2022-11-09T10:16:53-06:00 2021-12-31 ERNST & YOUNG US LLP 4365 EXECUTIVE DR STE 1600 SAN DIEGO CA 92121 990 2021-01-01 951683892 Community Memorial Health System % KATHRYN YAMADA COMM 8056525050 147 NORTH BRENT STREET VENTURA CA 93003 JIM CORWIN CFO 8056525012 2022-11-07 true JIM CORWIN 999009999 JOCELYNE MILLER P00634378 8585357200 2 2021 2022-09-23 18:48:47Z GARY K WILDE 147 NORTH BRENT STREET VENTURA CA 93003 534415215 false X WWW.CMHSHEALTH.ORG X 1933 CA TO HEAL, COMFORT AND PROMOTE HEALTH FOR THE COMMUNITIES WE SERVE. 21 19 3407 243 7035 0 18792571 2907738 475939105 516652052 5172302 4253748 3055481 2800700 502959459 526614238 548442 513643 0 0 255764360 270092775 0 0 0 267684578 275206469 523997380 545812887 -21037921 -19198649 960902375 944703940 500514123 516133098 460388252 428570842 X SEE SCHEDULE O false false 496116700 0 516652052 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. 979968 513643 0 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. 497096668 true true false true false false false false false false true false false true true true false true false false false false false false false false true true true false true false false false false false true false true false false false false true true true true false false true 599 0 true 3407 true true true false false false false false false false false false true false X 21 19 false false false false false false false true true false false true true true true true true false true true false CA X X KATHRYN YAMADA 8056525012 2590 EAST MAIN STREET SUITE 200 VENTURA CA 93003 X GARY K WILDE PRESIDENT & CEO 36.0 4.0 X 1023407 0 25684 ADAM THUNELL VP OPERATIONS 40.0 0.0 X 556576 0 31752 ANTHONY RUSSELL CAO AMBULATORY MEDICINE 40.0 0.0 X 493504 0 30690 JAMES CORWIN CFO 40.0 0.0 X 488847 0 32042 SAMUEL SMALL CHIEF OF MEDICAL EDUCATION 40.0 0.0 X 442276 0 25685 DIANE DREXLER CNO 40.0 0.0 X 369611 0 31087 KEITH MCWILLIAMS CIO 40.0 0.0 X 370835 0 29411 SCOTT GOODFRIEND PHYSICIAN ADVISOR 40.0 0.0 X 375056 0 23894 KARI ANNE OSBORN VP HUMAN RESOURCES 40.0 0.0 X 332767 0 25453 HAADY LASHKARI CHIEF ADMN OFFICER OJAI/VP CMH 40.0 0.0 X 325632 0 30110 WILFRED GARAND VP PLANNING & MANAGED CARE 40.0 0.0 X 339200 0 10757 KATHRYN YAMADA DIRECTOR OF FINANCE 40.0 0.0 X 298311 0 25662 PILAR PARKER RN III 40.0 0.0 X 301440 0 18707 EUGENE DAY DIRECTOR OF PHARMACY 40.0 0.0 X 297867 0 22235 CYNTHIA DEMOTTE VP QUALITY 40.0 0.0 X 286659 0 16123 MICHELLE AZIMOV DIRECTOR 40.0 0.0 X 276085 0 8994 MICHAEL ELLINGSON VP MARKETING & DEVELOPMENT 36.0 4.0 X 213472 0 15608 EMILIE RAYMAN Compliance Officer 40.0 0.0 X 214460 0 11018 STANLEY FROCHTZWAJG CMO, INPATIENT 40.0 0.0 X 204493 0 5849 DEBORAH CARLSON MD BOARD MEMBER 1.0 0.0 X 210000 0 0 RICHARD REISMAN VP AMBULATORY MEDICINE 36.0 0.0 X 202353 0 7221 CARL CONSTANTINE MD BOARD MEMBER THROUGH 1/2021 1.0 0.0 X 151464 0 0 CHRIS JOHNSON MD BOARD MEMBER 1.0 1.0 X 16775 0 