STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA (EIN 94-0760193)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-13
IRS object ID
202003189349312695
Schema version
2019v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-11-13T18:56:42-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN910189318PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MOSS ADAMS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1101 SECOND STREET SUITE 900AddressLine1Txt
CitySAN FRANCISCOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94105ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN940760193EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HOSPITAL OF THE MONTEREYBusinessNameLine1Txt
Business Name Line2PENINSULABusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlCOMMBusinessNameControlTxt
Phone8316254900PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX HHAddressLine1Txt
CityMONTEREYCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93942ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMATT MORGANPersonNm
Person TitleVP/CHIEF FINANCIAL OFFICERPersonTitleTxt
Phone8316254900PhoneNum
Signature2020-11-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRICHARD CROGHANPreparerPersonNm
PTINP00089862PTIN
Phone4159561500PhoneNum
Preparation2020-11-10PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address99.4.124.241IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-11-10IPDt
IP Tm17:01:58IPTm
IP TimezonePSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id192C37D7E45E6CF98601EE10D31934D5851BBB59AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSTEVEN PACKER MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX HHAddressLine1Txt
CityMONTEREYCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93942ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$701,437,701GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CHOMP.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1928FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionIMPROVING LIVES BY DELIVERING EXCEPTIONAL CARE AND INSPIRING THE PURSUIT OF OPTIMAL HEALTH.ActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee2714TotalEmployeeCnt
Total Volunteers554TotalVolunteersCnt
Total Gross UBI$379,081TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$8,331,189PYContributionsGrantsAmt
CY Contributions Grants$5,232,851CYContributionsGrantsAmt
PY Program Service Revenue$605,143,439PYProgramServiceRevenueAmt
CY Program Service Revenue$692,688,915CYProgramServiceRevenueAmt
PY Investment Income$766,522PYInvestmentIncomeAmt
CY Investment Income-$1,665,573CYInvestmentIncomeAmt
PY Other Revenue$3,208,406PYOtherRevenueAmt
CY Other Revenue$3,038,317CYOtherRevenueAmt
PY Total Revenue$617,449,556PYTotalRevenueAmt
CY Total Revenue$699,294,510CYTotalRevenueAmt
PY Grants And Similar Paid$7,320,952PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$4,772,455CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$320,264,861PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$353,908,890CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$231,152,655PYOtherExpensesAmt
CY Other Expenses$266,584,318CYOtherExpensesAmt
PY Total Expenses$558,738,468PYTotalExpensesAmt
CY Total Expenses$625,265,663CYTotalExpensesAmt
PY Revenues Less Expenses$58,711,088PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$74,028,847CYRevenuesLessExpensesAmt
Total Assets BOY$531,415,322TotalAssetsBOYAmt
Total Assets EOY$663,491,112TotalAssetsEOYAmt
Total Liabilities BOY$418,062,064TotalLiabilitiesBOYAmt
Total Liabilities EOY$474,016,452TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$113,353,258NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$189,474,660NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCOMMUNITY HOSPITAL OF THE MONTEREY PENINSULA IS DEDICATED TO IDENITFYING AND MEETING THE CHANGING HEALTHCARE NEEDS OF THE PEOPLE OF THE MONTEREY PENINSULA AND SURROUNDING COMMUNITIES.WE ARE COMMITTED TO PROVIDING HIGH-QUALITY SERVICES AT A COMPETITIVE COST AND WITHIN A SAFE ENVIRONMENT.WE PROVIDE EDUCATIONAL AND PUBLIC-SERVICE PROGRAMS TO ENHANCE THE HEALTH OF OUR COMMUNITY AND THE COMPETENCE OF THOSE WHO PROVIDE THE SERVICE.WE CARE FOR ALL WHO COME THROUGH OUR DOORS, REGARDLESS OF ABILITY TO PAY, TO THE FULLEST EXTENT ALLOWED BY LAW AND AVAILABLE RESOURCES.THE HOSPITAL'S GUIDING PRINCIPLES ALSO EMPHASIZE COMMITMENT TO COMMUNITY SERVICE BY STRESSING COMMUNITY COLLABORATION, HOSPITAL LEADERSHIP, AND QUALITY HEALTHCARE SERVICES. OUR MISSION AND GUIDING PRINCIPLES ARE THE BASIS FOR ALL OUR COMMUNITY BENEFIT PROGRAM DECISIONS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$528,473,216ExpenseAmt
Grant$4,772,455GrantAmt
Revenue$692,688,915RevenueAmt
DescTHE ORGANIZATION OPERATES A 258 BED LICENSED HOSPITAL PROVIDING HEALTHCARE TO THE GENERAL PUBLIC OF THE GREATER MONTEREY PENINSULA. DURING 2019, THERE WERE 13,621 ADMISSIONS; 63,740 ADULT PATIENT DAYS; 394,237 OUTPATIENT VISITS; 8,847 SURGERIES; 56,411 EMERGENCY ROOM VISITS; 34,104 HOSPICE BENEFIT DAYS; AND 1,104 BIRTHS.Desc
Total Program Service Expenses$528,473,216TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation EasementsYes (1)ConservationEasementsInd
Collections Of ArtYes (1)CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow AccountYes (1)EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document569IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2714EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (1)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MATT MORGANBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8316254965PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line120 RAGSDALE DRIVEAddressLine1Txt
CityMONTEREYCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93940ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
PATRICK WELTON MD
CHAIR12.000.00Yes (X)Yes (X)$0$0$0
KATHLEEN BANG
VICE CHAIR9.000.00Yes (X)Yes (X)$0$0$0
BILL WARNER
SECRETARY3.000.00Yes (X)Yes (X)$0$0$0
DIANA BUSMAN
TRUSTEE1.000.00Yes (X)$0$0$0
RANDALL CHARLES
TRUSTEE1.000.00Yes (X)$0$0$0
MATTHEW FRITSCH MD
TRUSTEE4.000.00Yes (X)$0$0$0
GENE HILL
TRUSTEE3.000.00Yes (X)$0$0$0
JOHN MAHONEY
TRUSTEE8.000.00Yes (X)$0$0$0
STAN MCKEE
TRUSTEE3.000.00Yes (X)$0$0$0
JOHN O'BRIEN
TRUSTEE3.000.00Yes (X)$0$0$0
FRED O'SUCH
TRUSTEE5.000.00Yes (X)$0$0$0
LESLIE SNORF
TRUSTEE2.000.00Yes (X)$0$0$0
SHARON WESLEY MD
TRUSTEE2.000.00Yes (X)$0$0$0
PHIL WILHELM
TRUSTEE5.000.00Yes (X)$0$0$0
WILLIAM YOUNG
TRUSTEE4.000.00Yes (X)$0$0$0
STEVEN PACKER MD
PRESIDENT/CHIEF EXECUTIVE OFFICER35.0020.00Yes (X)Yes (X)$2,054,979$0$292,816
LAURA ZEHM
SENIOR VP/CHIEF ADMINISTRATIVE OFFICER35.0020.00Yes (X)$726,266$0$179,317
STEVEN X CABRALES MD
PRESIDENT, MEDICAL AFFAIRS55.000.00Yes (X)$629,161$0$101,293
ANTHONY CHAVIS
VP/CHIEF MEDICAL OFFICER55.000.00Yes (X)$680,339$0$149,871
MATTHEW MORGAN
VP/CHIEF FINANCIAL OFFICER35.0020.00Yes (X)$540,058$0$94,025
TIM NYLEN
VP/CHIEF COMPLIANCE OFFICER55.000.00Yes (X)$517,664$0$74,189
CYNTHIA L PECK
VICE PRESIDENT55.000.00Yes (X)$469,596$0$114,470
DEBORAH SOBER RN MSN
VP/CHIEF NURSING OFFICER55.000.00Yes (X)$467,332$0$79,461
MARY ANNE LEACH
VP/CHIEF INFORMATION OFFICER55.000.00Yes (X)$226,946$0$6,923
SUSAN SWICK MD
PHYSICIAN IN CHIEF55.000.00$535,668$0$21,700Yes (X)
CHARLENE WEBBER SCHUSS
CHIEF INFORMATION OFFICER55.000.00$448,763$0$66,699Yes (X)
JENNIFER BALLESTEROS
REGISTERED NURSE40.000.00$375,308$0$41,283Yes (X)
MARIA SEVERINO
REGISTERED NURSE40.000.00$324,891$0$66,510Yes (X)
DAVID MISISCO
PHYSICIST MASTERS40.000.00$296,174$0$84,207Yes (X)
TERRIL LOWE
FORMER VP/NURSING0.000.00$102,986$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$8,396,131TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$1,372,764TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1178IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MONTEREY BAY EMERGENCY PHYSICIANS MED GR
27530 MONCREST DRCARMELCA93923EMERGENCY MD SERVICES$10,797,231
MONTEREY PENINSULA RADIOLOGIST GROUP
PO BOX HHMONTEREYCA93942RADIOLOGY SERVICES$9,908,139
MEDICAL SOLUTIONS LLC
PO BOX 310737DES MOINESIA50331REGISTRY NURSING / THERAPISTS$9,136,251
EMERGENCY ACUTE CARE MEDICAL GROUP
12230 WORLD TRADE DR 250SAN DIEGOCA92128EMERGENCY MD SERVICES$6,375,742
MONTEREY HOSPITALIST MEDICAL GROUP
100 WILSON ROAD SUITE 100MONTEREYCA93940HOSPITALIST GROUP SERVICES$4,634,906
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K97CntrctRcvdGreaterThan100KCnt
Related Organizations$5,232,851RelatedOrganizationsAmt
Total Contributions$5,232,851TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE622110$677,561,766$677,561,766
OTHER OPERATING REVENUE622110$10,779,552$10,779,552
MONTAGE WELLNESS CENTER900099$4,347,597$4,347,597
FieldValueIRS element (for citing)
Total Program Service Revenue$692,688,915TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$477,618TotalRevenueColumnAmt
Exclusion$477,618ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$2,143,191OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$2,143,191OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$2,143,191TotalRevenueColumnAmt
Exclusion-$2,143,191ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
MISCELLANEOUS REVENUE900099$1,873,811$379,081$1,494,730
CAFETERIA722514$1,164,506$1,164,506
FieldValueIRS element (for citing)
Other Revenue Total$3,038,317OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$699,294,510TotalRevenueColumnAmt
Related Or Exempt Func Income$692,688,915RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$379,081UnrelatedBusinessRevenueAmt
Exclusion$993,663ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$4,772,455TotalAmt
Program Services$4,772,455ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$218,852,708TotalAmt
Program Services$200,117,151ProgramServicesAmt
Management And General$18,735,557ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$22,919,342TotalAmt
