COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA (EIN 94-0760193)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-14
IRS object ID: 201943189349314499
Schema version: 2018v3.1
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 O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-11-14T18:58:45-06:00	ReturnTs
Tax Period End	2018-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	910189318	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	MOSS ADAMS LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	101 SECOND STREET SUITE 900	AddressLine1Txt
City	SAN FRANCISCO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94105	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	940760193	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	COMMUNITY HOSPITAL OF THE MONTEREY	BusinessNameLine1Txt
Business Name Line2	PENINSULA	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	COMM	BusinessNameControlTxt
Phone	8316254821	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX HH	AddressLine1Txt
City	MONTEREY	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	93942	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MATT MORGAN	PersonNm
Person Title	VP, CFO	PersonTitleTxt
Phone	8316254821	PhoneNum
Signature	2019-11-13	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	RICHARD CROGHAN	PreparerPersonNm
PTIN	P00089862	PTIN
Phone	4159561500	PhoneNum
Preparation	2019-11-13	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	12.129.4.210	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-11-13	IPDt
IP Tm	07:59:53	IPTm
IP Timezone	PS	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	38D2F50D294D7FF929294DC7DB19A49EB4956B3D	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-03-31 21:24:44Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	STEVE PACKER MD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX HH	AddressLine1Txt
City	MONTEREY	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	93942	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$617,449,556	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CHOMP.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1928	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE HEALTHCARE SERVICES TO THE COMMUNITY. IMPROVING LIVES BY DELIVERING EXCEPTIONAL CARE AND INSPIRING THE PURSUIT OF OPTIMAL HEALTH.	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	15	VotingMembersIndependentCnt
Total Employee	2574	TotalEmployeeCnt
Total Volunteers	316	TotalVolunteersCnt
Total Gross UBI	$2,288,674	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$4,548,327	PYContributionsGrantsAmt
CY Contributions Grants	$8,331,189	CYContributionsGrantsAmt
PY Program Service Revenue	$569,847,415	PYProgramServiceRevenueAmt
CY Program Service Revenue	$605,143,439	CYProgramServiceRevenueAmt
PY Investment Income	$432,111	PYInvestmentIncomeAmt
CY Investment Income	$766,522	CYInvestmentIncomeAmt
PY Other Revenue	$2,023,315	PYOtherRevenueAmt
CY Other Revenue	$3,208,406	CYOtherRevenueAmt
PY Total Revenue	$576,851,168	PYTotalRevenueAmt
CY Total Revenue	$617,449,556	CYTotalRevenueAmt
PY Grants And Similar Paid	$592,589	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$7,320,952	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$302,144,023	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$320,264,861	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$197,284,392	PYOtherExpensesAmt
CY Other Expenses	$231,152,655	CYOtherExpensesAmt
PY Total Expenses	$500,021,004	PYTotalExpensesAmt
CY Total Expenses	$558,738,468	CYTotalExpensesAmt
PY Revenues Less Expenses	$76,830,164	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$58,711,088	CYRevenuesLessExpensesAmt
Total Assets BOY	$777,458,906	TotalAssetsBOYAmt
Total Assets EOY	$531,415,322	TotalAssetsEOYAmt