0 CATHERINE FERGUSON MD BOARD MEMBER 1.0 0.0 X 0 0 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0 0 0 0 38737361 383573795 0 0 37410948 7062776 500514123 516133098 X 458792786 427370039 1595466 1200803 460388252 428570842 960902375 944703940 X -19198649 8028079 -20646840 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 72228 72228 false SCHEDULE C, PART II-B, LINE 1 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. 45886701 45886701 492743862 108396744 384347118 189102061 94884221 94217840 10125354 10125354 534577013 MORTGAGE ESCROW FUNDS 46133648 OPERATING LEASE ROU ASSETS 29638935 DEPOSITS WITH INSURANCE CO 6366590 ASSETS LIMITED TO USE 5665424 OTHER ASSETS 1676008 DUE FROM THIRD PARTIES 395702 89876307 0 SELF-INSURANCE LIABILITIES 7062776 7062776 X FIN 48(ASC740) Footnote 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. true true X true X true X 700. true true false false 692379 0 692379 0.00130 118228159 97176086 21052073 0.03860 118920538 97176086 21744452 0.03990 1452122 0 1452122 0.00270 15359426 3028629 12330797 0.02260 73428413 41886879 31541534 0.05780 56702 3822 52880 0.00010 513643 0 513643 0.00090 90810306 44919330 45890976 0.08410 209730844 142095416 67635428 0.12400 23342 23342 1779737 1779737 0.00330 1803079 1803079 0.00330 false 96970751 117548006 -20577255 X true true 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 2 1 COMMUNITY MEMORIAL HOSPITAL 147 NORTH BRENT STREET VENTURA CA 93003 WWW.CMHSHEALTH.ORG 050000026 X X X X A 2 OJAI VALLEY COMMUNITY HOSPITAL 1306 MARICOPA HWY OJAI CA 93023 WWW.CMHSHEALTH.ORG 050000045 X X X X X A A 12 false false true X X X X X X X X X 19 true true true true X See Part V, Section C X true 19 true See Part V, Section C false true X 200. 700. X X X true true X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false 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. 25 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 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. false CALIFORNIA HEALTH FOUNDATION & TRUST 1215 K STREET STE 800 SACRAMENTO CA 95814 941498697 501(c)(3) 423360 CA HOSPITAL FEE PROGRAM NATIONAL HEALTH FOUNDATION 515 S FIGUEROA ST STE 1300 LA CA 90071 237314808 501(c)(3) 63000 GENERAL SUPPORT VENTURA FAMILY YMCA 3760 TELEGRAPH ROAD VENTURA CA 93003 951643379 501(c)(3) 15000 GENERAL SUPPORT 3 0 MONITORING USE OF GRANT FUNDS 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. X true false X X X X X false false false false false false false true false ADAM THUNELL VP OPERATIONS 438965 0 102850 0 14761 0 11310 0 20442 0 588328 0 0 0 ANTHONY RUSSELL CAO AMBULATORY MEDICINE 427557 0 62850 0 3097 0 10248 0 20442 0 524194 0 0 0 CARL CONSTANTINE MD BOARD MEMBER THROUGH 1/2021 151464 0 0 0 0 0 0 0 0 0 151464 0 0 0 CYNTHIA DEMOTTE VP QUALITY 223357 0 52710 0 10592 0 8961 0 7162 0 302782 0 0 0 DEBORAH CARLSON MD BOARD MEMBER 210000 0 0 0 0 0 0 0 0 0 210000 0 0 