Program Services$20,957,262ProgramServicesAmt
Management And General$1,962,080ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$95,320,001TotalAmt
Program Services$87,159,840ProgramServicesAmt
Management And General$8,160,161ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$16,816,839TotalAmt
Program Services$15,377,182ProgramServicesAmt
Management And General$1,439,657ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$3,215,609TotalAmt
Management And General$3,215,609ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$612,561TotalAmt
Management And General$612,561ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$39,667,597TotalAmt
Program Services$32,653,352ProgramServicesAmt
Management And General$7,014,245ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$14,538,147TotalAmt
Program Services$9,496,116ProgramServicesAmt
Management And General$5,042,031ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$8,880,851TotalAmt
Program Services$7,298,256ProgramServicesAmt
Management And General$1,582,595ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$5,206,224TotalAmt
Management And General$5,206,224ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$34,074,668TotalAmt
Program Services$24,305,434ProgramServicesAmt
Management And General$9,769,234ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,298,131TotalAmt
Program Services$814,564ProgramServicesAmt
Management And General$2,483,567ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$63,785,207$63,727,018$58,189
HOSPITAL PROVIDER FEES$34,040,381$20,424,229$13,616,152
PHYSICIAN COVERAGE$19,877,224$19,809,631$67,593
NON-MEDICAL SUPPLIES$16,347,701$13,404,982$2,942,719

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$23,040,017TotalAmt
Program Services$8,155,744ProgramServicesAmt
Management And General$14,884,273ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$625,265,663TotalAmt
Program Services$528,473,216ProgramServicesAmt
Management And General$96,792,447ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$24,886,803BOYAmt
EOY$17,180,485EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$203,765BOYAmt
EOY$40,606,260EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$99,226,815BOYAmt
EOY$96,421,742EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,707,621BOYAmt
EOY$2,572,711EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$60,671,108BOYAmt
EOY$44,077,101EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$771,858,822LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$443,222,153LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$323,235,889BOYAmt
EOY$328,636,669EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$20,483,321BOYAmt
EOY$133,996,144EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$531,415,322BOYAmt
EOY$663,491,112EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$75,169,858BOYAmt
EOY$85,942,395EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$40,896,487BOYAmt
EOY$25,398,777EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$139,999,717BOYAmt
EOY$177,534,015EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$20,191,463BOYAmt
EOY$20,707,330EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$141,804,539BOYAmt
EOY$164,433,935EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$418,062,064BOYAmt
EOY$474,016,452EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$113,353,258BOYAmt
EOY$189,474,660EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$113,353,258BOYAmt
EOY$189,474,660EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$531,415,322BOYAmt
EOY$663,491,112EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$74,028,847ReconcilationRevenueExpnssAmt
Prior Period Adjustments$44,000PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$2,048,555OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$31,475FilingOrganizationsTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$31,475FilingOrganizationsTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$625,234,188FilingOrganizationsTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$625,265,663FilingOrganizationsTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,000,000FilingOrganizationsTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Filing Organizations Total$250,000FilingOrganizationsTotalAmt

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Current Year Minus3$1,000,000CurrentYearMinus3Amt
Current Year Minus2$1,000,000CurrentYearMinus2Amt
Current Year Minus1$1,000,000CurrentYearMinus1Amt
Current Year$1,000,000CurrentYearAmt
Total$4,000,000TotalAmt
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$262,110CurrentYearMinus3Amt
Current Year Minus2$278,372CurrentYearMinus2Amt
Current Year Minus1$278,372CurrentYearMinus1Amt
Current Year$31,475CurrentYearAmt
Total$850,329TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Current Year Minus3$250,000CurrentYearMinus3Amt
Current Year Minus2$250,000CurrentYearMinus2Amt
Current Year Minus1$250,000CurrentYearMinus1Amt
Current Year$250,000CurrentYearAmt
Total$1,000,000TotalAmt
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year$31,475CurrentYearAmt
Total$31,475TotalAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Protection Natural HabitatYes (X)ProtectionNaturalHabitatInd
Preservation Open SpaceYes (X)PreservationOpenSpaceInd
Total Easements1TotalEasementsCnt
Total Acreage2.76TotalAcreageCnt
Historic Structure Easements0HistoricStructureEasementsCnt
Historic Strctr Easements Aftr0HistoricStrctrEasementsAftrCnt
Modified Easements0ModifiedEasementsCnt
States Easements Held1StatesEasementsHeldCnt
Written Policy MonitoringYes (1)WrittenPolicyMonitoringInd
Staff Hours Spent Enforcement0.00StaffHoursSpentEnforcementCnt
Expenses Incurred Enforcement$0ExpensesIncurredEnforcementAmt

Art Public Exhibition Amounts ArtPublicExhibitionAmountsGrp

FieldValueIRS element (for citing)
Assets Included$4,097,945AssetsIncludedAmt
FieldValueIRS element (for citing)
Collection Used Pub ExhibitionYes (X)CollectionUsedPubExhibitionInd

Collection Used Other Purposes CollectionUsedOtherPurposesGrp

FieldValueIRS element (for citing)
Collection Used Other PurposesYes (X)CollectionUsedOtherPurposesInd
Other PurposesOTHEROtherPurposesDesc
FieldValueIRS element (for citing)
Solicited Assets Sale0SolicitedAssetsSaleInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$175,317,743BeginningYearBalanceAmt
Contributions$100,000ContributionsAmt
Investment Earnings Or Losses$32,690,718InvestmentEarningsOrLossesAmt
Other Expenditures$5,668,805OtherExpendituresAmt
End Year Balance$202,439,656EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$201,116,274BeginningYearBalanceAmt
Investment Earnings Or Losses-$18,058,615InvestmentEarningsOrLossesAmt
Grants Or Scholarships$7,634,218GrantsOrScholarshipsAmt
Other Expenditures$105,698OtherExpendituresAmt
End Year Balance$175,317,743EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$143,388,360BeginningYearBalanceAmt
Contributions$55,175,802ContributionsAmt
Investment Earnings Or Losses$16,589,131InvestmentEarningsOrLossesAmt
Grants Or Scholarships$14,037,019GrantsOrScholarshipsAmt
End Year Balance$201,116,274EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$134,796,586BeginningYearBalanceAmt
Contributions$704,076ContributionsAmt
Investment Earnings Or Losses$9,646,031InvestmentEarningsOrLossesAmt
Grants Or Scholarships$738,606GrantsOrScholarshipsAmt
Other Expenditures$1,019,727OtherExpendituresAmt
End Year Balance$143,388,360EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$136,954,497BeginningYearBalanceAmt
Contributions$832,369ContributionsAmt
Investment Earnings Or Losses-$934,052InvestmentEarningsOrLossesAmt
Grants Or Scholarships$75,000GrantsOrScholarshipsAmt
Other Expenditures$1,631,640OtherExpendituresAmt
Administrative Expenses$349,588AdministrativeExpensesAmt
End Year Balance$134,796,586EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.06300BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.19960PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.73740TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,520,450OtherCostOrOtherBasisAmt
Book Value$5,520,450BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$403,502,965OtherCostOrOtherBasisAmt
Depreciation$224,544,833DepreciationAmt
Book Value$178,958,132BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,697,838OtherCostOrOtherBasisAmt
Depreciation$2,339,212DepreciationAmt
Book Value$358,626BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$325,185,615OtherCostOrOtherBasisAmt
Depreciation$207,967,754DepreciationAmt
Book Value$117,217,861BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$34,951,954OtherCostOrOtherBasisAmt
Depreciation$8,370,354DepreciationAmt
Book Value$26,581,600BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$328,636,669TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
OTHER INVESTMENTS$12,572,936
RECEIVABLES FROM RELATED ORGANIZATIONS$76,562,210
BOND INDENTURE FUNDS$40,491,737
ACCRUED INTEREST AND OTHER RECEIVABLES$271,316
ARTWORK$4,097,945
FieldValueIRS element (for citing)
Total Book Value Other Assets$133,996,144TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDescAmtAmt
ACCRUED PROFESSIONAL LIABILITY$3,440,000
ACCRUED PENSION LIABILITY$65,005,637
POST-RETIREMENT HEALTH BENEFIT LIABILITY$33,606,875
WORKERS' COMPENSATION LIABILITY$12,902,467
INTEREST RATE SWAP LIABILITY$10,106,558
PAYABLES TO RELATED ORGANIZATIONS$32,031,312
DUE TO GOVERNMENT AGENCIES$3,551,000
PAYABLE TO SALINAS VALLEY MEMORIAL HOSPITAL$827,340
OTHER LONG-TERM LIABILITIES$2,962,746
FieldValueIRS element (for citing)
Total Liability$164,433,935TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART II, LINE 9:REPORTED ON BALANCE SHEET AS PART OF PROPERTY, PLANT AND EQUIPMENT.
