COMMUNITY MEMORIAL HEALTH SYSTEM: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: COMMUNITY MEMORIAL HEALTH SYSTEM (EIN 95-1683892)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2020-08-20
IRS object ID: 202022339349301357
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-08-20T16:56:17-05:00	ReturnTs
Tax Period End	2019-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	4365 EXECUTIVE DR STE 1600	AddressLine1Txt
City	SAN DIEGO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92121	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	951683892	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	COMMUNITY MEMORIAL HEALTH SYSTEM	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% KATHRYN YAMADA	InCareOfNm
Business Name Control	COMM	BusinessNameControlTxt
Phone	8056525050	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	147 NORTH BRENT STREET	AddressLine1Txt
City	VENTURA	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	93003	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DAVID B GLYER	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	8056525012	PhoneNum
Signature	2020-08-17	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JOCELYNE MILLER	PreparerPersonNm
PTIN	P00634378	PTIN
Phone	8585357200	PhoneNum
Preparation	2020-08-17	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	152.169.64.19	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	33577420202335000001	FederalOriginalSubmissionId
Federal Original Submission Id	2020-08-20	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	D82929CAA62A0C4D7060EA1070823E3249DA6E46	AtSubmissionCreationDeviceId
At Submission Filing Device Id	228D48D10834BFE8C59A0E4DF6CE68B9CD7C839B	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2020-09-23 17:36:50Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	GARY K WILDE	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	147 NORTH BRENT STREET	AddressLine1Txt
City	VENTURA	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	93003	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$565,981,551	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CMHSHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1933	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	TO HEAL, COMFORT AND PROMOTE HEALTH FOR THE COMMUNITIES WE SERVE.	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	15	VotingMembersIndependentCnt
Total Employee	3004	TotalEmployeeCnt
Total Volunteers	253	TotalVolunteersCnt
Total Gross UBI	$50,783	TotalGrossUBIAmt
PY Contributions Grants	$1,434,386	PYContributionsGrantsAmt
CY Contributions Grants	$1,480,662	CYContributionsGrantsAmt
PY Program Service Revenue	$420,401,994	PYProgramServiceRevenueAmt
CY Program Service Revenue	$492,566,877	CYProgramServiceRevenueAmt
PY Investment Income	$14,783,698	PYInvestmentIncomeAmt
CY Investment Income	$5,478,037	CYInvestmentIncomeAmt
PY Other Revenue	$2,287,751	PYOtherRevenueAmt
CY Other Revenue	$3,959,284	CYOtherRevenueAmt
PY Total Revenue	$438,907,829	PYTotalRevenueAmt
CY Total Revenue	$503,484,860	CYTotalRevenueAmt
PY Grants And Similar Paid	$469,935	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$528,727	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$209,975,064	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$237,110,948	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$195,400,260	PYOtherExpensesAmt
CY Other Expenses	$275,798,301	CYOtherExpensesAmt
PY Total Expenses	$405,845,259	PYTotalExpensesAmt
CY Total Expenses	$513,437,976	CYTotalExpensesAmt
PY Revenues Less Expenses	$33,062,570	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$9,953,116	CYRevenuesLessExpensesAmt
Total Assets BOY	$891,012,146	TotalAssetsBOYAmt
Total Assets EOY	$923,808,108	TotalAssetsEOYAmt
Total Liabilities BOY	$418,854,930	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$447,069,777	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$472,157,216	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$476,738,331	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEE SCHEDULE O	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$448,731,201	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$492,566,877	RevenueAmt
Desc	PATIENT SERVICES TO INCLUDE 82,359 PATIENT DAYS, 181,169 OUTPATIENT VISITS, AND 326,630 VISITS TO THE CENTERS FOR FAMILY HEALTH (THE HEALTHCARE SYSTEM'S OUTPATIENT CARE CLINICS). SEE SCHEDULE O.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$969,509	ExpenseAmt
Grant	$528,727	GrantAmt
Revenue	$0	RevenueAmt
Desc	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. SEE SCHEDULE O.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$1,055,529	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$0	RevenueAmt
Desc	IT IS THE GOAL OF CMHS TO PROMOTE THE HEALTH OF THE COMMUNITY BY FOCUSING ON COMMUNITY EDUCATION OUTREACH, ACCESS TO CARE, UNCOMPENSATED AND UNDER-FUNDED CARE, AND SPONSORSHIP OF COMMUNITY RESOURCES. SEE SCHEDULE O.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$450,756,239	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	628	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	3004	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	18	GoverningBodyVotingMembersCnt
Independent Voting Member	15	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Own Website	Yes (X)	OwnWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	KATHRYN YAMADA	PersonNm
Phone	8056525012	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2590 EAST MAIN STREET	AddressLine1Txt
City	VENTURA	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	93003	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (42 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd
GARY K WILDE
PRESIDENT & CEO	36.0	4.0	Yes (X)	$1,211,212	$0	$396,351
ADAM THUNELL
VP OPERATIONS	40.0	0.0		$1,069,577	$0	$99,382	Yes (X)
CYNTHIA DEMOTTE
VP QUALITY	40.0	0.0		$782,191	$0	$48,869	Yes (X)
DAVID GLYER
CFO	40.0	0.0	Yes (X)	$610,321	$0	$85,964
CYNTHIA FAHEY
CNO	40.0	0.0		$607,288	$0	$64,455	Yes (X)
WILFRED GARAND
VP PLANNING & MANAGED CARE	40.0	0.0		$588,117	$0	$52,589	Yes (X)
SAMUEL SMALL
CHIEF OF MEDICAL EDUCATION	40.0	0.0		$506,660	$0	$83,844	Yes (X)
ANTHONY RUSSELL
CAO AMBULATORY MEDICINE	40.0	0.0		$517,252	$0	$71,757	Yes (X)
HAADY LASHKARI
CHIEF ADM OFFICER OJAI/VP CMH	40.0	0.0		$517,222	$0	$71,449	Yes (X)
DIANY KLEIN
VP HUMAN RESOURCES (thru 8/19)	40.0	0.0		$487,150	$0	$64,279	Yes (X)
STANLEY FROCHTZWAJG
CMO, INPATIENT	40.0	0.0		$482,146	$0	$68,649	Yes (X)
RONALD SANDIFER
CIO (Thru 6/19)	40.0	0.0		$499,535	$0	$0	Yes (X)
EMILIE RAYMAN
COMPLIANCE OFFICER	40.0	0.0		$358,627	$0	$49,540	Yes (X)
MICHAEL ELLINGSON
VP MARKETING & DEVELOPMENT	36.0	4.0		$335,092	$0	$46,001	Yes (X)
SCOTT GOODFRIEND
PHYSICIAN ADVISOR	40.0	0.0		$309,592	$0	$18,357		Yes (X)
KEITH MCWILLIAMS
CIO	40.0	0.0		$304,026	$0	$7,828	Yes (X)
EUGENE DAY
DIRECTOR OF PHARMACY	40.0	0.0		$266,239	$0	$12,648		Yes (X)
PILAR PARKER
RN III	40.0	0.0		$268,324	$0	$6,430		Yes (X)
CARLOS LIMON JR
PHARMACIST	40.0	0.0		$247,044	$0	$18,357		Yes (X)
MARK SCHUETTE
DIR CONSTRUCTION PROJECT MGMT	40.0	0.0		$251,380	$0	$5,702		Yes (X)
RICHARD REISMAN
VP AMBULATORY MEDICINE	36.0	0.0		$235,484	$0	$8,353	Yes (X)
KARI ANNE OSBORNE
VP HUMAN RESOURCES	40.0	0.0		$234,036	$0	$6,732	Yes (X)
DEBORAH CARLSON MD
BOARD MEMBER	1.0	0.0		$163,750	$0	$0			Yes (X)
CARL CONSTANTINE MD
BOARD MEMBER	1.0	0.0		$114,951	$0	$0			Yes (X)
LAMAR BUSHNELL MD
BOARD MEMBER	1.0	0.0		$22,000	$0	$0			Yes (X)
JEFFREY BRACKETT MD
BOARD MEMBER	1.0	0.0		$0	$0	$0			Yes (X)
MICHAEL BRADBURY
BOARD MEMBER	1.0	0.0		$0	$0	$0			Yes (X)
DAVID FUKUTOMI
BOARD MEMBER	1.0	0.0		$0	$0	$0			Yes (X)
TIMOTHY GALLAGHER
BOARD MEMBER	1.0	0.0		$0	$0	$0			Yes (X)
JOHN HAMMER
BOARD MEMBER	1.0	0.0		$0	$0	$0			Yes (X)
JOHN HILL MD
BOARD MEMBER	1.0	0.0		$0	$0	$0			Yes (X)
LYDIA HOPPS
BOARD MEMBER	1.0	1.0		$0	$0	$0			Yes (X)
WILLIAM KEARNEY
VICE CHAIR	1.0	0.0	Yes (X)	$0	$0	$0			Yes (X)
F TED MUEGENBURG JR
SECRETARY	1.0	0.0	Yes (X)	$0	$0	$0			Yes (X)
JEFFREY PAUL
BOARD MEMBER	1.0	0.0		$0	$0	$0			Yes (X)
MARTIN POPS MD
BOARD MEMBER	1.0	0.0		$0	$0	$0			Yes (X)
RICHARD RUSH MD
CHAIR	1.0	0.0	Yes (X)	$0	$0	$0			Yes (X)
JOHN RUSSELL
BOARD MEMBER	1.0	0.0		$0	$0	$0			Yes (X)
GARY WOLFE
TREASURER	1.0	0.0	Yes (X)	$0	$0	$0			Yes (X)
TRUDY COOK
BOARD MEMBER	1.0	26.0		$0	$0	$0			Yes (X)
GREGORY SMITH
BOARD MEMBER (THRU JAN)	1.0	0.0		$0	$0	$0			Yes (X)
ROY SCHNEIDER MD
BOARD MEMBER (THRU JAN)	1.0	0.0		$0	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$10,989,216	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,287,536	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	593	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
AYA HEALTHCARE INC
5930 CORNERSTONE CRT W SUITE 300	SAN DIEGO	CA	92121	REGISTRY NURSING	$4,892,858
ARENT FOX LLP
PO BOX 644672	PITTSBURGH	PA	152644672	LEGAL SERVICES	$3,371,829
MEDICAL SOLUTIONS LLC
1010 N 102ND STREET SUITE 300	OMAHA	NE	68114	REGISTRY NURSING	$2,941,682
DIVERSIFIED CLINICAL SERVICES INC
PO BOX 551187	JACKSONVILLE	FL	32255	STAFFING SERVICES	$1,234,032
AEROTEK PROFESSIONAL SERVICES
3689 COLLECTION CENTER DRIVE	CHICAGO	IL	60693	STAFFING SERVICES	$1,231,523