Total Liabilities BOY	$516,471,850	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$418,062,064	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$260,987,056	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$113,353,258	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA IS DEDICATED TO IDENTIFYING AND MEETING THE CHANGING HEALTHCARE NEEDS OF THE PEOPLE OF THE MONTEREY PENINSULA AND SURROUNDING COMMUNITIES. WE ARE COMMITTED TO PROVIDING HIGH-QUALITY SERVICES AT A COMPETITIVE COST AND WITHIN A SAFE ENVIRONMENT. WE PROVIDE EDUCATIONAL AND PUBLIC SERVICE PROGRAMS TO ENHANCE THE HEALTH OF OUR COMMUNITY AND THE COMPETENCE OF THOSE WHO PROVIDE THE SERVICE. WE CARE FOR ALL WHO COME THROUGH OUR DOORS, REGARDLESS OF ABILITY TO PAY, TO THE FULLEST EXTENT ALLOWED BY LAW AND AVAILABLE RESOURCES.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$485,875,610	ExpenseAmt
Grant	$7,320,952	GrantAmt
Revenue	$603,179,336	RevenueAmt
Desc	TO PROVIDE HEALTHCARE FOR THE GENERAL PUBLIC - 12,669 ADMISSIONS; 61,348 ADULT PATIENT DAYS; 348,364 OUTPATIENT VISITS; 7,673 SURGERIES; 53,347 EMERGENCY ROOM VISITS; 15,983 HOSPICE BENEFIT DAYS; AND 1,090 BIRTHS.	Desc
Total Program Service Expenses	$485,875,610	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	Yes (1)	ConservationEasementsInd
Collections Of Art	Yes (1)	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	Yes (1)	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	553	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2574	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	15	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	8316254965	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	20 RAGSDALE DRIVE	AddressLine1Txt
City	MONTEREY	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	93940	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
STEVEN PACKER
PRESIDENT/CEO	35.00	20.00	Yes (X)	Yes (X)	$1,177,557	$0	$385,978
PATRICK WELTON MD
CHAIR	14.00		Yes (X)	Yes (X)	$0	$0	$0
KATHLEEN BANG
VICE CHAIR	9.00		Yes (X)	Yes (X)	$0	$0	$0
JANE PANATTONI
SECRETARY	6.00		Yes (X)	Yes (X)	$0	$0	$0
JANE DURANT JONES
TRUSTEE	1.00		Yes (X)		$0	$0	$0
JOHN ELLISON MD
TRUSTEE	2.00		Yes (X)		$2,475	$0	$0
GENE HILL
TRUSTEE	3.00		Yes (X)		$0	$0	$0
MICHAEL D LYON
TRUSTEE	2.00		Yes (X)		$0	$0	$0
JOHN MAHONEY
TRUSTEE	5.00		Yes (X)		$0	$0	$0
STAN MCKEE
TRUSTEE	2.00		Yes (X)		$0	$0	$0
JOHN O'BRIEN
TRUSTEE	2.00		Yes (X)		$0	$0	$0
FREDERICK O'SUCH
TRUSTEE	5.00		Yes (X)		$0	$0	$0
STEPHEN SCHULTE
TRUSTEE	3.00		Yes (X)		$0	$0	$0
GREG SPOWART MD
TRUSTEE	3.00		Yes (X)		$17,414	$94,250	$0
BILL WARNER
TRUSTEE	2.00		Yes (X)		$0	$0	$0
PHIL WILHELM
TRUSTEE	5.00		Yes (X)		$0	$0	$0
WILLIAM YOUNG
TRUSTEE	4.00		Yes (X)		$0	$0	$0
LAURA ZEHM
VICE PRESIDENT/CFO	35.00	20.00		Yes (X)	$701,535	$0	$142,193
STEVEN CABRALES
VP MEDICAL AFFAIRS	55.00			Yes (X)	$590,911	$0	$95,307
CYNTHIA PECK
VICE PRESIDENT	55.00			Yes (X)	$428,975	$0	$85,468
TERRIL LOWE
VP NURSING	55.00			Yes (X)	$670,403	$0	$98,424
TIM NYLEN
VICE PRESIDENT	55.00			Yes (X)	$473,353	$0	$57,600
MATT MORGAN
VP FINANCE	35.00	10.00		Yes (X)	$403,448	$0	$68,527
DEBORAH SOBER
VICE PRESIDENT	55.00			Yes (X)	$320,119	$0	$51,878
JENNIFER BALLESTEROS
RN	40.00				$348,732	$0	$12,771	Yes (X)
CHARLENE WEBBER-SCHUSS
CHIEF INFORMATION OFFICER	50.00				$330,289	$0	$64,151	Yes (X)
JARED STIVER
ASSISTANT DIRECTOR, TYLER	40.00				$322,320	$0	$55,847	Yes (X)
GREGG OLSEN
DIRECTOR, PHARAMCY	40.00				$299,379	$0	$70,789	Yes (X)
MARY KRAMER
ASSISTANT DIRECTOR, NURSING	40.00				$299,766	$0	$56,493	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,386,676	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$94,250	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,245,426	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1081	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
MEDICAL SOLUTIONS LLC
1010 N 102 ST	OMAHA	NE	68114	REGISTRY RN, THERAPISTS	$11,418,983
MONTEREY PENINSULA RADIOLOGIST MED GRP
PO BOX HH	MONTEREY	CA	93942	RADIOLOGY SERVICES	$9,886,907
MONTEREY BAY EMERGENCY PHYSICIANS MED GR
PO BOX HH	MONTEREY	CA	93940	EMERGENCY MD SERVICES	$9,488,488
IMPACT ADVISORS
PO BOX 379	NAPERVILLE	IL	60566	SOFTWARE CONSULTANTS	$8,675,475
MONTEREY HOSPITALIST GROUP
PO BOX HH	MONTEREY	CA	93942	HOSPITALIST GROUP SERVICES	$4,820,618