PART III, LINE 4:ART COLLECTIONS PROMOTE THE HEALING ENVIRONMENT OF THE HOSPITAL
PART V, LINE 4:IMPROVEMENT OF PATIENT CARE, SPONSORED CARE UNDER CIRCUMSTANCES, OTHER COSTS TO IMPROVE THE AESTHETIC ENVIRONMENT, HOSPICE CARE, SCHOLARSHIPS, COMMUNITY BENEFIT GRANTS, AND EMPLOYEE WELLNESS AND INCENTIVE PROGRAMS.
PART X, LINE 2:MONTAGE, CHOMP, ASPIRE (EXCLUDING COASTAL), THE FOUNDATION, CHI, MMG, AND MOGO HAVE BEEN DETERMINED TO BE EXEMPT ORGANIZATIONS BY THE INTERNAL REVENUE SERVICE AND THE CALIFORNIA FRANCHISE TAX BOARD AND GENERALLY ARE NOT SUBJECT TO TAXES ON INCOME PURSUANT TO SECTION 501(C)(3) AND SECTION 23701(D) OF THE INTERNAL REVENUE CODE AND CALIFORNIA REVENUE AND TAXATION CODE, RESPECTIVELY. COASTAL ENTITIES ARE TAXABLE ENTITIES AND INCOME TAXES ARE ACCOUNTED FOR USING AN ASSET AND LIABILITY APPROACH THAT REQUIRES THE RECOGNITION OF DEFERRED TAX ASSETS AND LIABILITIES FOR THE EXPECTED FUTURE TAX CONSEQUENCES OF EVENTS THAT HAVE BEEN INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS. UNDER THIS METHOD, DEFERRED TAX ASSETS AND LIABILITIES ARE DETERMINED BASED ON THE DIFFERENCES BETWEEN THE CONSOLIDATED FINANCIAL STATEMENT AND TAX BASIS OF ASSETS AND LIABILITIES USING ENACTED TAX RATES IN EFFECT FOR THE YEAR IN WHICH THE DIFFERENCES ARE EXPECTED TO REVERSE. COASTAL ENTITIES HAVE NET CUMULATIVE LOSSES AND THE DEFERRED TAX ASSETS ASSOCIATED WITH THESE LOSSES HAVE BEEN FULLY RESERVED. THE ORGANIZATION ASSESSES UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH THE PROVISIONS OF THE FASB ASC TOPIC 740-10, INCOME TAXES. THE ORGANIZATION RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE ORGANIZATION RECOGNIZES INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS IN OPERATING EXPENSES. THERE WERE NO UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2019 AND 2018.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other300.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,540,569TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,540,569NetCommunityBenefitExpnsAmt
Total Expense0.00570TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$125,272,990TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$75,838,567DirectOffsettingRevenueAmt
Net Community Benefit Expns$49,434,423NetCommunityBenefitExpnsAmt
Total Expense0.07910TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$32,691,819TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$22,233,473DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,458,346NetCommunityBenefitExpnsAmt
Total Expense0.01670TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$161,505,378TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$98,072,040DirectOffsettingRevenueAmt
Net Community Benefit Expns$63,433,338NetCommunityBenefitExpnsAmt
Total Expense0.10150TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,128,901TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$522,959DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,605,942NetCommunityBenefitExpnsAmt
Total Expense0.00900TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$929,946TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$929,946NetCommunityBenefitExpnsAmt
Total Expense0.00150TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$42,344,627TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$19,627,304DirectOffsettingRevenueAmt
Net Community Benefit Expns$22,717,323NetCommunityBenefitExpnsAmt
Total Expense0.03630TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$637,945TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$637,945NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$50,041,419TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$20,150,263DirectOffsettingRevenueAmt
Net Community Benefit Expns$29,891,156NetCommunityBenefitExpnsAmt
Total Expense0.04780TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$211,546,797TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$118,222,303DirectOffsettingRevenueAmt
Net Community Benefit Expns$93,324,494NetCommunityBenefitExpnsAmt
Total Expense0.14930TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$17,682,579BadDebtExpenseAmt
Bad Debt Expense Attributable$7,073,032BadDebtExpenseAttributableAmt
Reimbursed By Medicare$206,970,796ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$311,743,288CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$104,772,492MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost Accounting SystemYes (X)CostAccountingSystemInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HOSPITAL OF THE MONTEREY PENINSULABusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line123625 HOLMAN HIGHWAYAddressLine1Txt
CityMONTEREYCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93940ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.CHOMP.ORGWebsiteAddressTxt
State License070000026StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HOSPITAL OF THE MONTEREY PENINBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted19CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTPS://WWW.CHOMP.ORG/ABOUT-US/COMMUNITY-NEEDS-ASSESSMENT/#.X491-W5FZR4OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLHTTPS://WWW.CHOMP.ORG/APP/FILES/PUBLIC/5654/COMMUNITY-BENEFIT-REPORT.PDFStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care300.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.CHOMP.ORGFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.CHOMP.ORGFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.CHOMP.ORGFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back MedicareYes (X)LookBackMedicareInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
COMMUNITY HOSPITAL OF THE MONTEREY PENINSULAPART V, SECTION B, LINE 5: THE DATA COLLECTION EFFORT CONSISTED OF A RANDOM SAMPLE OF 1,000 INDIVIDUALS AGE 18 AND OLDER IN THE CHOMP SERVICE AREA, RESULTING IN 234 SURVEYS IN MONTEREY, 123 IN CARMEL/BIG SUR, 215 IN SEASIDE, 157 IN MARINA, 145 IN PACIFIC GROVE/PEBBLE BEACH, AND 126 IN HIGHWAY 68/CARMEL VALLEY. ONCE THE INTERVIEWS WERE COMPLETED, THESE WERE WEIGHTED IN PROPORTION TO ACTUAL POPULATION DISTRIBUTION SO AS TO REPRESENT THE CHOMP SERVICE AREA AS A WHOLE.ADDITIONALLY, TO SOLICIT INPUT FROM KEY INFORMANTS (THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY), AN ONLINE KEY INFORMANT SURVEY WAS ALSO IMPLEMENTED AS PART OF THIS PROCESS. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY CHOMP; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. IN ALL, 106 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY, INCLUDING: 24 PHYSICIANS, 6 PUBLIC HEALTH REPRESENTATIVES, 8 OTHER HEALTH PROVIDERS, 28 SOCIAL SERVICES PROVIDERS, AND 40 OTHER COMMUNITY LEADERS.