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	100	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Related Organizations	$111,798	RelatedOrganizationsAmt
Government Grants	$45,810	GovernmentGrantsAmt
All Other Contributions	$1,323,054	AllOtherContributionsAmt
Noncash Contributions	$190,000	NoncashContributionsAmt
Total Contributions	$1,480,662	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PATIENT SVC REVENUE	621500	$451,889,675	$451,889,675	$0	$0
MEDI-CAL SUPPLEMENTAL PMT	621500	$33,389,043	$33,389,043	$0	$0
CAFETERIA REVENUE	722210	$3,031,456	$3,031,456	$0	$0
HEALTHCARE SVC RENTAL INC	532000	$1,654,336	$1,654,336	$0	$0
BREAST/PROSTATE CENTER	900099	$1,588,328	$1,588,328	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,014,039	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,014,039	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$492,566,877	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,936,446	TotalRevenueColumnAmt
Unrelated Business Revenue	$43,086	UnrelatedBusinessRevenueAmt
Exclusion	$2,893,360	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$71,184	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$363,830	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$292,646	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$292,646	TotalRevenueColumnAmt
Exclusion	-$292,646	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$64,674,452	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$62,132,861	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$2,541,591	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,541,591	TotalRevenueColumnAmt
Exclusion	$2,541,591	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
INSURANCE SETTLEMENT	900099	$1,780,101	$0	$0	$1,780,101
REBATES/REFUNDS	900099	$1,774,057	$0	$0	$1,774,057
PHARMACY REVENUE	900099	$320,978	$0	$7,697	$313,281