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	184	CntrctRcvdGreaterThan100KCnt
Related Organizations	$8,331,189	RelatedOrganizationsAmt
Total Contributions	$8,331,189	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT REVENUE	900099	$377,071,052	$375,106,949	$1,964,103
MEDICARE/MEDICAID	900099	$197,143,110	$197,143,110
OTHER OPERATING REVENUE	900099	$27,304,613	$27,304,613
MONTAGE WELLNESS CENTER	900099	$3,624,664	$3,624,664

Field	Value	IRS element (for citing)
Total Program Service Revenue	$605,143,439	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$733,095	TotalRevenueColumnAmt
Exclusion	$733,095	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$33,427	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$33,427	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$33,427	TotalRevenueColumnAmt
Exclusion	$33,427	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	OTHER INCOME	Desc
Business	900099	BusinessCd
Total Revenue Column	$3,208,406	TotalRevenueColumnAmt
Unrelated Business Revenue	$324,571	UnrelatedBusinessRevenueAmt
Exclusion	$2,883,835	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$3,208,406	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$617,449,556	TotalRevenueColumnAmt
Related Or Exempt Func Income	$603,179,336	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,288,674	UnrelatedBusinessRevenueAmt
Exclusion	$3,650,357	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$7,320,952	TotalAmt
Program Services	$7,320,952	ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$5,771,561	TotalAmt
Management And General	$5,771,561	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$193,948,267	TotalAmt
Program Services	$183,229,958	ProgramServicesAmt
Management And General	$10,718,309	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$24,962,827	TotalAmt
Program Services	$23,161,765	ProgramServicesAmt
Management And General	$1,801,062	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$79,909,892	TotalAmt
Program Services	$72,665,281	ProgramServicesAmt
Management And General	$7,244,611	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$15,672,314	TotalAmt
Program Services	$14,541,560	ProgramServicesAmt
Management And General	$1,130,754	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,879,933	TotalAmt
Management And General	$1,879,933	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$550,014	TotalAmt
Management And General	$550,014	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$36,302,340	TotalAmt
Program Services	$33,298,398	ProgramServicesAmt
Management And General	$3,003,942	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$15,256,134	TotalAmt
Program Services	$9,983,151	ProgramServicesAmt
Management And General	$5,272,983	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$11,857,198	TotalAmt
Program Services	$7,165,928	ProgramServicesAmt
Management And General	$4,691,270	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,083,871	TotalAmt
Management And General	$5,083,871	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$31,579,944	TotalAmt
Program Services	$22,158,696	ProgramServicesAmt
Management And General	$9,421,248	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,771,065	TotalAmt
Program Services	$2,262,639	ProgramServicesAmt
Management And General	$1,508,426	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$82,189,868	$74,539,618	$7,650,250
PHYSICIAN COVERAGE	$13,316,333	$13,316,333
BAD DEBTS EXPENSE	$12,297,221	$12,297,221
HOSPITAL PROVIDER FEES	$9,515,239	$5,709,143	$3,806,096