COMMUNITY HOSPITAL OF THE MONTEREY PENINSULAPART V, SECTION B, LINE 11: IN CONSIDERATION OF THE TOP HEALTH PRIORITIES IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT AND TAKING INTO ACCOUNT HOSPITAL RESOURCES AND OVERALL ALIGNMENT WITH THE HOSPITAL'S MISSION, GOALS, AND STRATEGIC PRIORITIES CHOMP WILL FOCUS ON DEVELOPING AND/OR SUPPORTING STRATEGIES AND INITIATIVES TO ADDRESS: (I) ACCESS TO HEALTH SERVICES, (II) DIABETES, (III) MENTAL HEALTH, AND (IV) SUBSTANCE ABUSE.TO ADDRESS THE HEALTH NEED OF "ACCESS TO HEALTH SERVICES", CHOMP HAS OUTLINED 3 STRATEGIES:1) PROVIDE FUNDING SUPPORT AIMED AT IMPROVING ACCESS TO PRIMARY CARE FOR UNDERSERVED POPULATIONS. THIS INCLUDES FINANCIAL SUPPORT FOR MONTEREY COUNTY HEALTH DEPARTMENT'S MEDICAL CLINICS IN SEASIDE AND MARINA, FINANCIAL SUPPORT FOR A SCHOOL NURSE ASSIGNED TO UNDERSERVED MONTEREY PENINSULA UNIFIED SCHOOL DISTRICT SITES, AND FINANCIAL SUPPORT AND STAFF RESOURCES FOR THE MONTAGE HEALTH MOBILE CLINIC TO SERVE THE HOMELESS POPULATION AND SUPPORT FOR MOGO URGENT CARE.2) PROVIDE MEDICALLY NECESSARY HOSPITAL SERVICES FOR THOSE WHO ARE UNABLE TO PAY FOR THEM. THIS INCLUDES ASSISTANCE THROUGH THE FINANCIAL ASSISTANCE PROGRAM, WHICH INCLUDES DISCOUNTED PAYMENTS AND SPONSORED CARE (CHARITY CARE) FOR MEDICALLY NECESSARY HOSPITAL SERVICES.3) RECRUIT AND RETAIN PHYSICIANS IN SPECIALTIES WHERE A LOCAL SHORTAGE IS DEMONSTRATED. THIS INCLUDES PROVIDING FINANCIAL ASSISTANCE TO RECRUIT ADDITIONAL PHYSICIANS IN DEMONSTRATED-SHORTAGE SPECIALTIES TO PRACTICE IN THE COMMUNITY AND SUPPORT THEIR ABILITY TO ESTABLISH SUSTAINABLE PRACTICES IN THE PRIMARY SERVICE AREA AS WELL AS REQUIRING PHYSICIANS WHO RECEIVE RECRUITMENT ASSISTANCE TO ACCEPT REFERRALS FROM THE HOSPITAL FOR PATIENTS WITH ALL FORMS OF HEALTH INSURANCE ACCEPTED BY THE HOSPITAL, INCLUDING MEDICARE AND MEDI-CAL.TO ADDRESS THE HEALTH NEED TO DIABETES, CHOMP HAS OUTLINED 3 STRATEGIES:1) INCREASE AWARENESS AND IDENTIFICATION OF PREDIABETES AND DIABETES. THIS INCLUDES PROVIDING COMMUNITY OUTREACH TO BOTH THE PUBLIC AND PROVIDERS TO INCREASE AWARENESS OF THE DISEASE, DIABETES, AND PREDIABETES SCREENING RECOMMENDATIONS, AND RELATED EDUCATIONAL OPPORTUNITIES, AS WELL AS INCREASING THE AVAILABILITY OF PREDIABETES AND DIABETES SELF-ASSESSMENT TOOLS AND MEDICAL SCREENINGS. ADDITIONALLY, CHOMP WILL CONTINUE TO PARTNER WITH THE DIABETES COLLECTIVE.2) IMPROVE ACCESS TO PREDIABETES AND DIABETES EDUCATION AND PREVENTION SERVICES. TO ACCOMPLISH THIS, CHOMP WILL INCREASE UTILIZATION OF EXISTING EDUCATION AND PREVENTION SERVICES BY SUPPORTING THE REFERRAL PROCESS FROM PHYSICIANS AND OTHER MEDICAL PROVIDERS. ADDITIONALLY, THIS ENTAILS INCREASING THE AVAILABILITY OF REMOTE EDUCATION PROGRAMS.3) CONTINUE TO PROVIDE NUTRITION, PHYSICAL ACTIVITY, AND WEIGHT MANAGEMENT CURRICULUM THROUGH CHOMP'S KIDS EAT RIGHT PROGRAM.TO ADDRESS THE HEALTH NEED OF MENTAL HEALTH, CHOMP HAS OUTLINED 2 STRATEGIES:1) SUPPORT AND IMPROVE ACCESS TO CARE FOR MENTAL HEALTH SERVICES BY INCREASING THE NUMBER OF MENTAL HEALTH PRACTITIONERS IN OUTPATIENT BEHAVIORAL HEALTH SERVICES AT HARTNELL PROFESSIONAL CENTER AND/OR AVAILABLE INDIVIDUAL APPOINTMENTS. CHOMP WILL ALSO CONTINUE TO PROVIDE RELIEF THROUGH THE FINANCIAL ASSISTANCE PROGRAM FOR HOSPITAL-PROVIDED MENTAL HEALTH SERVICES.2) SUPPORT AND IMPROVE ACCESS TO CARE FOR MENTAL HEALTH SERVICES FOR CHILDREN AND ADOLESCENTS. IN COLLABORATION WITH OHANA, CHOMP WILL EXPAND THE NUMBER OF DIAGNOSTIC EVALUATIONS COMPLETED BY SOCIAL WORKERS AND REVIEWED BY A BEHAVIORAL HEALTH TEAM (CHILD PSYCHOLOGIST AND PSYCHIATRISTS). ADDITIONALLY, CHOMP WILL EXPAND ACCESS TO EFFECTIVE PSYCHOTHERAPY FOR THE MOST COMMON PSYCHIATRIC ILLNESSES OF YOUTH, INCLUDING INDIVIDUAL AND GROUP TREATMENTS.TO ADDRESS THE HEALTH NEED OF SUBSTANCE ABUSE, CHOMP HAS OUTLINED 3 STRATEGIES:1) INCREASE COMMUNITY AWARENESS OF SAFE USE OF OPIOID PRESCRIPTION MEDICATIONS, REDUCE INAPPROPRIATE PRESCRIBING OF PAIN MEDICATIONS, AND INCREASE AWARENESS OF THE DANGERS OF STREET OPIOIDS THROUGH THE PRESCRIBE SAFE PROGRAM. CHOMP WILL ACCOMPLISH THIS BY OFFERING EDUCATION TO THE PUBLIC AND MEDICAL COMMUNITY ON THE DANGER OF DRUGS, PROVIDE SAFE MEDICATION DISPOSAL SITES, AND PROVIDE NALOXONE AND TRAINING TO THE COMMUNITY, HEALTHCARE WORKS, AND FIRST RESPONDERS.2) IDENTIFY RESOURCES FOR PATIENTS WITH ALCOHOL AND DRUG DEPENDENCY. CHOMP WILL ACCOMPLISH THIS BY ENSURING THAT EVIDENCED-BASED SUBSTANCE ABUSE USE DISORDER TREATMENTS ARE ACCESSIBLE IN THE EMERGENCY DEPARTMENT (WHICH WILL HAVE A SUBSTANCE ABUSE NAVIGATORS) AND IN ALL OTHER HOSPITAL DEPARTMENTS, AS WELL BY REFERRING PATIENTS FOR ONGOING CARE, SUPPORT, AND FOLLOW-UP.3) EXPAND SUBSTANCE RECOVERY CARE TO PATIENTS THROUGH THE RECOVERY CENTER'S INTENSIVE OUTPATIENT PROGRAM, AS WELL AS OFFERING SUPPORT FOR RECOVERY CENTER ALUMNI. CHOMP WILL COLLABORATE WITH LOCAL CLINICS AND CENTERS FOR IMPROVING RECOVERY CARE IN OUR COMMUNITY.WHILE CHOMP HAS CHOSEN SPECIFIC COMMUNITY HEALTH NEEDS TO ADDRESS, THE HOSPITAL WILL CONTINUE TO PROVIDE A SIGNIFICANT ARRAY OF COMMUNITY HEALTH SERVICES IN SUPPORT OF THE OTHER IDENTIFIED NEEDS AS WELL. BELOW ARE THE IDENTIFIED HEALTH NEEDS NOT SELECTED FOR FOCUS DURING THE 2020-2022 IMPLEMENTATION PERIOD, ALONG WITH THE REASON THEY WERE NOT SELECTED:POTENTIALLY DISABLING CONDITIONS: THE HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS CURRENTLY PROVIDE A SIGNIFICANT NUMBER OF SUPPORT GROUPS AND CLASSES ADDRESSING THIS NEED.HEART DISEASE AND STROKE: THE HOSPITAL CURRENTLY PROVIDES PROGRAMS, CLASSES, AND A SUPPORT GROUP ADDRESSING THIS NEED. OTHER COMMUNITY ORGANIZATIONS ARE ALSO ADDRESSING THIS ISSUE.INJURY AND VIOLENCE: THIS NEED FALLS MORE WITHIN THE PURVIEW OF LAW ENFORCEMENT AND OTHER GOVERNMENT AGENCIES. LIMITED RESOURCES AND LOWER PRIORITY EXCLUDED THIS AS A FOCUS AREA FOR THIS PLANNING PERIOD.FAMILY PLANNING: OTHER COMMUNITY ORGANIZATIONS AND CLASSES PROVIDED BY THE HOSPITAL ARE CURRENTLY ADDRESSING THIS NEED.NUTRITION, PHYSICAL ACTIVITY, AND WEIGHT: THE HOSPITAL CURRENTLY PROVIDES EDUCATION AND CLASSES ADDRESSING THIS NEED. OTHER COMMUNITY ORGANIZATIONS ARE ALSO ADDRESSING THIS NEED.CANCER: THE HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS CURRENTLY PROVIDE A SIGNIFICANT NUMBER OF SUPPORT GROUPS AND CLASSES ADDRESSING THIS NEED, IN ADDITION TO A COMPREHENSIVE ARRAY OF DIAGNOSTIC AND TREATMENT SERVICES.RESPIRATORY DISEASES: THE HOSPITAL CURRENTLY OFFERS SERVICES AND EDUCATION ADDRESSING THIS NEED.TOBACCO USE: OTHER COMMUNITY ORGANIZATIONS AND A CLASS PROVIDED BY THE HOSPITAL ARE CURRENTLY ADDRESSING THIS NEED.
FieldValueIRS element (for citing)
Facility6FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - WESTLAND HOUSE
100 BARNET SEGAL LANEMONTEREYCA93940SKILLED NURSING FACILITY
2 - HARTNELL PROFESSIONAL CENTER
576 HARTNELL STREETMONTEREYCA93940OUTPATIENT SERVICES
3 - MONTAGE WELLNESS CENTER - MARINA
2920 2ND AVENUEMARINACA93933OUTPATIENT SERVICES
4 - MONTAGE WELLNESS CENTER - SALINAS
1910 NORTH DAVIS ROADSALINASCA93907OUTPATIENT SERVICES
5 - RYAN RANCH
2 UPPER RAGSDALE DRIVEMONTEREYCA93940OUTPATIENT SERVICES
6 - CARMEL CROSSROADS
256 CROSSROADS BLVDCARMELCA93923OUTPATIENT SERVICES

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 6A:MONTAGE HEALTH 94-2789696
PART I, LINE 7:A RATIO OF COST TO CHARGES FROM WORKSHEET 2 WAS USED ON LINE (A). ALL OTHER LINES IN THIS SECTION EITHER USE DIRECTLY ATTRIBUTABLE EXPENSES FROM THE GENERAL LEDGER OR RELY ON ESTIMATES FROM OUR COST ACCOUNTING SYSTEM. THE COST ACCOUNTING SYSTEM ADDRESSES ALL PATIENT SEGMENTS.
PART III, LINE 2:CHOMP PROVIDES FOR ESTIMATED LOSSES ON PATIENT ACCOUNTS RECEIVABLE BASED ON PRIOR BAD DEBT EXPERIENCE. BAD DEBT IS NET OF BOTH PAYMENTS AND DISCOUNTS. RECOVERIES FROM PREVIOUSLY CHARGED-OFF ACCOUNTS ARE RECORDED WHEN RECEIVED. THE AMOUNT ATTRIBUTABLE TO INDIVIDUALS WHO MAY QUALIFY FOR CHARITY CARE IS BASED ON AN INTERNAL ESTIMATE.
PART III, LINE 3:THE AMOUNT ATTRIBUTABLE TO INDIVIDUALS WHO MAY QUALIFY FOR CHARITY CARE IS BASED ON AN INTERNAL ESTIMATE; IT IS ESTIMATED THAT 40% OF BAD DEBT WOULD QUALIFY FOR CHARITY CARE, BUT REFUSE AN APPLICATION, ARE HOMELESS, OR OTHERWISE.