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$376,794	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Exclusion	$376,794	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$4,251,930	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$503,484,860	TotalRevenueColumnAmt
Related Or Exempt Func Income	$492,566,877	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$50,783	UnrelatedBusinessRevenueAmt
Exclusion	$9,386,538	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$528,727	TotalAmt
Program Services	$528,727	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$6,204,821	TotalAmt
Program Services	$1,100,208	ProgramServicesAmt
Management And General	$5,104,613	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$158,654,660	TotalAmt
Program Services	$153,669,946	ProgramServicesAmt
Management And General	$4,984,714	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$5,553,411	TotalAmt
Program Services	$5,553,411	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$53,085,338	TotalAmt
Program Services	$49,306,286	ProgramServicesAmt
Management And General	$3,779,052	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$13,612,718	TotalAmt
Program Services	$12,893,672	ProgramServicesAmt
Management And General	$719,046	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$2,629,675	TotalAmt
Program Services	$1,882,526	ProgramServicesAmt
Management And General	$747,149	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$4,437,451	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$4,437,451	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$356,079	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$356,079	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Fundraising	$0	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$40,611,796	TotalAmt
Program Services	$38,435,736	ProgramServicesAmt
Management And General	$2,176,060	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$764,288	TotalAmt
Program Services	$736,523	ProgramServicesAmt
Management And General	$27,765	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$91,035,626	TotalAmt
Program Services	$90,438,396	ProgramServicesAmt
Management And General	$597,230	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$14,956,118	TotalAmt
Program Services	$14,484,810	ProgramServicesAmt
Management And General	$471,308	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$1,436,195	TotalAmt
Program Services	$157,220	ProgramServicesAmt
Management And General	$1,278,975	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$8,706,640	TotalAmt
Program Services	$8,554,983	ProgramServicesAmt
Management And General	$151,657	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$219,608	TotalAmt
Program Services	$219,608	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$631,452	TotalAmt
Program Services	$468,168	ProgramServicesAmt
Management And General	$163,284	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$25,210,433	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$25,210,433	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$35,925,604	TotalAmt
Program Services	$35,414,142	ProgramServicesAmt
Management And General	$511,462	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,915,329	TotalAmt
Program Services	$407,566	ProgramServicesAmt
Management And General	$3,507,763	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
PURCHASED SERVICES	$22,266,701	$16,832,406	$5,434,295	$0
HOSP QUALITY ASSURANCE FEE	$16,652,556	$16,652,556	$0	$0
RECRUITING	$1,295,880	$769,564	$526,316	$0
DUES & SUBSCRIPTIONS	$1,162,961	$640,581	$522,380	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,583,909	TotalAmt
Program Services	$1,609,204	ProgramServicesAmt
Management And General	$1,974,705	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$513,437,976	TotalAmt
Program Services	$450,756,239	ProgramServicesAmt
Management And General	$62,681,737	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$18,396,713	BOYAmt
EOY	$27,984,452	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$56,547,380	BOYAmt
EOY	$65,358,342	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$49,648,431	BOYAmt
EOY	$55,808,342	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$10,165,825	BOYAmt
EOY	$12,256,573	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$9,017,240	BOYAmt
EOY	$11,329,518	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$726,657,185	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$156,257,625	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$584,306,242	BOYAmt
EOY	$570,399,560	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$87,990,936	BOYAmt
EOY	$80,816,695	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$11,348,966	BOYAmt
EOY	$9,479,459	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$8,039,370	BOYAmt
EOY	$8,327,394	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$55,551,043	BOYAmt
EOY	$82,047,773	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$891,012,146	BOYAmt
EOY	$923,808,108	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$83,372,619	BOYAmt
EOY	$82,847,682	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$320,090,433	BOYAmt
EOY	$314,152,017	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$6,955,525	BOYAmt
EOY	$41,137,543	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$8,436,353	BOYAmt
EOY	$8,932,535	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$418,854,930	BOYAmt
EOY	$447,069,777	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$469,204,808	BOYAmt
EOY	$475,350,491	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,952,408	BOYAmt
EOY	$1,387,840	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$472,157,216	BOYAmt
EOY	$476,738,331	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$891,012,146	BOYAmt
EOY	$923,808,108	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$9,953,116	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$10,913,462	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$3,620,769	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Media Advertisements	$0	MediaAdvertisementsAmt
Mailings Members	false	MailingsMembersInd
Mailings Members	$0	MailingsMembersAmt
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Publications Or Broadcast	$0	PublicationsOrBroadcastAmt
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Grants Other Organizations	$0	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Direct Contact Legislators	$0	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Rallies Demonstrations	$0	RalliesDemonstrationsAmt
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$76,616	OtherActivitiesAmt
Total Lobbying Expenditures	$76,616	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1	FormAndLineReferenceDesc
Explanation	LOBBYING ACTIVITIES THE ORGANIZATION IS A MEMBER OF THE HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA AND THE AMERICAN HOSPITAL ASSOCIATION. IN 2019, $239,667 WAS INCLUDED IN EXPENSES FOR ANNUAL MEMBERSHIP DUES, A PORTION OF WHICH IS DIRECTED BY THESE ORGANIZATIONS TO CONDUCT LOBBYING ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$43,529,517	OtherCostOrOtherBasisAmt
Book Value	$43,529,517	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$472,180,982	OtherCostOrOtherBasisAmt
Depreciation	$84,611,533	DepreciationAmt
Book Value	$387,569,449	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$180,205,352	OtherCostOrOtherBasisAmt
Depreciation	$71,646,092	DepreciationAmt
Book Value	$108,559,260	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$30,741,334	OtherCostOrOtherBasisAmt
Book Value	$30,741,334	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$570,399,560	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
OPERATING LEASE ROU ASSETS	$33,764,500
CONSTRUCTION FUNDS	$31,231,692
DEPOSITS WITH INSURANCE CO	$7,079,206
ASSETS LIMITED TO USE	$5,091,822
DUE FROM THIRD PARTIES	$3,047,358
OTHER ASSETS	$1,833,195

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$82,047,773	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
SELF-INSURANCE LIABILITIES	$6,532,328
OTHER LIABILITIES	$2,400,207

Field	Value	IRS element (for citing)
Total Liability	$8,932,535	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FIN 48 (ASC 740) FOOTNOTE	FormAndLineReferenceDesc
Explanation	THE FOLLOWING FOOTNOTE IS FROM THE CONSOLIDATED FINANCIAL STATEMENTS OF COMMUNITY MEMORIAL HEALTH SYSTEM: THE SYSTEM ACCOUNTS FOR INCOME TAXES UNDER THE PROVISIONS OF ASC 740, INCOME TAXES, WHICH PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE CONSOLIDATED FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. UNDER ASC 740, THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS MAY BE RECOGNIZED ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED, BASED SOLELY ON ITS TECHNICAL MERITS, WITH THE TAXING AUTHORITY HAVING FULL KNOWLEDGE OF ALL RELEVANT INFORMATION. THE SYSTEM RECORDS A LIABILITY FOR UNRECOGNIZED TAX BENEFITS FROM UNCERTAIN TAX POSITIONS AS DISCRETE TAX ADJUSTMENTS IN THE FIRST INTERIM PERIOD THAT THE MORE-LIKELY-THAN-NOT THRESHOLD IS NOT MET. THE SYSTEM RECOGNIZES DEFERRED TAX ASSETS AND LIABILITIES FOR TEMPORARY DIFFERENCES BETWEEN THE FINANCIAL REPORTING BASIS AND THE TAX BASIS OF ITS ASSETS AND LIABILITIES ALONG WITH NET OPERATING LOSS AND TAX CREDIT CARRYOVERS FOR TAX POSITIONS THAT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION CRITERIA. THE SYSTEM COMPLETED AN ANALYSIS OF ITS TAX POSITION, IN ACCORDANCE WITH ASC 740, AND DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN. NO SIGNIFICANT TAX LIABILITY FOR UNRECOGNIZED TAX BENEFITS, INTEREST, OR PENALTIES WAS ACCRUED AS OF DECEMBER 31, 2019 OR 2018. 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 2015.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	700.	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,108,185	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,108,185	NetCommunityBenefitExpnsAmt
Total Expense	0.00220	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$116,196,783	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$81,746,723	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$34,450,060	NetCommunityBenefitExpnsAmt
Total Expense	0.06710	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$117,304,968	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$81,746,723	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$35,558,245	NetCommunityBenefitExpnsAmt
Total Expense	0.06930	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,737,840	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,737,840	NetCommunityBenefitExpnsAmt
Total Expense	0.00340	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,377,563	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,985,146	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,392,417	NetCommunityBenefitExpnsAmt
Total Expense	0.01630	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$50,018,089	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$37,286,104	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,731,985	NetCommunityBenefitExpnsAmt
Total Expense	0.02480	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$528,727	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$528,727	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$63,662,219	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$40,271,250	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,390,969	NetCommunityBenefitExpnsAmt
Total Expense	0.04550	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$180,967,187	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$122,017,973	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$58,949,214	NetCommunityBenefitExpnsAmt
Total Expense	0.11480	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,800	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,800	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$986,773	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$986,773	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$995,573	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$995,573	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Reimbursed By Medicare	$93,933,593	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$116,368,217	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$22,434,624	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
SEE PART VI
IMAGING CENTER	0.51	0.49
SEE PART VI
MANAGEMENT SERVICES	0.5	0.5
SEE PART VI
REAL ESTATE	0.7275	0.2725