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,553,495	TotalAmt
Program Services	$4,224,967	ProgramServicesAmt
Management And General	$3,328,528	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$558,738,468	TotalAmt
Program Services	$485,875,610	ProgramServicesAmt
Management And General	$72,862,858	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$24,806,998	BOYAmt
EOY	$24,886,803	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$45,594,606	BOYAmt
EOY	$203,765	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$88,236,127	BOYAmt
EOY	$99,226,815	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,495,866	BOYAmt
EOY	$2,707,621	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$42,547,261	BOYAmt
EOY	$60,671,108	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$805,947,856	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$482,711,967	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$280,509,204	BOYAmt
EOY	$323,235,889	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$293,268,844	BOYAmt
EOY	$20,483,321	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$777,458,906	BOYAmt
EOY	$531,415,322	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$74,687,491	BOYAmt
EOY	$75,169,858	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$31,956,820	BOYAmt
EOY	$40,896,487	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$145,864,830	BOYAmt
EOY	$139,999,717	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$23,622,109	BOYAmt
EOY	$20,191,463	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$240,340,600	BOYAmt
EOY	$141,804,539	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$516,471,850	BOYAmt
EOY	$418,062,064	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$260,987,056	BOYAmt
EOY	$113,353,258	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$260,987,056	BOYAmt
EOY	$113,353,258	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$777,458,906	BOYAmt
EOY	$531,415,322	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$58,711,088	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$97,048	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$206,247,838	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	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 (1)	AuditCommitteeInd
Federal Grant Audit Required	0	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

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$278,372	FilingOrganizationsTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$278,372	FilingOrganizationsTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$558,460,096	FilingOrganizationsTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$558,738,468	FilingOrganizationsTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,000,000	FilingOrganizationsTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$250,000	FilingOrganizationsTotalAmt

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$1,000,000	CurrentYearMinus3Amt
Current Year Minus2	$1,000,000	CurrentYearMinus2Amt
Current Year Minus1	$1,000,000	CurrentYearMinus1Amt
Current Year	$1,000,000	CurrentYearAmt
Total	$4,000,000	TotalAmt

Field	Value	IRS element (for citing)
Lobbying Ceiling	$6,000,000	LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$242,642	CurrentYearMinus3Amt
Current Year Minus2	$262,110	CurrentYearMinus2Amt
Current Year Minus1	$278,372	CurrentYearMinus1Amt
Current Year	$278,372	CurrentYearAmt
Total	$1,061,496	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$250,000	CurrentYearMinus3Amt
Current Year Minus2	$250,000	CurrentYearMinus2Amt
Current Year Minus1	$250,000	CurrentYearMinus1Amt
Current Year	$250,000	CurrentYearAmt
Total	$1,000,000	TotalAmt

Field	Value	IRS element (for citing)
Grassroots Ceiling	$1,500,000	GrassrootsCeilingAmt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Protection Natural Habitat	Yes (X)	ProtectionNaturalHabitatInd
Preservation Open Space	Yes (X)	PreservationOpenSpaceInd
Total Easements	1	TotalEasementsCnt
Total Acreage	2.76	TotalAcreageCnt
Historic Structure Easements	0	HistoricStructureEasementsCnt
Historic Strctr Easements Aftr	0	HistoricStrctrEasementsAftrCnt
Modified Easements	0	ModifiedEasementsCnt
States Easements Held	1	StatesEasementsHeldCnt
Written Policy Monitoring	Yes (1)	WrittenPolicyMonitoringInd
Staff Hours Spent Enforcement	0.00	StaffHoursSpentEnforcementCnt
Expenses Incurred Enforcement	$0	ExpensesIncurredEnforcementAmt
Section170h Rqr Stsfd	Yes (1)	Section170hRqrStsfdInd