PART III, LINE 4:CHOMP PROVIDES FOR ESTIMATED LOSSES ON PATIENT ACCOUNTS RECEIVABLE BASED ON PRIOR BAD DEBT EXPERIENCE AND GENERALLY DOES NOT CHARGE INTEREST ON PAST DUE BALANCES. PAST DUE STATUS IS BASED UPON THE DATE OF SERVICES PROVIDED. UNCOLLECTIBLE RECEIVABLES ARE CHARGED OFF WHEN DEEMED UNCOLLECTIBLE. RECOVERIES FROM PREVIOUSLY CHARGED-OFF ACCOUNTS ARE RECORDED WHEN RECEIVED.CHOMP USES A FIRM CALLED CAREPAYMENT TO OFFER SELF-PAY PATIENTS THE OPPORTUNITY TO HAVE AN INTEREST-FREEEXTENDED PAYMENT PROGRAM. CAREPAYMENT TAKES OVER THE PATIENT ACCOUNTS RECEIVABLE FROM CHOMP AT A DISCOUNT,AND WORKS WITH THE PATIENTS TO COME UP WITH AN AGREEABLE PAYMENT PLAN. CAREPAYMENT HAS FULL RECOURSE WITHCHOMP TO RECOVER ANY UNPAID BALANCES.
PART III, LINE 8:THE MEDICARE SHORTFALL AT THE HOSPITAL IS A SUBSTANTIAL FIGURE. OUR COMMUNITY HAS A SIGNIFICANT MEDICARE POPULATION AND WE EXIST TO SERVE THAT COMMUNITY. IN OUR OPINION, 100% OF THE MEDICARE SHORTFALL MEETS COMMUNITY BENEFIT CRITERIA BASED ON THE DEFINITION OF "COMMUNITY HEALTH IMPROVEMENT SERVICES" AS DEFINED IN THE 990 INSTRUCTIONS. THAT IS, "ACTIVITIES OR PROGRAMS CARRIED OUT OR SUPPORTED FOR THE EXPRESS PURPOSE OF IMPROVING COMMUNITY HEALTH THAT ARE SUBSIDIZED BY THE HEALTH CARE ORGANIZATION." COSTS ASSIGNED TO MEDICARE PATIENTS ARE BASED ON THE REPORTED AMOUNTS FOUND IN THE HOSPITAL COST REPORT. THOSE COSTS ARE ALLOCATED TO MEDICARE PATIENTS BASED ON THE RATIOS DEVELOPED WITHIN THAT COST REPORT.
PART III, LINE 9B:COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA PURSUES A COLLECTION POLICY IN KEEPING WITH BEST PRACTICES IN THE INDUSTRY, CALIFORNIA HOSPITAL ASSOCIATION (CHA) RECOMMENDATIONS, THE HOSPITAL FAIR PRICING POLICIES ACT, AND ALL FEDERAL, STATE AND LOCAL LAWS GOVERNING THE COLLECTION OF A PATIENT DEBT. THE HOSPITAL WILL CLEARLY AND CONSPICUOUSLY POST AND MAINTAIN SIGNS NOTIFYING PATIENTS OF THE HOSPITAL'S SPONSORED CARE AND DISCOUNT PAYMENT PROGRAMS, AND THE AVAILABILITY OF FUNDS FROM OTHER PROGRAMS TO ASSIST WITH PAYMENT OF BILLS. THE SIGNS ARE PLACED IN EVERY REGISTRATION SITE, THE PATIENT BUSINESS OFFICE, THE EMERGENCY DEPARTMENT, THE BILLING OFFICE, THE ADMISSIONS OFFICE, AND OTHER OUTPATIENT SETTINGS. PATIENT BUSINESS SERVICES SHALL ADHERE TO THE GUIDELINES DESCRIBED BELOW IN THE COLLECTION OF ANY PATIENT DEBT TO THE HOSPITAL STEMMING FROM MEDICAL SERVICES RENDERED AT ANY SITE OR IN ANY DEPARTMENT. EVERY PATIENT WILL BE ACCORDED RESPECT AND TREATED WITH DIGNITY AT ALL TIMES. THESE COLLECTION GUIDELINES ARE ESTABLISHED UNDER THE AUTHORITY OF THE PATIENT BUSINESS SERVICES DEPARTMENT, AND DEBTS WILL NOT BE ADVANCED FOR COLLECTION WITHOUT REVIEW BASED ON THE AUTHORIZATION PROCESS BY DOLLAR THRESHOLD. THE DECISION TO ADVANCE A DEBT FOR COLLECTION WILL BE MADE ON A CASE-BY-CASE BASIS, FOLLOWING THE POLICY AND PROCESSES SET FORTH BELOW. THE COLLECTION PROCESS MAY BE AUTOMATED IF CERTAIN CRITERIA ARE MET. THE DECISION TO ADVANCE A DEBT FOR COLLECTION WILL BE BASED ON SUCH FACTORS AS LACK OF PAYMENT, FAILURE TO APPLY FOR AVAILABLE PROGRAMS, FAILURE TO RESPOND TO HOSPITAL REQUESTS, OR FAILURE TO CONTACT THE HOSPITAL IN RESPONSE TO A BILL. AT THE DISCRETION OF THE PATIENT BUSINESS SERVICES AND FOLLOWING THE AUTHORIZATION PROCESS BY DOLLAR THRESHOLD BELOW, A DEBT MAY BE ADVANCED FOR COLLECTION IF PAYMENT IN FULL IS NOT RECEIVED WITHIN 30 DAYS OF THE INITIAL BILL, SUBJECT TO THE LIMITATIONS STATED BELOW. REGARDLESS OF THE AGE OF A BILL, THE HOSPITAL WILL ALWAYS BE OPEN TO COMPROMISE REGARDING A DEBT. COLLECTION IS INITIALLY CONDUCTED BY THE HOSPITAL BUT MAY BE ADVANCED FOR COLLECTION BY AN EXTERNAL COLLECTION AGENCY OR LEGAL ACTION AS SET FORTH BELOW. THIS COLLECTION POLICY GOVERNS ALL COMMUNICATIONS BETWEEN THE HOSPITAL AND A PATIENT CONCERNING COLLECTION OF AMOUNTS OWED TO THE HOSPITAL. POLICY APPLIES TO ALL PATIENT TYPES AND ALL VISIT TYPES. COLLECTION PROCEDURES WILL VARY DEPENDING ON THE TYPE OF VISIT, WITH SPONSORED CARE/DISCOUNT ELIGIBLE PATIENTS OUTLINED BELOW: 1. PATIENT HAS APPLIED OR QUALIFIED FOR THE HOSPITAL'S SPONSORED CARE OR DISCOUNT PAYMENT PROGRAM. PATIENTS WHO MEET INCOME AND/OR ASSET REQUIREMENTS MAY QUALIFY FOR THE HOSPITAL'S SPONSORED CARE OR DISCOUNT PAYMENT PROGRAM. ALL EFFORTS SHOULD BE MADE TO DETERMINE ELIGIBILITY FOR THESE PROGRAMS PRE-SERVICE IF POSSIBLE, OR AS SOON AS PRACTICABLE AFTER SERVICES ARE PROVIDED. THE HOSPITAL'S SOCIAL SERVICES DEPARTMENT OR THE PATIENT BUSINESS SERVICES DEPARTMENT WILL REVIEW APPLICATIONS FOR SPONSORED CARE OR DISCOUNT PAYMENT PROGRAM ELIGIBILITY IN ACCORDANCE WITH HOSPITAL POLICY. WHILE THE PATIENT'S APPLICATION IS PENDING, THE HOSPITAL MAY SEND BILLING STATEMENTS, BUT WILL NOT COMMENCE ANY COLLECTION ACTIVITY. 