0 DIANE DREXLER CNO 320002 0 45000 0 4609 0 10645 0 20442 0 400698 0 0 0 EMILIE RAYMAN Compliance Officer 115001 0 26131 0 73328 0 8337 0 2681 0 225478 0 6000 0 EUGENE DAY DIRECTOR OF PHARMACY 264774 0 27411 0 5682 0 8173 0 14062 0 320102 0 0 0 GARY K WILDE PRESIDENT & CEO 770220 0 217850 0 35337 0 11600 0 14084 0 1049091 0 0 0 HAADY LASHKARI CHIEF ADMN OFFICER OJAI/VP CMH 253932 0 62850 0 8850 0 9668 0 20442 0 355742 0 0 0 JAMES CORWIN CFO 432996 0 25000 0 30851 0 11600 0 20442 0 520889 0 0 0 KARI ANNE OSBORN VP HUMAN RESOURCES 275012 0 47850 0 9905 0 9543 0 15910 0 358220 0 0 0 KATHRYN YAMADA DIRECTOR OF FINANCE 256346 0 26614 0 15351 0 11600 0 14062 0 323973 0 0 0 KEITH MCWILLIAMS CIO 312504 0 47850 0 10481 0 8969 0 20442 0 400246 0 0 0 MICHAEL ELLINGSON VP MARKETING & DEVELOPMENT 160819 0 42784 0 9869 0 8448 0 7160 0 229080 0 0 0 PILAR PARKER RN III 281179 0 20233 0 28 0 11558 0 7149 0 320147 0 0 0 RICHARD REISMAN VP AMBULATORY MEDICINE 166002 0 27016 0 9335 0 7221 0 0 0 209574 0 0 0 SAMUEL SMALL CHIEF OF MEDICAL EDUCATION 375664 0 47850 0 18762 0 11600 0 14085 0 467961 0 0 0 SCOTT GOODFRIEND PHYSICIAN ADVISOR 323742 0 15850 0 35464 0 9832 0 14062 0 398950 0 0 0 STANLEY FROCHTZWAJG CMO, INPATIENT 157929 0 26786 0 19778 0 5849 0 0 0 210342 0 0 0 WILFRED GARAND VP PLANNING & MANAGED CARE 274035 0 52850 0 12315 0 10757 0 0 0 349957 0 0 0 MICHELLE AZIMOV DIRECTOR 228121 0 17219 0 30745 0 8994 0 0 0 285079 0 0 0 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. CA CARDIOVASCULAR AND THORACIC SURG SEE PART V 1049033 PAYMENT FOR MEDICAL SERVICES false Schedule L, Part IV, Column B MEDICAL PRACTICE OWNED MORE THAN 35% BY LAMAR BUSHNELL MD, A MEMBER OF THE BOARD THROUGH 1/2021 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) 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 COMMUNITY MEMORIAL HEALTHCARE FOUNDATION 147 N BRENT STREET VENTURA CA 93003 953847251 FUNDRAISING CA 501(c)(3) 7 CMHS true GROSSMAN IMAGING CENTER OF CMH LLC 2001 N SOLAR DRIVE SUITE 135 OXNARD CA 93030 371512002 IMAGING CENTER CA CMHS RELATED 42278 604763 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 true 0.50000 BUENAVISTA MEDICAL PROPERTIES LTD 168 N BRENT STREET VENTURA CA 93003 772753640 REAL ESTATE CA NA N/A BUENAVISTA MEDICAL PROPERTIES INC 147 N BRENT STREET VENTURA CA 93003 770298516 REAL ESTATE CA CMHS C Corp 303380 722552 1.00000 true CALIFORNIA HEART INSTITUTE 147 N BRENT STREET VENTURA CA 93003 770276145 BILLING SERVICES CA CMHS C Corp 396055 243096 1.00000 true true false true true false false false false false true false false true true true false true false true GROSSMAN IMAGING CENTER a 77305 ACCRUAL METHOD GROSSMAN IMAGING CENTER d 2412003 ACCRUAL METHOD GROSSMAN IMAGING CENTER j 236740 ACCRUAL METHOD COMMUNITY MEMORIAL HEALTHCARE FOUNDATION c 965079 ACCRUAL METHOD FORM 990, SCHEDULE R, PART III 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