Art Public Exhibition Amounts ArtPublicExhibitionAmountsGrp

Field	Value	IRS element (for citing)
Assets Included	$3,970,374	AssetsIncludedAmt

Field	Value	IRS element (for citing)
Collection Used Pub Exhibition	Yes (X)	CollectionUsedPubExhibitionInd

Collection Used Other Purposes CollectionUsedOtherPurposesGrp

Field	Value	IRS element (for citing)
Collection Used Other Purposes	Yes (X)	CollectionUsedOtherPurposesInd
Other Purposes	OTHER	OtherPurposesDesc

Field	Value	IRS element (for citing)
Solicited Assets Sale	0	SolicitedAssetsSaleInd

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$136,954,497	BeginningYearBalanceAmt
Contributions	$832,369	ContributionsAmt
Investment Earnings Or Losses	-$934,052	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$75,000	GrantsOrScholarshipsAmt
Other Expenditures	$1,631,640	OtherExpendituresAmt
Administrative Expenses	$349,588	AdministrativeExpensesAmt
End Year Balance	$134,796,586	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$131,191,891	BeginningYearBalanceAmt
Contributions	$875,805	ContributionsAmt
Investment Earnings Or Losses	$7,255,389	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$537,716	GrantsOrScholarshipsAmt
Other Expenditures	$1,396,470	OtherExpendituresAmt
Administrative Expenses	$434,402	AdministrativeExpensesAmt
End Year Balance	$136,954,497	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.07050	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.22660	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.70290	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (1)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$397,782,263	OtherCostOrOtherBasisAmt
Depreciation	$213,996,344	DepreciationAmt
Book Value	$183,785,919	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$377,851,804	OtherCostOrOtherBasisAmt
Depreciation	$256,150,024	DepreciationAmt
Book Value	$121,701,780	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$24,793,339	OtherCostOrOtherBasisAmt
Depreciation	$12,565,599	DepreciationAmt
Book Value	$12,227,740	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$323,235,889	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
ACCRUED PROFESSIONAL LIABILITY	$3,074,010
ACCRUED PENSION LIABILITY	$82,027,442
POST-RETIREMENT HEALTH BENEFIT LIABILITY	$35,609,987
WORKERS' COMPENSATION LIABILITY	$13,009,771
INTEREST RATE SWAP	$7,978,676
INTERCOMPANY PAYABLE	$104,653