2. COLLECTING FOR A VISIT FROM A PATIENT WHO IS ELIGIBLE FOR THE HOSPITAL'S SPONSORED CARE OR DISCOUNT PAYMENT PROGRAM. UPON REACHING A DETERMINATION THAT THE PATIENT IS ELIGIBLE FOR THE SPONSORED CARE OR DISCOUNT PAYMENT PROGRAM, THE HOSPITAL WILL DETERMINE THE AMOUNT OWED BY THE PATIENT IN ACCORDANCE WITH THE HOSPITAL'S SPONSORED CARE & DISCOUNT PAYMENT PROGRAM POLICY. IF THE PATIENT IS NOT ABLE TO PAY THE AMOUNT DUE IN A LUMP SUM, THE PATIENT WILL BE OFFERED THE OPPORTUNITY TO NEGOTIATE AND AGREE TO A PAYMENT PLAN. THE PATIENT WILL BE ADVISED THAT THE PAYMENTS WILL BE INTEREST FREE PROVIDED THEY ARE TIMELY MADE, BUT IF THE PATIENT FAILS TO MAKE ALL SCHEDULED PAYMENTS DURING ANY 90-DAY PERIOD, THE HOSPITAL MAY TERMINATE THE EXTENDED PAYMENT PLAN AND THE ENTIRE OUTSTANDING BALANCE WILL BE DUE, TOGETHER WITH INTEREST ON THE REMAINING BALANCE AT THE MAXIMUM LEGAL RATE. IF THE PATIENT CHOOSES TO ENTER INTO A PAYMENT PLAN, THE SPONSORED CARE & DISCOUNT PAYMENT PROGRAM PAYMENT PLAN SHOULD BE COMPLETED AND THE PATIENT SHOULD SIGN THAT PLAN. IF THE PATIENT HAS SIGNED A SPONSORED CARE & DISCOUNT PAYMENT PROGRAM PAYMENT PLAN, AND THE PATIENT FAILS TO TIMELY MAKE ALL SCHEDULED PAYMENTS DURING ANY 90-DAY PERIOD, THE HOSPITAL MAY TERMINATE THE PAYMENT PLAN. BEFORE TERMINATING THE PAYMENT PLAN, THE HOSPITAL WILL CONTACT THE PATIENT BY TELEPHONE AND IN WRITING AND INFORM THE PATIENT THAT THE PAYMENT PLAN MAY BE TERMINATED DUE TO DEFAULT IN SCHEDULED PAYMENTS. IF THE PATIENT REQUESTS, THE HOSPITAL WILL RENEGOTIATE THE PAYMENT PLAN. THE HOSPITAL WILL NOT REPORT ADVERSE INFORMATION TO A CONSUMER CREDIT REPORTING AGENCY OR BEGIN A CIVIL ACTION AGAINST THE PATIENT FOR NONPAYMENT BEFORE THE PAYMENT PLAN IS TERMINATED. THE HOSPITAL WILL NOT USE THE MONETARY ASSET INFORMATION IT OBTAINED IN DETERMINING ELIGIBILITY FOR THE SPONSORED CARE PROGRAM FOR COLLECTION ACTIVITIES. INFORMATION CONCERNING INCOME AND MONETARY ASSETS THAT ARE OBTAINED AS PART OF THE ELIGIBILITY DETERMINATION ARE MAINTAINED SEPARATELY FROM THE PATIENT'S COLLECTION FILE. FOR A PERIOD OF 150 DAYS AFTER THE INITIAL BILLING TO THE PATIENT, THE HOSPITAL WILL NOT REPORT ADVERSE INFORMATION TO A CONSUMER CREDIT REPORTING AGENCY CONCERNING, OR COMMENCE A CIVIL ACTION AGAINST, A PATIENT WHO LACKS COVERAGE OR PROVIDES INFORMATION THAT HE OR SHE MAY BE ELIGIBLE FOR THE SPONSORED CARE OR DISCOUNT PAYMENT PROGRAM. IF A PATIENT IS ATTEMPTING TO QUALIFY FOR THE DISCOUNT PAYMENT OR SPONSORED CARE PROGRAM AND IS ATTEMPTING IN GOOD FAITH TO SETTLE AN OUTSTANDING BILL BY NEGOTIATING A PAYMENT PLAN OR MAKING REASONABLE, REGULAR PAYMENTS ON HIS/HER BILL, THE HOSPITAL WILL NOT SEND THE PATIENT'S VISIT TO A COLLECTION AGENCY UNLESS THE AGENCY AGREES TO COMPLY WITH THE HOSPITAL'S COLLECTION POLICY AND THE HOSPITAL FAIR PRICING POLICIES ACT. THE HOSPITAL WILL NOT USE WAGE GARNISHMENTS OR LIENS ON PRIMARY RESIDENCES AS A MEANS OF COLLECTING UNPAID HOSPITAL BILLS FROM PATIENTS WHO ARE ELIGIBLE FOR THE DISCOUNT PAYMENT OR SPONSORED CARE PROGRAM. IF A PATIENT APPEALS THE HOSPITAL'S DECISION CONCERNING ELIGIBILITY OR LEVEL OF BENEFITS OF THE PATIENT FOR EITHER THE SPONSORED CARE OR DISCOUNT PAYMENT PROGRAM, OR APPEALS A COVERAGE OF DETERMINATION OF A THIRD PARTY, THE HOSPITAL WILL NOT REPORT ADVERSE INFORMATION TO A CONSUMER CREDIT REPORTING AGENCY CONCERNING, OR COMMENCE A CIVIL ACTION AGAINST, THE PATIENT PROVIDED THE PATIENT HAS FILED AN APPEAL IN COMPLIANCE WITH THE HOSPITAL'S SPONSORED CARE & DISCOUNT PAYMENT PROGRAM POLICY, OR MAKES A REASONABLE EFFORT TO COMMUNICATE WITH THE HOSPITAL ABOUT THE PROGRESS OF ANY COVERAGE APPEAL PENDING WITH A THIRD PARTY. THE HOSPITAL WILL NOT BEGIN THE 150-DAY PERIOD REFERENCED ABOVE UNTIL AFTER THE RESOLUTION OF THE PATIENT'S APPEAL IS COMPLETED TO AFFORD THE PATIENT THE FULL 150 DAYS TO MAKE PAYMENT. BEFORE BEGINNING ANY COLLECTION ACTIVITY AGAINST ANY PATIENT, INCLUDING THOSE WHO ARE NOT ELIGIBLE FOR THE SPONSORED CARE OR DISCOUNT PAYMENT PROGRAMS, THE HOSPITAL WILL PROVIDE THE PATIENT WITH A CLEAR AND CONSPICUOUS NOTICE OF THE PATIENT'S RIGHTS UNDER THE FAIR PRICING POLICIES ACT, THE ROSENTHAL FAIR DEBT COLLECTION PRACTICES ACT, AND THE FEDERAL FAIR DEBT COLLECTION PRACTICES ACT. THE NOTICE WILL STATE: "STATE AND FEDERAL LAW REQUIRE DEBT COLLECTORS TO TREAT YOU FAIRLY AND PROHIBIT DEBT COLLECTORS FROM MAKING FALSE STATEMENTS OR THREATS OF VIOLENCE, USING OBSCENE OR PROFANE LANGUAGE, AND MAKING IMPROPER COMMUNICATIONS WITH THIRD PARTIES, INCLUDING YOUR EMPLOYER. EXCEPT UNDER UNUSUAL CIRCUMSTANCES, DEBT COLLECTORS MAY NOT CONTACT YOU BEFORE 8:00 A.M. OR AFTER 9:00 P.M. IN GENERAL, A DEBT COLLECTOR MAY NOT GIVE INFORMATION ABOUT YOUR DEBT TO ANOTHER PERSON, OTHER THAN YOUR ATTORNEY OR SPOUSE. A DEBT COLLECTOR MAY CONTACT ANOTHER PERSON TO CONFIRM YOUR LOCATION OR ENFORCE A JUDGMENT. FOR MORE INFORMATION ABOUT DEBT COLLECTION ACTIVITIES, YOU MAY CONTACT THE FEDERAL TRADE COMMISSION BY TELEPHONE AT 877-FTC-HELP (382-4357) OR ONLINE AT WWW.FTC.GOV. NONPROFIT CREDIT COUNSELING SERVICES MAY BE AVAILABLE IN THE AREA. IF YOU ARE UNINSURED OR HAVE HIGH MEDICAL COSTS, PLEASE CONTACT COMMUNITY HOSPITAL'S PATIENT BUSINESS SERVICES DEPARTMENT AT (831) 625-4922 OR (888) 625-4922 FOR INFORMATION ON DISCOUNTS AND PROGRAMS FOR WHICH YOU MAY BE ELIGIBLE, INCLUDING THE MEDI-CAL PROGRAM. IF YOU HAVE COVERAGE, PLEASE TELL US SO THAT WE MAY BILL YOUR PLAN." THIS NOTICE WILL ALSO BE GIVEN IN ANY DOCUMENT INDICATING THAT THE COMMENCEMENT OF COLLECTION ACTIVITIES MAY OCCUR. ANY AMOUNT COLLECTED FROM A PATIENT IN EXCESS OF THE AMOUNT DUE UNDER THE HOSPITAL'S SPONSORED CARE OR DISCOUNT PAYMENT POLICY WILL BE REFUNDED TO THE PATIENT, TOGETHER WITH INTEREST THEREON.
PART VI, LINE 2:IN 2019, COMMUNITY HOSPITAL COMPLETED AN UPDATED AND COMPREHENSIVE ASSESSMENT OF OUR COMMUNITY'S UNMET HEALTHCARE NEEDS. PROFESSIONAL RESEARCH CONSULTANTS (PRC) WAS RETAINED TO CONDUCT A STATISTICALLY VALID TELEPHONE SURVEY OF 1,000 RANDOMLY SELECTED LOCAL ADULTS AS WELL AS FACILITATE GROUP DISCUSSIONS WITH PUBLIC HEALTH PROFESSIONALS FROM THE COMMUNITY. ALL OF THE DATA WAS THEN COMPILED AND BENCHMARKED AGAINST THE GOALS OF THE NATIONAL HEALTHY PEOPLE 2020 INITIATIVE SPONSORED BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES.