Field	Value	IRS element (for citing)
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	Critical Access HospitalCriticalAccessHospitalInd
COMMUNITY MEMORIAL HOSPITAL
1	147 NORTH BRENT STREET	VENTURA	CA	93003	WWW.CMHSHEALTH.ORG	050000026	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
OJAI VALLEY COMMUNITY HOSPITAL
2	1306 MARICOPA HWY	OJAI	CA	93023	WWW.CMHSHEALTH.ORG	050000045	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	12	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	See Part V, Section C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	See Part V, Section C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	700.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Other Method	Yes (X)	OtherMethodInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B, LINE 3E	THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
PART V, SECTION B, LINE 5	COMMUNITY MEMORIAL HEALTH SYSTEM (CMHS) CONDUCTED ITS MOST RECENT CHNA THROUGH A COORDINATED EFFORT WITH ITS PARTNERS AT THE VENTURA COUNTY DEPARTMENT OF PUBLIC HEALTH, ADVENTIS HEALTH SIMI VALLEY, CAMARILLO HEALTH CARE DISTRICT, CLINICAS DEL CAMINO REAL, ST. JOHN'S REGIONAL MEDICAL CENTER, ST. JOHN'S PLEASANT VALLEY HOSPITAL, VENTURA COUNTY PUBLIC HEALTH AND THE VENTURA COUNTY HEALTH CARE AGENCY COMMUNITY HEALTH CENTER. THESE PARTNERS MAKE UP THE VENTURA COUNTY COMMUNITY NEEDS ASSESSMENT COLLABORATIVE (VCCNAC). A COMMUNITY HEALTH ASSESSMENT SURVEY (2019) WAS DESIGNED AND DISSEMINATED BY THE VENTURA COUNTY COMMUNITY NEEDS ASSESSMENT COLLABORATIVE. THE CHNA FINDINGS ARE DRAWN FROM AN ANALYSIS OF AN EXTENSIVE SET OF SECONDARY DATA (OVER 240 INDICATORS FROM NATIONAL AND STATE DATA SOURCES) AND IN-DEPTH PRIMARY DATA FROM COMMUNITY HEALTH LEADERS AND ORGANIZATIONS THAT SERVE THE COMMUNITY AT LARGE, AS WELL AS NON-HEALTH PROFESSIONALS AND COMMUNITY MEMBERS. THE MAIN SOURCE FOR THE SECONDARY DATA IS THE HEALTH MATTERS IN VENTURA COUNTY PLATFORM, A PUBLIC DATA PLATFORM MADE AVAILABLE BY VENTURA COUNTY PUBLIC HEALTH. THE PRIMARY DATA COLLECTION PROCESS INCLUDED A COMMUNITY HEALTH ASSESSMENT SURVEY. A TOTAL OF 2,722 RESPONSES WERE COLLECTED. ONE OF THE KEY OBJECTIVES OF THE ASSESSMENT WAS TO ENGAGE THE COMMUNITY, INCLUDING VULNERABLE POPULATIONS, PHYSICIANS, AND OTHER SERVICE PROVIDERS TO SHARE THEIR PERCEPTIONS ON HEALTH NEEDS FOR VENTURA COUNTY RESIDENTS. KEY INFORMATION INTERVIEWS AND FOCUS GROUP DISCUSSIONS WERE HELD TO HELP DEVELOP A DEEPER UNDERSTANDING OF THE DATA COLLECTED. ON APRIL 23, 2019, 25 STAKEHOLDERS OF THE VCCNAC CONVENED IN AN ALL-DAY EXERCISE TO REVIEW THE FINDINGS FROM THE PRIMARY DATA AND THE SECONDARY DATA COLLECTION EFFORTS TO PRIORITIZE THE SIGNIFICANT HEALTH ISSUES THAT AROSE THROUGH THIS ANALYSIS.
PART V, SECTION B, LINE 6A	CHNA CONDUCTED WITH OTHER HOSPITAL FACILITIES ADVENTIST HEALTH SIMI VALLEY ST. JOHN'S REGIONAL MEDICAL CENTER, DIGNITY HEALTH ST. JOHN'S PLEASANT VALLEY HOSPITAL, DIGNITY HEALTH
PART V, SECTION B, LINE 6B	CHNA CONDUCTED WITH OTHER ORGANIZATIONS CAMARILLO HEALTH CARE DISTRICT CLINICAS DEL CAMINO REAL, INC. VENTURA COUNTY HEALTH CARE AGENCY COMMUNITY HEALTH CENTER VENTURA COUNTY PUBLIC HEALTH
PART V, SECTION B, LINE 7	CHNA WEBSITE https://www.cmhshealth.org/about/community-health-needs-assessment/
PART V, SECTION B, LINE 10	IMPLEMENTATION STRATEGY 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. - 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 2019. CMHS HAD PLANNED TO PROVIDE PROGRAMMIC AND FINANCIAL SUPPORT TO FIT KIDS/FIT OJAI. 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. - 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.
PART V, SECTION B, LINE 15E	CMHS PUBLICIZES A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY ON THE FACILITY'S WEBSITE. INCLUDED ON THE BACK OF EACH BILLING STATEMENT IS A DISCLAIMER REGARDING FINANCIAL ASSISTANCE BEING AVAILABLE AND A CONTACT NUMBER TO CALL IF INTERESTED. MOREOVER, CMHS HAS SIGNAGE POSTED IN THE ADMITTING AND EMERGENCY ROOM AREAS. A WRITTEN COPY OF THIS POLICY IS AVAILABLE UPON REQUEST, AS INDICATED ON THIS SIGNAGE DISPLAYED.
PART V, SECTION B, LINE 16A	FINANCIAL ASSISTANCE POLICY WEBSITE HTTP://WWW.CMHSHEALTH.ORG/PATIENTS-AND-VISITORS/PATIENT-INFORMATION/COMMUN ITY-MEMORIAL-HOSPITAL/FINANCIAL-SERVICES/
PART V, SECTION B, LINE 16B	FINANCIAL ASSISTANCE POLICY APPLICATION WEBSITE HTTP://WWW.CMHSHEALTH.ORG/PATIENTS-AND-VISITORS/PATIENT-INFORMATION/COMMUN ITY-MEMORIAL-HOSPITAL/FINANCIAL-SERVICES/
PART V, SECTION B, LINE 16C AND 16F	PLAIN LANGUAGE SUMMARY WEBSITE HTTP://WWW.CMHSHEALTH.ORG/PATIENTS-AND-VISITORS/PATIENT-INFORMATION/COMMUN ITY-MEMORIAL-HOSPITAL/FINANCIAL-SERVICES/
PART V, SECTION B, LINE 16H	CMHS CREATED A BILINGUAL FINANCIAL ASSISTANCE FLYER THAT IS DISTRIBUTED TO THE COMMUNITY AT HEALTH FAIRS, FREE CLINICS, COMMUNITY EVENTS AND SUPPORT GROUPS. THIS FLYER PROVIDES DETAILS ON THE CMHS FINANCIAL ASSISTANCE PROGRAM AS WELL AS DIRECTION ON HOW TO SOLICIT SUPPORT WITH ENROLLMENT.