Field	Value	IRS element (for citing)
Total Liability	$141,804,539	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART II, LINE 9:	REPORTED ON BALANCE SHEET AS PART OF PROPERTY, PLANT AND EQUIPMENT.
PART III, LINE 4:	ART COLLECTIONS PROMOTE THE HEALING ENVIRONMENT OF THE HOSPITAL
PART V, LINE 4:	IMPROVEMENT OF PATIENT CARE, SPONSORED CARE UNDER CIRCUMSTANCES, OTHER COSTS TO IMPROVE THE AESTHETIC ENVIRONMENT, HOSPICE CARE, SCHOLARSHIPS, COMMUNITY BENEFIT GRANTS, AND EMPLOYEE WELLNESS AND INCENTIVE PROGRAMS.
PART X, LINE 2:	MONTAGE, CHOMP, ASPIRE (EXCLUDING COASTAL), AND MMG HAVE BEEN DETERMINED TO BE EXEMPT ORGANIZATIONS BY THE INTERNAL REVENUE SERVICE AND THE CALIFORNIA FRANCHISE TAX BOARD AND GENERALLY ARE NOT SUBJECT TO TAXES ON INCOME PURSUANT TO SECTION 501(C)(3) AND SECTION 23701(D) OF THE INTERNAL REVENUE CODE AND CALIFORNIA REVENUE AND TAXATION CODE, RESPECTIVELY. CCCMIC AND COASTAL ARE TAXABLE ENTITIES AND INCOME TAXES ARE ACCOUNTED FOR USING AN ASSET AND LIABILITY APPROACH THAT REQUIRES THE RECOGNITION OF DEFERRED TAX ASSETS AND LIABILITIES FOR THE EXPECTED FUTURE TAX CONSEQUENCES OF EVENTS THAT HAVE BEEN INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS. UNDER THIS METHOD, DEFERRED TAX ASSETS AND LIABILITIES ARE DETERMINED BASED ON THE DIFFERENCES BETWEEN THE CONSOLIDATED FINANCIAL STATEMENT AND TAX BASIS OF ASSETS AND LIABILITIES USING ENACTED TAX RATES IN EFFECT FOR THE YEAR IN WHICH THE DIFFERENCES ARE EXPECTED TO REVERSE. CCCMIC AND COASTAL HAVE NET CUMULATIVE LOSSES AND THE DEFERRED TAX ASSETS ASSOCIATED WITH THESE LOSSES HAVE BEEN FULLY RESERVED. THE ORGANIZATION ASSESSES UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH THE PROVISIONS OF THE FASB ASC TOPIC 740-10, INCOME TAXES. THE ORGANIZATION RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE ORGANIZATION RECOGNIZES INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS IN OPERATING EXPENSES. THERE WERE NO UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2018 AND 2017.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent350	Yes (X)	Percent350Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,887,449	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,887,449	NetCommunityBenefitExpnsAmt
Total Expense	0.00700	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$69,935,561	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,095,330	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$45,840,231	NetCommunityBenefitExpnsAmt
Total Expense	0.08200	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,517,960	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,215,151	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,302,809	NetCommunityBenefitExpnsAmt
Total Expense	0.02200	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$97,340,970	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$35,310,481	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$62,030,489	NetCommunityBenefitExpnsAmt
Total Expense	0.11100	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	106	ActivitiesOrProgramsCnt
Persons Served	126590	PersonsServedCnt
Total Community Benefit Expns	$5,281,648	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$660,669	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,620,979	NetCommunityBenefitExpnsAmt
Total Expense	0.00830	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	10	ActivitiesOrProgramsCnt
Persons Served	2771	PersonsServedCnt
Total Community Benefit Expns	$798,120	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$798,120	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$45,655,171	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,007,932	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,647,239	NetCommunityBenefitExpnsAmt
Total Expense	0.04050	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$32,119	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$32,119	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$635,675	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$635,675	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	116	ActivitiesOrProgramsCnt
Persons Served	129361	PersonsServedCnt
Total Community Benefit Expns	$52,402,733	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,668,601	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$28,734,132	NetCommunityBenefitExpnsAmt
Total Expense	0.05140	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	116	ActivitiesOrProgramsCnt
Persons Served	129361	PersonsServedCnt
Total Community Benefit Expns	$149,743,703	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$58,979,082	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$90,764,621	NetCommunityBenefitExpnsAmt
Total Expense	0.16240	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	200	PersonsServedCnt
Total Community Benefit Expns	$938	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$938	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	8665	PersonsServedCnt
Total Community Benefit Expns	$136,170	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$136,170	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	14202	PersonsServedCnt
Total Community Benefit Expns	$401,022	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$401,022	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	37200	PersonsServedCnt
Total Community Benefit Expns	$550,626	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$550,626	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	11	ActivitiesOrProgramsCnt
Persons Served	60267	PersonsServedCnt
Total Community Benefit Expns	$1,088,756	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,088,756	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$12,288,222	BadDebtExpenseAmt
Bad Debt Expense Attributable	$4,915,289	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$152,426,188	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$260,216,431	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$107,790,243	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	COMMUNITY HOSP OF THE MONTEREY PENINSULA	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	23625 HOLMAN HIGHWAY	AddressLine1Txt
City	MONTEREY	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	93940	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.CHOMP.ORG	WebsiteAddressTxt
State License	070000026	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	COMMUNITY HOSP OF THE MONTEREY PENINSULA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	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	16	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.CHOMP.ORG	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://WWW.CHOMP.ORG/ABOUT-US/COMMUNITY-NEEDS-ASSESSMENT/#.WD6H7VTSZN9	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	350.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.CHOMP.ORG	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.CHOMP.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.CHOMP.ORG	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 Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	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 (1)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