PART VI, LINE 3:PATIENT BUSINESS SERVICES AND THE SOCIAL SERVICES DEPARTMENT SCREEN APPLICANTS FOR THE SPONSORED CARE AND DISCOUNT PROGRAMS. COMPLETED APPLICATIONS, INCLUDING REQUIRED DOCUMENTATION, ARE SUBMITTED TO PATIENT BUSINESS SERVICES OR SOCIAL SERVICES FOR INITIAL REVIEW AND FOLLOW UP. THE PATIENT/RESPONSIBLE PARTY, AND/OR SERVICE DEPARTMENT ARE NOTIFIED OF THE FINAL ELIGIBILITY DECISION IN WRITING. SHOULD THERE BE ANY DISPUTE AS TO THE DECISION MADE BY THE HOSPITAL ON THE ELIGIBILITY OR LEVEL OF ELIGIBILITY OF THE PATIENT FOR EITHER THE SPONSORED CARE OR DISCOUNT PAYMENT PROGRAM, AN APPEAL OF THE DECISION MAY BE MADE TO THE DIRECTOR OF PATIENT BUSINESS SERVICES. FOR PATIENTS IN THE OUTPATIENT IMMUNOLOGY SERVICES CLINIC, A NURSE CASE MANAGER MAY PROVIDE INITIAL FINANCIAL SCREENING. EACH PATIENT ROOM INCLUDES A BROCHURE "WELCOME TO COMMUNITY HOSPITAL." THIS BROCHURE INCLUDES INFORMATION REGARDING OUR FINANCIAL ASSISTANCE PROGRAM. IN ADDITION, COMMUNITY HOSPITAL PUBLICLY DISPLAYS INFORMATION ON THE GENERAL PROGRAM IN KEY SERVICE LOCATIONS AND PROVIDES INFORMATION TO EVERY PATIENT AT THE TIME OF REGISTRATION FOR SERVICES AND ENCLOSED WITH BILLING STATEMENTS. INFORMATION ON SPECIALTY PROGRAMS (E.G., FREE BASELINE MAMMOGRAPHY THROUGH THE SHERRY COCKLE FUND AND REHABILITATION SERVICES THROUGH THE THOMAS A. WORK, JR., FUND) ARE PROVIDED TO PATIENTS WHO REGISTER FOR THESE SPECIFIC SERVICES. THROUGH ITS PUBLIC WEB SITE, COMMUNITY HOSPITAL ALSO PUBLICIZES THE SPONSORED CARE AND DISCOUNT PROGRAMS AND ILLUSTRATES THE BENEFITS OF THE PROGRAM. A FORMAL PRESENTATION ABOUT HOSPITAL BILLING PRACTICES AND SPONSORED CARE REQUIREMENTS IS PROVIDED TO COMMUNITY GROUPS ON REQUEST BY OUR PATIENT BUSINESS SERVICES DEPARTMENT. IN ADDITION, THE HOSPITAL PUBLICIZES SPONSORED CARE FOR HIV/AIDS PATIENTS THROUGH REGULAR REPORTS TO COLLABORATING COMMUNITY ORGANIZATIONS ON THE PROGRAM USAGE AND THE POPULATION SERVED. FINANCIAL COUNSELORS WORK IN CONJUNCTION WITH A PRIVATE VENDOR (DIVERSIFIED HEALTH RESOURCES) TO GUIDE UNINSURED PATIENTS THROUGH THE PROCESS OF OBTAINING AVAILABLE GOVERNMENT BENEFITS, SUCH AS MEDI-CAL OR OTHER STATE PROGRAMS. THESE COUNSELORS ALSO ASSIST THOSE PATIENTS THROUGH THE QUALIFICATION PROCESS.
PART VI, LINE 4:COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA'S COMMUNITY, AS DEFINED FOR THE PURPOSES OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, INCLUDED EACH OF THE RESIDENTIAL ZIP CODES THAT COMPRISE THE HOSPITAL'S PRIMARY SERVICE AREA (PSA), INCLUDING: 93950, 93940, 93941, 93942, 93943, 93944, 93920, 93921, 93922, 93923, 93955, 93933, 93953, 93908 AND 93924. THIS INCLUDED MONTEREY, CARMEL, BIG SUR, SEASIDE, MARINA, PACIFIC GROVE, PEBBLE BEACH, THE HIGHWAY 68 CORRIDOR, AND CARMEL VALLEY.THE POPULATION OF THE HOSPITAL'S PRIMARY SERVICE AREA IS ESTIMATED AT 143,307 PEOPLE. IT IS PREDOMINANTLY NON-HISPANIC WHITE BUT ALSO HAS A SUBSTANTIAL HISPANIC POPULATION. THE DEMOGRAPHIC BREAKDOWN, ACCORDING TO THE US CENSUS BUREAU, IS NON-HISPANIC WHITE (60.7 PERCENT), HISPANIC (21 PERCENT), ASIAN (8.6 PERCENT), AFRICAN AMERICAN/BLACK (3.8 PERCENT), AND OTHER (5.4 PERCENT).
PART VI, LINE 5:THE ORGANIZATION PROMOTES THE HEALTH OF THE COMMUNITY IN MANY WAYS, AS OUTLINED IN THE COMMUNITY BENEFIT REPORT. CHOMP'S BOARD OF TRUSTEES IS COMPRISED OF VOLUNTEERS FROM THE COMMUNITY. THE MEDICAL STAFF IS OPEN. CHOMP'S SISTER ORGANIZATION, COMMUNITY HEALTH INNOVATIONS IS DEDICATED ENTIRELY TO POPULATION HEALTH. CARE MANAGERS THROUGHOUT THE COMMUNITY ASSIST IN PARTNERING PATIENTS WITH COMMUNITY RESOURCES.
PART VI, LINE 6:COMMUNITY HEALTH INNOVATIONS IS DEDICATED ENTIRELY TO POPULATION HEALTH. CARE MANAGERS THROUGHOUT THE COMMUNITY ASSIST IN PARTNERING PATIENTS WITH COMMUNITY RESOURCES. MONTAGE MEDICAL GROUP IS COMPRISED OF PRIMARY AND SPECIALTY PROVIDERS TO IMPROVE ACCESS TO CARE IN THE COMMUNITY. ASPIRE HEALTH PLAN OFFERS AN AFFORDABLE ALTERNATIVE FOR INSURANCE COVERAGE FOR MEDICARE-ELIGIBLE COMMUNITY MEMBERS.
PART VI, LINE 7, REPORTS FILED WITH STATESCA

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (25 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
ACTION COUNCIL OF MONTEREY COUNTY
295 MAIN ST 300SALINASCA93901770357101501(C)(3)$8,000POWER OVER PARKINSONS / LABOR OF LOVE CAMPAIGN
AIM FOR MENTAL HEALTH
PO BOX 4235CARMELCA93921473992060501(C)(3)$7,500AIM FOR THE CURES GALA / ANNUAL STOP THE STIGMA WALK & RALLY
AMERICAN CANCER SOCIETY
250 WILLIAMS STREET NWATLANTAGA30303131788491501(C)(3)$26,000RELAY FOR LIFE EVENTS/CELEBRATION OF LIFE FASHION SHOW
AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVEDALLASTX75231135613797501(C)(3)$15,0002019 HEART & STROKE WALK / 2019 GO RED FOR WOMEN LUNHEON
AMERICAN RED CROSS
431 18TH STREET NWWASHINGTONDC200065009530196605501(C)(3)$8,300CENTRAL COAST DISASTER RELIEF / COMMUNITY SUPPORT
ARTHRITIS FOUNDATION
1355 PEACHTREE STREET NE SUITE 600ATLANTAGA30309581341679501(C)(3)$7,5002019 JINGLE BELL WALK / 2019 ARTHRITIS DAY
BIG SUR MARATHON FOUNDATION
PO BOX 222620CARMELCA93922770048388501(C)(3)$15,0002019 BIG SUR INTERNATIONAL MARATHON
BOYS & GIRLS CLUBS OF MONTEREY COUNTY
PO BOX 97SEASIDECA93955941702753501(C)(3)$10,000HEALTHY LIFESTYLES PROGRAM
CALTRANS ADOPT-A-HIGHWAY
1731 MASSACHUSETTS AVERIVERSIDECA92507860871091$6,300ADOPTED PORTION OF HIGHWAY 68
CENTRAL COAST QUALITY OF LIFE PROGRAMS
5198 HARTNELL STMONTEREYCA939400000320035866501(C)(3)$7,500CASE MANAGEMENT PROGRAM, SUPPORT SERVICES & EDUCATION
COMMUNITY PARTNERSHIP FOR YOUTH
PO BOX 4235MONTEREYCA93942770310237501(C)(3)$7,500HEALTHY LIVING ACTIVITIES
COUNTY-WIDE DIABETES PROGRAM
PO BOX HHMONTEREYCA93942942789696$100,000COUNTY-WIDE DIABETES PROGRAM
DOOR TO HOPE
130 W GABILAN STREET SUITE 1SALINASCA93901942240770501(C)(3)$7,500MCSTART PROGRAM
HEALTHCARE FOUNDATION OF NORTHERN AND CENTRAL CALIFORNIA
1215 K STREET SUITE 730SACRAMENTOCA95814861174825501(C)(3)$98,500MOCO MEDICAL RESPITE PROGRAM
MEALS ON WHEELS OF THE MONTEREY PENINSULA
700 JEWELL AVEPACIFIC GROVECA93950942157521501(C)(3)$10,000HEALTH AND WELLNESS PROGRAMS
MOBILE HEALTH CLINIC
PO BOX HHMONTEREYCA93942942789696501(C)(3)$100,000MOBILE HEALTH CLINIC
MONTEREY BAY ECONOMIC PARTNERSHIP
3180 IMJIN ROAD 102MARINACA93933471379810501(C)(3)$11,500COMMUNITY SUPPORT
MONTEREY COUNTY HEALTH DEPARTMENT
1270 NATIVIDAD RDSALINASCA93906COUNTY OF MONTEREY$75,000SEASIDE/MARINA CLINICS
MONTEREY JAZZ FESTIVAL
PO BOX JAZZMONTEREYCA93940946036515501(C)(3)$12,500COMMUNITY SUPPORT
MONTEREY PENINSULA CHAMBER OF COMMERCE
PO BOX 1031MONTEREYCA93942770320712501(C)(6)$7,000COMMUNITY SUPPORT
MONTEREY SOBER LIVING FOR WOMEN
PO BOX 22152CARMELCA939220152825483655501(C)(3)$10,000ASSIST WOMEN IN DRUG AND ALCOHOL RECOVERY
MONTEREY PENINSULA UNIFIED SCHOOL DISTRICT
700 PACIFIC STREETMONTEREYCA93940STATE OF CA$60,000FUNDING FOR PART-TIME NURSE
PROJECT DNA
23 UPPER RAGSDALEMONTEREYCA93940465511908501(C)(3)$15,000HEALTH-RELATED NEEDS AND SERVICES
SUN STREET CENTERS
11 PEACH DRIVESALINASCA93901946138701501(C)(3)$7,5002020 RECOVERY RUN START UP EXPENSES
MONTAGE HEALTH FOUNDATION
PO BOX HHMONTEREYCA939426032812889645501(C)(3)$4,086,288TO COVER THE COST OF OPERATIONS SO EVERY DOLLAR DONATED GOES TO SUPPORT HOSPITAL PROGRAM, INTITIATIVES ETC.