Field	Value	IRS element (for citing)
Facility	24	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (24 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
SAVIERS CENTER FOR FAMILY HEALTH
2921 S SAVIERS ROAD	OXNARD	CA	93033	OP CLINIC
GROSSMAN IMAGING CENTER OF CMH LLC
2001 N SOLAR DRIVE SUITE 135	OXNARD	CA	93030	IMAGING CENTER
CAMARILLO CENTER FOR FAMILY HEALTH
422 B ARNEILL ROAD	CAMARILLO	CA	93010	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
AIRPORT MARINA CENTER FOR FAMILY HEALTH
3641 W FIFTH STREET	OXNARD	CA	93036	OP CLINIC
SANTA PAULA CENTER FOR FAMILY HEALTH
242 E HARVARD BLVD	SANTA PAULA	CA	93060	OP CLINIC
MSO SAN BUENAVENTURA UROLOGY CENTER
2705 LOMA VISTA ROAD SUITE 206	VENTURA	CA	93003	OP CLINIC
MAIN STREET CENTER FOR FAMILY HEALTH
138 W MAIN STREET	VENTURA	CA	93001	OP CLINIC
MSO PACIFIC INPATIENT PHYSICIANS
147 NORTH BRENT STREET	VENTURA	CA	93003	OP CLINIC
MIDTOWN MEDICAL GROUP CLINIC SPECIALTY
168 N BRENT STREET SUITE 302	VENTURA	CA	93003	OP CLINIC
PREMIERE HEALTH SANTA PAULA
258 262 E HARVARD BLVD	SANTA PAULA	CA	93060	OP CLINIC
MIDTOWN MEDICAL GROUP CLINIC
2721 E MAIN STREET	VENTURA	CA	93003	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
SANTA ROSA CENTER FOR FAMILY HEALTH
5800 SANTA ROSA ROAD	CAMARILLO	CA	93010	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
OJAI MULTISPECIALTY CENTER
117 PIRIE ROAD	OJAI	CA	93023	OP CLINIC
CENTRAL COAST CENTER FOR GYNECOLOGIC ONC
2900 LOMA VISTA ROAD SUITE 205	VENTURA	CA	93003	OP CLINIC
MSO PREMIERE DERMATOLOGY & MOHS SURGERY
168 N BRENT STREET SUITE 403	VENTURA	CA	93003	OP CLINIC
PROSTATE INSTITUTE OF AMERICA
147 N BRENT STREET	VENTURA	CA	93003	OP CLINIC

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C	IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, THE ORGANIZATION ALSO USED AN ALGORITHM TO DETERMINE QUALIFICATION OF CHARITY CARE FROM INFORMATION PROVIDED BY PATIENTS AT INTAKE AS WELL AS INFORMATION FROM CREDIT REPORTS.
PART I, LINE 7	COSTING METHOD USED IS COST-TO-CHARGE USING WORKSHEET 2.
PART I, LINE 7B	UNREIMBURSED MEDICAID THE CALIFORNIA HOSPITAL FEE PROGRAM (THE PROGRAM) AND AMENDING-LEGISLATION WAS SIGNED INTO LAW BY THE GOVERNOR OF CALIFORNIA ON JANUARY 1, 2010 AND SEPTEMBER 8, 2010, RESPECTIVELY. THE PRIMARY LEGISLATION (AB 1383) AND AMENDING LEGISLATION (AB 1653) CONTAINS TWO COMPONENTS: THE QUALITY ASSURANCE FEE ACT, WHICH GOVERNS THE "HOSPITAL FEE"QUALITY ASSURANCE FEE" (QA FEE) PAID BY PARTICIPATING HOSPITALS, AND THE MEDI-CAL HOSPITAL PROVIDER STABILIZATION ACT, WHICH GOVERNS SUPPLEMENTAL MEDI-CAL PAYMENTS (SUPPLEMENTAL PAYMENTS) MADE TO PROVIDERS FROM THE FUND. HOSPITAL PARTICIPATION IS MANDATORY, WITH LIMITED EXCEPTIONS. IN JUNE 2012, THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) AMENDED LEGISLATION TO ALLOW FOR THE FEE-FOR-SERVICE PORTION OF THE PROGRAM TO BE ADMINISTERED SEPARATELY FROM THE MANAGED CARE COMPONENT. THERE ARE TWO PROGRAMS THAT HAD ACTIVITY IN 2018 AND 2019: A 30-MONTH HOSPITAL FEE PROGRAM COVERING THE PERIOD FROM JANUARY 1, 2017 THROUGH JUNE 30, 2019, AND A 30-MONTH HOSPITAL FEE PROGRAM COVERING THE PERIOD FROM JULY 1, 2019 THROUGH DECEMBER 31, 2021. THE SYSTEM MADE PAYMENTS TO THE DHCS FOR THE QA FEE IN THE AMOUNT OF $16,289,802 AND $12,494,991 IN 2019 AND 2018, RESPECTIVELY. THE SYSTEM MADE CALIFORNIA HEALTH FOUNDATION AND TRUST PAYMENTS IN THE AMOUNT OF $362,754 AND $340,885 IN 2019 AND 2018, RESPECTIVELY, 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 $33,389,043 AND $35,518,314 OVER THE COURSE OF THE PROGRAM IN 2019 AND 2018, RESPECTIVELY. THE SYSTEM RECORDED THE SUPPLEMENTAL PAYMENTS AS OPERATING REVENUE WITHIN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS.
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 7, COLUMN F	THE ORGANIZATION INCLUDED $5,862 OF BAD DEBT EXPENSE IN PART IX. THE AMOUNT HAS BEEN SUBTRACTED FROM THE CALCULATION OF COLUMN F.
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 25.6% OF THE SYSTEMS NET REVENUE FOR 2019. 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	NEEDS ASSESSMENT IN 2019, CMHS WORKED CLOSELY WITH 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, 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 851,000 AND MADE OF UP 45% WHITE, 43% HISPANIC AND 12% OTHER RESIDENTS. THE POPULATION IS MADE UP OF 50.5% FEMALES AND 49.5% MALE WITH 15.6% OF THE POPULATION OVER THE AGE OF 65. THE POVERTY RATE FOR THE COUNTY IS 9.5% AND 9.3% OF THE POPULATION UNDER 65 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.
PART VI, LINE 6	N/A
PART VI, LINE 7	STATE FILING OF COMMUNITY BENEFIT REPORT CALIFORNIA

