charity Status | 7 | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CMHS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | UBI Code VUBICodeVAmt | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GROSSMAN IMAGING CENTER OF CMH LLC | ||||||||||||||
| 2001 N SOLAR DRIVE SUITE 135 | OXNARD | CA | 93030 | 371512002 | IMAGING CENTER | CA | CMHS | RELATED | $42,278 | $604,763 | false | $0 | false | 0.51000 |
| VENTURA CARDIOVASCULAR CO-MANAGEMENT CO | ||||||||||||||
| 147 N BRENT STREET | VENTURA | CA | 93003 | 273227049 | MGMT SVCS | CA | NA | RELATED | false | $0 | Yes (true) | 0.50000 | ||
| BUENAVISTA MEDICAL PROPERTIES LTD | ||||||||||||||
| 168 N BRENT STREET | VENTURA | CA | 93003 | 772753640 | REAL ESTATE | CA | NA | N/A | ||||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BUENAVISTA MEDICAL PROPERTIES INC | ||||||||||||
| 147 N BRENT STREET | VENTURA | CA | 93003 | 770298516 | REAL ESTATE | CA | CMHS | C Corp | $303,380 | $722,552 | 1.00000 | Yes (true) |
| CALIFORNIA HEART INSTITUTE | ||||||||||||
| 147 N BRENT STREET | VENTURA | CA | 93003 | 770276145 | BILLING SERVICES | CA | CMHS | C Corp | $396,055 | $243,096 | 1.00000 | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| GROSSMAN IMAGING CENTER | ||
| a | $77,305 | ACCRUAL METHOD |
| GROSSMAN IMAGING CENTER | ||
| d | $2,412,003 | ACCRUAL METHOD |
| GROSSMAN IMAGING CENTER | ||
| j | $236,740 | ACCRUAL METHOD |
| COMMUNITY MEMORIAL HEALTHCARE FOUNDATION | ||
| c | $965,079 | ACCRUAL METHOD |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE R, PART III | FormAndLineReferenceDesc |
| Explanation | INFORMATION FOR RELATED ORGANIZATIONS TAXABLE AS PARTNERSHIPS ORGANIZATION NAME: GROSSMAN IMAGING CENTER OF CMH, LLC ORGANIZATION EIN: 37-1512002 U.S. ADDRESS: 2001 N. SOLAR DR., SUITE 135, OXNARD, CA 93030 ORGANIZATION NAME: VENTURA CARDIOVASCULAR CO-MANAGEMENT CO. LLC ORGANIZATION EIN: 27-3227049 U.S. ADDRESS: 147 NORTH BRENT STREET, VENTURA, CA 93003 ORGANIZATION NAME: BUENAVISTA MEDICAL PROPERTIES, LTD. ORGANIZATION EIN: 77-2753640 U.S. ADDRESS: 168 NORTH BRENT STREET, VENTURA, CA 93003 | ExplanationTxt |