FieldValueIRS element (for citing)
Total501c3 Org24Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationGRANT AMOUNTS ARE REVIEWED AND APPROVED BY AN EXECUTIVE FOR MONTAGE HEALTH. ACTUAL EXPENDITURES ARE REVIEWED AND APPROVED BEFORE TRANSFERRING THE GRANT PROCEEDS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
STEVEN PACKER MD
PRESIDENT/CHIEF EXECUTIVE OFFICER$860,334$0$348,300$0$846,345$0$260,396$0$32,420$0$2,347,795$0$0$0
LAURA ZEHM
SENIOR VP/CHIEF ADMINISTRATIVE OFFIC$544,630$0$159,521$0$22,115$0$146,898$0$32,419$0$905,583$0$0$0
STEVEN X CABRALES MD
PRESIDENT, MEDICAL AFFAIRS$467,282$0$127,988$0$33,891$0$59,192$0$42,101$0$730,454$0$0$0
ANTHONY CHAVIS
VP/CHIEF MEDICAL OFFICER$513,588$0$140,610$0$26,141$0$117,452$0$32,419$0$830,210$0$0$0
MATTHEW MORGAN
VP/CHIEF FINANCIAL OFFICER$420,791$0$103,191$0$16,076$0$43,592$0$50,433$0$634,083$0$0$0
TIM NYLEN
VP/CHIEF COMPLIANCE OFFICER$371,581$0$103,840$0$42,243$0$58,057$0$16,132$0$591,853$0$0$0
CYNTHIA L PECK
VICE PRESIDENT$345,287$0$111,487$0$12,822$0$82,051$0$32,419$0$584,066$0$0$0
DEBORAH SOBER RN MSN
VP/CHIEF NURSING OFFICER$348,455$0$55,097$0$63,780$0$48,732$0$30,729$0$546,793$0$0$0
MARY ANNE LEACH
VP/CHIEF INFORMATION OFFICER$220,626$0$0$0$6,320$0$0$0$6,923$0$233,869$0$0$0
SUSAN SWICK MD
PHYSICIAN IN CHIEF$535,530$0$0$0$138$0$21,700$0$0$0$557,368$0$0$0
CHARLENE WEBBER SCHUSS
CHIEF INFORMATION OFFICER$162,060$0$135,138$0$151,565$0$42,716$0$23,983$0$515,462$0$0$0
JENNIFER BALLESTEROS
REGISTERED NURSE$356,368$0$0$0$18,940$0$25,151$0$16,132$0$416,591$0$0$0
MARIA SEVERINO
REGISTERED NURSE$324,891$0$0$0$0$0$24,500$0$42,010$0$391,401$0$0$0
DAVID MISISCO
PHYSICIST MASTERS$296,174$0$0$0$0$0$51,788$0$32,419$0$380,381$0$0$0
TERRIL LOWE
FORMER VP/NURSING$102,986$0$0$0$0$0$0$0$0$0$102,986$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 1AFormAndLineReferenceDesc
ExplanationHOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE - CERTAIN EXECUTIVES ARE OFFERED AN EQUITY HOME SHARE OPTION WHEREBY THE HOSPITAL OWNS HALF OF THE EXECUTIVE'S RESIDENCE. THE PURPOSE OF THIS IS TO ASSIST THE EXECUTIVE WITH BUYING A HOME IN THIS EXPENSIVE AREA. THE COST OF REAL ESTATE IS OFTEN A BARRIER TO RECRUITMENT IN MONTEREY. THE VALUE IS REPORTED AS TAXABLE INCOME ON THE EMPLOYEE'S W-2.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY
A6801646101307957B72012-09-28$34,935,000REFUND BONDS ISSUED 7/10/03000
CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY
B6801646102016-06-01$32,550,000REFUND BONDS ISSUED 5/12/11000
CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY
C6801646102017-06-28$40,420,000FINANCING OF ELECTRONIC HEALTH RECORD SYSTEM000
CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY
D6801646101309117M62017-06-28$55,680,000REFUND BONDS ISSUED 5/12/2011000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCapital ExpendituresCapitalExpendituresAmt
A$34,935,000$437,362$34,497,63820120Yes (1)Yes (1)Yes (1)
B$32,550,000$453,050$32,096,9500Yes (1)Yes (1)Yes (1)
C$40,420,000$417,806201800Yes (1)Yes (1)$40,002,194
D$55,680,000$576,591$55,103,4090Yes (1)Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00000.000000.000000.0000000Yes (1)
B00000.000000.000000.00000000
C00000.000000.000000.00000000
D00000.000000.000000.00000000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A0Yes (1)000000Yes (1)
BYes (1)00000
CYes (1)00000
DYes (1)00000

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE K, PART II, PROCEEDS:FormAndLineReferenceDesc
ExplanationEXPLANATION OF DIFFERENCE BETWEEN LINE 3 AND ISSUE PRICE IN PART I: INVESTMENT EARNINGSExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN680164610BondIssuerEIN
Bond Issued2019-09-20BondIssuedDt
Issue Price$45,000,000IssuePriceAmt
PurposeFINANCE OF BUILDINGS AND EQUIPMENTPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool FinancingYes (1)PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$45,000,000TotalProceedsAmt
Issuance Costs From Proceeds$445,000IssuanceCostsFromProceedsAmt
Other Spent Proceeds$4,242,904OtherSpentProceedsAmt
Unspent$40,312,096UnspentAmt
Refunding Tax Exempt Bonds0RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BALL BOARD MEMBERS ARE PROVIDED A DRAFT COPY OF THE 990 FOR REVIEW PRIOR TO IT BEING FILED. QUESTIONS/COMMENTS ARE ADDRESSED AS APPLICABLE PRIOR TO SUBMITTING THE FINAL RETURN.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION USES SELF DISCLOSURE TO REGULARLY AND CONSISTENTLY MONITOR AND ENFORCE COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY.
FORM 990, PART VI, SECTION B, LINE 15THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES REVIEWS AND APPROVES THE OFFICERS' COMPENSATION. A CONSULTING FIRM IS ENGAGED TO PROVIDE COMPARABLE DATA.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. IT ALSO MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC ON ITS OWN WEBSITE.
FORM 990, PART XI, LINE 9:NET LOSS ON INTEREST RATE SWAP -2,127,883. CHANGE IN PENSION BENEFIT OBLIGATION 8,107,438. NET PERIODIC BENEFIT COST -3,931,000.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MONTAGE WELLNESS CENTER LLC
23625 HOLMAN HIGHWAYMONTEREYCA93940273554386HEALTH SERVICESCA$4,347,597$1,884,389COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA
MONTEREY SALINAS HEALTHCARE COLLABORATIVE LLC
10 RAGSDALE DRIVE SUITE 102MONTEREYCA93940473632762HEALTH SERVICESCA$0$0COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MONTAGE HEALTH
PO BOX HHMONTEREYCA93942942789696SUPPORT SERVICESCA501(C)(3)LINE 10N/A0
MONTAGE MEDICAL GROUP
PO BOX HHMONTEREYCA93942264826604HEALTHCARE SERVICESCA501(C)(3)LINE 30MONTAGE HEALTH
ASPIRE HEALTH PLAN
23625 HOLMAN HIGHWAYMONTEREYCA93940461567681INSURANCE COMPANYCA501(C)(4)0MONTAGE HEALTH
MONTAGE HEALTH FOUNDATION
23625 HOLMAN HIGHWAYMONTEREYCA93940812889645SUPPORT SERVICESCA501(C)(3)LINE 70MONTAGE HEALTH

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPctDirect Controlling NADirectControllingNACd
SAN CARLOS & 7TH LLC
23625 HOLMAN HIGHWAYMONTEREYCA93940274672809REAL ESTATECACOMMUNITY HOSPITAL OF THE MONTEREY PENINSULAEXCLUDED$18,495$200,5320Yes (1)0.50000
MONTEREY BAY ENDOSCOPY CENTER LLC
23 UPPER RAGSDALE DRIVEMONTEREYCA93940770324855ENDOSCOPY CENTERCACOMMUNITY HOSPITAL OF THE MONTEREY PENINSULAEXCLUDED$15,924$516,4950Yes (1)0.15910
CENTRAL COAST HEALTH CONNECT LLC
10 RAGSDALE DRIVE SUITE 102MONTEREYCA93940611759835HEALTH SERVICESCAN/A
COMMUNITY HEALTH INNOVATIONS LLC
23625 HOLMAN HIGHWAYMONTEREYCA93940454537290HEALTH SERVICESCAN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
CYPRESS MEDICAL NETWORK INC
PO BOX HHMONTEREYCA93942770438780MEDICAL SERVICESCACOMMUNITY HOSPITAL OF MONTEREY PENINSULAC1.00000Yes (1)
CENTRAL COAST COMMUNITY MUTUAL INSURANCE COMPANY
40 MAIN STREET SUITE 200BURLINGTONVT05401454016797INSURANCEVTCOMMUNITY HOSPITAL OF MONTEREY PENINSULAC0.95000Yes (1)
COASTAL TPA INC
PO BOX 80308SALINASCA93912770523382MEDICAL CLAIMS PROCESSINGCA0N/A
COASTAL HEALTHCARE ADMINISTRATORS
PO BOX 80308SALINASCA93912770311413MEDICAL CLAIMS PROCESSINGCA0N/A
BAY SERVICES INC
PO BOX 80308SALINASCA93912942250761SERVICESCA0N/A
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ASPIRE HEALTH PLAN
D$1,454,647BOOK VALUE
ASPIRE HEALTH PLAN
E$152,350BOOK VALUE