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	false	GrantRecordsMaintainedInd

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
CALIFORNIA HEALTH FOUNDATION & TRUST
1215 K STREET SUITE 800	SACRAMENTO	CA	95814	941498697	501(c)(3)	$362,754	$0	CA HOSPITAL FEE PROGRAM
VENTURA FAMILY YMCA
3760 TELEGRAPH ROAD	VENTURA	CA	93003	951643379	501(c)(3)	$10,000	$0	GENERAL SUPPORT
VENTURA CHAMBER OF COMMERCE
505 POLI STREET 2ND FLOOR	VENTURA	CA	93001	951332204	501(c)(6)	$7,000	$0	GENERAL SUPPORT
NATIONAL HEALTH FOUNDATION
515 S FIGUEROA ST SUITE 1300	LOS ANGELES	CA	90071	237314808	501(c)(3)	$105,000	$0	GENERAL SUPPORT
AMERICAN HEART ASSOCIATION
212 W FIGUEROA STREET	SANTA BARBARA	CA	93101	135613797	501(c)(3)	$7,500	$0	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	4	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	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), 501(C)(6) AND GOVERNMENT ORGANIZATIONS. ONCE THE GRANT IS GIVEN, IT IS NOT MONITORED BY CMHS AND IS LEFT UP TO THE DISCRETION OF THE GRANTEE.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Discretionary Spending Acct	Yes (X)	DiscretionarySpendingAcctInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	false	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CYNTHIA FAHEY
CNO	$268,008	$0	$75,000	$0	$264,280	$0	$63,922	$0	$533	$0	$671,743	$0	$250,505	$0
STANLEY FROCHTZWAJG
CMO, INPATIENT	$371,338	$0	$0	$0	$110,808	$0	$65,798	$0	$2,851	$0	$550,795	$0	$72,193	$0
WILFRED GARAND
VP PLANNING & MANAGED CARE	$268,300	$0	$60,000	$0	$259,817	$0	$52,589	$0	$0	$0	$640,706	$0	$255,328	$0
DAVID GLYER
CFO	$384,649	$0	$110,000	$0	$115,672	$0	$80,463	$0	$5,501	$0	$696,285	$0	$102,577	$0
DIANY KLEIN
VP HUMAN RESOURCES (thru 8/19)	$222,681	$0	$82,500	$0	$181,969	$0	$64,279	$0	$0	$0	$551,429	$0	$164,748	$0
HAADY LASHKARI
CHIEF ADM OFFICER OJAI/VP CMH	$243,746	$0	$75,000	$0	$198,476	$0	$59,473	$0	$11,976	$0	$588,671	$0	$195,908	$0
EMILIE RAYMAN
COMPLIANCE OFFICER	$238,585	$0	$50,000	$0	$70,042	$0	$46,689	$0	$2,851	$0	$408,167	$0	$57,840	$0
RICHARD REISMAN
VP AMBULATORY MEDICINE	$225,001	$0	$0	$0	$10,483	$0	$0	$0	$8,353	$0	$243,837	$0	$0	$0
ANTHONY RUSSELL
CAO AMBULATORY MEDICINE	$409,512	$0	$50,000	$0	$57,740	$0	$60,431	$0	$11,326	$0	$589,009	$0	$54,651	$0
SAMUEL SMALL
CHIEF OF MEDICAL EDUCATION	$417,077	$0	$0	$0	$89,583	$0	$80,993	$0	$2,851	$0	$590,504	$0	$82,008	$0
ADAM THUNELL
VP OPERATIONS	$399,474	$0	$150,000	$0	$520,103	$0	$92,406	$0	$6,976	$0	$1,168,959	$0	$517,006	$0
GARY K WILDE
PRESIDENT & CEO	$731,385	$0	$200,000	$0	$279,827	$0	$392,000	$0	$4,351	$0	$1,607,563	$0	$266,776	$0
KEITH MCWILLIAMS
CIO	$279,017	$0	$22,957	$0	$2,052	$0	$0	$0	$7,828	$0	$311,854	$0	$0	$0
EUGENE DAY
DIRECTOR OF PHARMACY	$266,239	$0	$0	$0	$0	$0	$0	$0	$12,648	$0	$278,887	$0	$0	$0
CARLOS LIMON JR
PHARMACIST	$247,044	$0	$0	$0	$0	$0	$0	$0	$18,357	$0	$265,401	$0	$0	$0
KARI ANNE OSBORNE
VP HUMAN RESOURCES	$216,694	$0	$15,588	$0	$1,754	$0	$0	$0	$6,732	$0	$240,768	$0	$0	$0
MARK SCHUETTE
DIR CONSTRUCTION PROJECT MGMT	$251,380	$0	$0	$0	$0	$0	$0	$0	$5,702	$0	$257,082	$0	$0	$0
PILAR PARKER
RN III	$268,324	$0	$0	$0	$0	$0	$0	$0	$6,430	$0	$274,754	$0	$0	$0
SCOTT GOODFRIEND
PHYSICIAN ADVISOR	$309,592	$0	$0	$0	$0	$0	$0	$0	$18,357	$0	$327,949	$0	$0	$0
DEBORAH CARLSON MD
BOARD MEMBER	$163,750	$0	$0	$0	$0	$0	$0	$0	$0	$0	$163,750	$0	$0	$0
CYNTHIA DEMOTTE
VP QUALITY	$216,240	$0	$60,000	$0	$505,951	$0	$46,336	$0	$2,533	$0	$831,060	$0	$500,979	$0
MICHAEL ELLINGSON
VP MARKETING & DEVELOPMENT	$231,271	$0	$52,500	$0	$51,321	$0	$45,468	$0	$533	$0	$381,093	$0	$45,866	$0
RONALD SANDIFER
CIO (Thru 6/19)	$499,535	$0	$0	$0	$0	$0	$0	$0	$0	$0	$499,535	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, SCHEDULE J, PART I, LINE 1A	CERTAIN EXECUTIVES ON FORM 990, PART VII AND SCHEDULE J, PART II RECEIVE AN AUTOMOBILE ALLOWANCE. THE ALLOWANCE IS INCLUDED IN TAXABLE WAGES AND REPORTED ON THEIR W-2.
FORM 990, SCHEDULE J, PART I, LINE 4B	ON APRIL 1, 2002, A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (THE 2002 SERP) WAS ESTABLISHED TO COVER SENIOR STAFF MEMBERS OF CMHS. FOR THE 2002 SERP, THE MONTHLY BENEFIT AT NORMAL RETIREMENT DATE (AGE 65) IS EQUAL TO THE AVERAGE MONTHLY COMPENSATION FOR THE THREE-YEAR PERIOD DURING WHICH COMPENSATION WAS THE HIGHEST, INCLUDING PERIODS BEFORE APRIL 1, 2002, AT THE FOLLOWING RATES: (I) 4% FOR THE CEO AND 2% FOR OTHER PARTICIPANTS THROUGH APRIL 4, 2004, AND (II) 5% FOR THE CEO, WHICH INCLUDES A CATCH UP PROVISION FOR A SERP BENEFIT FORFEITED FROM A PRIOR EMPLOYER AS A CONDITION OF HIS EMPLOYMENT AT CMH, AND 2% FOR OTHER PARTICIPANTS AFTER APRIL 4, 2004. PARTICIPANTS VEST AFTER TEN YEARS OF SERVICE AND THE ATTAINMENT OF AGE 60, INCLUDING SERVICE PRIOR TO THE EFFECTIVE DATE, OR ATTAINMENT OF AGE 65, WHICHEVER IS EARLIER. TOGETHER, THE 1990 SERP AND THE 2002 SERP ARE REFERRED TO AS SERPS. THE SERPS WERE FUNDED BASED ON AN ANNUAL VALUATION OF THE LIABILITY. THE BOARD OF DIRECTORS HAD DESIGNATED ASSETS TO BE SEGREGATED TO FUND THE SERPS, WHICH WERE INCLUDED IN ASSETS LIMITED TO USE OR DEFERRED COMPENSATION PLANS AS OF DECEMBER 31, 2018. HOWEVER, THE ASSETS WERE NOT HELD IN TRUST OR, OTHERWISE, LEGALLY RESTRICTED TO FUND THE PLANS. THE SERP WAS TERMINATED ON SEPTEMBER 30, 2019, AND DISTRIBUTIONS OF PLAN ASSETS WERE MADE TO PARTICIPANTS. BELOW ARE THE TAXABLE DISTRIBUTIONS TO PLAN PARTICIPANTS AS REPORTED ON SCHEDULE J, PART II: CYNTHIA DEMOTTE - $500,979 MICHAEL ELLINGSON - $45,866 CYNTHIA FAHEY - $250,505 STANLEY FROCHTZWAJG - $72,193 WILFRED GARAND - $255,328 DAVID GLYER - $102,577 DIANY KLEIN - $164,748 HAADY LASHKARI - $195,908 EMILIE RAYMAN - $57,840 ANTHONY RUSSELL - $54,651 SAMUEL SMALL - $82,008 ADAM THUNELL - $517,006 GARY K. WILDE - $266,776
FORM 990, SCHEDULE J, PART I, LINE 7	BONUSES ARE AWARDED TO EXECUTIVES BASED ON THEIR CONTRIBUTION TO THE OVERALL GOALS OF THE SYSTEM, THEIR ACHIEVEMENT OF INDIVIDUAL GOALS AND WITH REGARD TO REASONABLE COMPENSATION PRACTICES FOR COMPARABLE POSITIONS IN LIKE ORGANIZATIONS. THE COMPENSATION COMMITTEE REVIEWS AND RECOMMENDS THE BONUSES AND MOVES FOR APPROVAL BY THE BOARD OF TRUSTEES.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	CITY OF SAN BUENAVENTURA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	956000807	BondIssuerEIN
CUSIP	797049AJ2	CUSIPNum
Bond Issued	2011-08-17	BondIssuedDt
Issue Price	$350,000,000	IssuePriceAmt
Purpose	REPLACEMENT FACILITIES	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$0	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$349,865,548	TotalProceedsAmt
In Reserve Fund	$31,231,692	InReserveFundAmt
Capitalized Interest	$187,475,791	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$0	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$131,158,066	CapitalExpendituresAmt
Other Spent Proceeds	$0	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Substantial Completion	2018	SubstantialCompletionYr
Refunding Tax Exempt Bonds	false	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	false	RefundingTaxableBondsInd
Final Allocation Made	false	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	false	MgmtContractBondFincdPropInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0.05300	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.05300	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	false	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	false	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	Yes (true)	NoRebateDueInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	false	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	false	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE K, PART II, LINE 3	ORIGINAL ISSUE DISCOUNT OF $134,452.
SCHEDULE K, PART IV, LINE 2C	THE REBATE COMPUTATION TO DETERMINE THAT NO REBATE IS DUE WAS COMPLETED ON 8/23/2017.

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArtGrp
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp
Books And Publications		BooksAndPublicationsGrp
Clothing And Household Goods		ClothingAndHouseholdGoodsGrp
Cars And Other Vehicles		CarsAndOtherVehiclesGrp
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$190,000	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
Real Estate Residential		RealEstateResidentialGrp
Real Estate Commercial		RealEstateCommercialGrp
Real Estate Other		RealEstateOtherGrp
Collectibles		CollectiblesGrp
Food Inventory		FoodInventoryGrp
Drugs And Medical Supplies		DrugsAndMedicalSuppliesGrp
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE M, PART I, COLUMN B	FormAndLineReferenceDesc
Explanation	THE NUMBER REPORTED IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 1	TO ESTABLISH, EQUIP AND MAINTAIN ONE OR MORE NONPROFIT HOSPITALS, MEDICAL CENTERS, INSTITUTIONS, CLINICS OR OTHER PLACES FOR THE RECEPTION AND CARE OF THE SICK, INJURED AND DISABLED, WITH PERMANENT FACILITIES THAT INCLUDE INPATIENT BED AND MEDICAL SERVICES; TO PROVIDE DIAGNOSIS AND TREATMENT FOR PATIENTS; AND TO PROVIDE ASSOCIATED SERVICES, OUTPATIENT CARE AND HOME CARE IN FURTHERANCE OF THIS CORPORATION'S CHARITABLE PURPOSES; TO PROMOTE AND CARRY ON EDUCATION ACTIVITIES RELATED TO THE CARE OF SICK, INJURED AND DISABLED, TO THE PROMOTION OF HEALTH; TO PROMOTE AND CARRY OUT SCIENTIFIC AND MEDICAL RESEARCH RELATED TO THE CARE OF THE SICK, INJURED AND DISABLED; AND TO PROMOTE OR CARRY OUT OTHER SUCH ACTIVITIES AS MAY BE DEEMED ADVISABLE FOR THE BETTERMENT OF THE GENERAL HEALTH OF THE COMMUNITIES SERVED.
FORM 990, PART III, LINES 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. 7. CONTINUE TO PROVIDE AT LEAST 3,000 FREE BLOOD PRESSURE CHECKS PER MONTH, AS WELL AS BLOOD PRESSURE MANAGEMENT EDUCATION AND RESOURCES, AT THE KIOSK IN THE PACIFIC VIEW MALL IN VENTURA. 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. RESIDENTS 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.
FORM 990, PART VI, LINE 11B	PROCESS USED TO REVIEW FORM 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 STATEMENTS ENSURE 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, QUESTIONS 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 DIRECTORS. THIS PROCESS IS DOCUMENTED IN THE BOARD MINUTES. THE PROCESS WAS LAST COMPLETED IN MAY 2019.
FORM 990, PART VI, QUESTIONS 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, QUESTION 19	PUBLIC DISCLOSURE OF CERTAIN DOCUMENTS THE AUDITED FINANCIAL STATEMENTS, FORM 990 TAX RETURNS, GOVERNING AND ORGANIZATIONAL DOCUMENTS, AND CONFLICT OF INTEREST POLICY IS AVAILABLE THROUGH THE ADMINISTRATIVE OFFICES AND IS PROVIDED UPON REQUEST.
FORM 990, PART VIII, LINE 1F	ALL OTHER CONTRIBUTIONS, GIFTS, GRANTS, AND SIMILAR AMOUNTS THE AMOUNT SHOWN ON LINE 1F IS LESS THAN THE TOTAL AMOUNT OF CONTRIBUTIONS SHOWN ON SCHEDULE B. THIS DISCREPANCY RESULTS FROM ADJUSTMENTS MADE TO THE LINE 1F CONTRIBUTION REVENUE REMOVING AMOUNTS RECEIVED DURING THE YEAR FOR PRIOR YEAR PLEDGES.
FORM 990, PART XI, LINE 9	OTHER CHANGES IN NET ASSETS OTHER COMPONENTS OF NET PERIODIC POST-RETIREMENT COST $ 1,779,630 CHANGE IN PENSION LIABILITY $ 1,353,625 ACAOV CONTRIBUTED CAPITAL $ 521,334 CHANGE IN PLEDGE RECEIVABLE RESERVE $ 15,891 LEASE ADJUSTMENT $( 49,711) -------------- TOTAL $ 3,620,769

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ACCOUNTABLE CARE ALLIANCE OF VENTURA LLC
147 N BRENT STREET	VENTURA	CA	93003	462843182	MGMT SVCS	CA	$0	$25	CMHS
COMMUNITY MEMORIAL PHYSICIANS SERVICES
147 N BRENT STREET	VENTURA	CA	93003	463142917	MGMT SVCS	CA	$0	$0	CMHS
VENTURA ORTHOPEDIC CO-MANAGEMENT COMPANY
147 N BRENT STREET	VENTURA	CA	93003	453483342	MGMT SVCS	CA	$0	$0	CMHS

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	COMMUNITY MEMORIAL HEALTHCARE FOUNDATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	147 N BRENT STREET	AddressLine1Txt
City	VENTURA	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	93003	ZIPCd

Field	Value	IRS element (for citing)
EIN	953847251	EIN
Primary Activities	FUNDRAISING	PrimaryActivitiesTxt
Legal Domicile State	CA	LegalDomicileStateCd
Exempt Code Section	501(c)(3)	ExemptCodeSectionTxt
Public Charity Status	7	PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	CMHS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Controlled Organization	Yes (true)	ControlledOrganizationInd

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
GROSSMAN IMAGING CENTER OF CMH LLC
2001 N SOLAR DRIVE SUITE 135	OXNARD	CA	93030	371512002	IMAGING CENTER	CA	NA	Related	-$102,391	-$801,970	false	$0	false	0.51000
VENTURA CARDIOVASCULAR CO-MGMT
147 N BRENT STREET	VENTURA	CA	93003	273227049	MANAGEMENT SVCS	CA	NA	Related	$213,400	$3,299	false	$0	Yes (true)	0.50000
BUENAVISTA MEDICAL PROPERTIES
168 N BRENT STREET	VENTURA	CA	93003	770275364	RENTAL	CA	NA	Related

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
BUENAVISTA MEDICAL PROPERTIES INC
147 N BRENT STREET	VENTURA	CA	93003	770298516	REAL ESTATE	CA	NA	C Corp	$267,824	$518,548	1.00000	Yes (true)
CALIFORNIA HEART INSTITUTE
147 N BRENT STREET	VENTURA	CA	93003	770276145	BILLING SERVICES	CA	NA	C Corp	$339,145	$232,706	1.00000	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
GROSSMAN IMAGING CENTER
a	$96,226	ACCRUAL METHOD
GROSSMAN IMAGING CENTER
d	$2,878,122	ACCRUAL METHOD
GROSSMAN IMAGING CENTER
j	$168,432	ACCRUAL METHOD
COMMUNITY MEMORIAL HEALTHCARE FDN
c	$111,798	ACCRUAL METHOD
COMMUNITY MEMORIAL HEALTHCARE FDN
q	$237,587	ACCRUAL METHOD

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE R, PART III	FormAndLineReferenceDesc
Explanation	INFORMATION FOR RELATED ORGANIZATIONS TAXABLE AS PARTNERSHIPS ORGANIZATION NAME: GROSSMAN IMAGING CENTER OF CMH, LLC ORGANIZATION EIN: 37-1512002 U.S. ADDRESS: 2001 N. SOLAR DR., SUITE 135, OXNARD, CA 93030 ORGANIZATION NAME: VENTURA CARDIOVASCULAR CO-MANAGEMENT CO. LLC ORGANIZATION EIN: 27-3227049 U.S. ADDRESS: 147 NORTH BRENT STREET, VENTURA, CA 93003 ORGANIZATION NAME: BUENAVISTA MEDICAL PROPERTIES, LTD. ORGANIZATION EIN: 77-2753640 U.S. ADDRESS: 168 NORTH BRENT STREET, VENTURA, CA 93003	ExplanationTxt