COMMUNITY HOSP OF THE MONTEREY PENINSULA

PART V, SECTION B, LINE 5: THE DATA COLLECTION EFFORT CONSISTED OF A RANDOM SAMPLE OF 1,000 INDIVIDUALS AGE 18 AND OLDER IN THE CHOMP SERVICE AREA, RESULTING IN 170 SURVEYS IN MONTEREY, 116 IN CARMEL/BIG SUR, 220 IN SEASIDE, 188 IN MARINA 145 IN PACIFIC GROVE/PEBBLE BEACH, AND 161 IN SALINAS/CARMEL VALLEY. ADMINISTRATION OF THE SURVEY, DATA COLLECTION, AND DATA ANALYSIS WAS CONDUCTED BY AN INDEPENDENT RESEARCH FIRM.A KEY INFORMANT SURVEY WAS CONDUCTED, AND PARTICIPANTS INCLUDED 133 COMMUNITY STAKEHOLDERS: PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, BUSINESS LEADERS, AND OTHER COMMUNITY LEADERS. PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL.

COMMUNITY HOSP OF THE MONTEREY PENINSULA

PART V, SECTION B, LINE 11: IDENTIFIED AREAS FOR FOCUS ARE INCORPORATED INTO THE HOSPITAL'S OPERATIONAL PLANNING. THIS INCLUDES COLLABORATION WITH OTHER COMMUNITY PARTNERS. AREAS IDENTIFIED THAT WERE NOT SELECTED FOR FOCUS INCLUDE CHRONIC KIDNEY DISEASE, CHRONIC PAIN AND DISABLING CONDITIONS, DEMENTIA IMMUNIZATION AND INFECTIOUS DISEASES, INJURY AND VIOLENCE PREVENTION, MATERNAL/INFANT HEALTH AND FAMILY PLANNING, ORAL HEALTH, SEXUALLY TRANSMITTED DISEASE, SUBSTANCE ABUSE, AND TOBACCO ABUSE. THE MAJORITY OF THESE NEEDS HAVE OTHER COMMUNITY ORGANIZATIONS ADDRESSING THE PARTICULAR ISSUE. IN OTHER AREAS, EDUCATIONAL PROGRAMS ARE ALREADY IN PLACE.

Field	Value	IRS element (for citing)
Facility	6	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - WESTLAND HOUSE
100 BARNET SEGAL LANE	MONTEREY	CA	93940	SKILLED NURSING FACILITY
2 - HARTNELL PROFESSIONAL CENTER
576 HARTNELL STREET	MONTEREY	CA	93940	OUTPATIENT SERVICES
3 - MONTAGE WELLNESS CENTER - MARINA
2920 2ND AVENUE	MARINA	CA	93933	OUTPATIENT SERVICES
4 - MONTAGE WELLNESS CENTER - SALINAS
1910 NORTH DAVIS ROAD	SALINAS	CA	93907	OUTPATIENT SERVICES
5 - RYAN RANCH
2 UPPER RAGSDALE DRIVE	MONTEREY	CA	93940	OUTPATIENT SERVICES
6 - CARMEL CROSSROADS
256 CROSSROADS BLVD	CARMEL	CA	93923	OUTPATIENT SERVICES

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 6A:	MONTAGE HEALTH 94-2789696
PART I, LINE 7:	A RATIO OF COST TO CHARGES FROM WORKSHEET 2 WAS USED ON LINE (A). ALL OTHER LINES IN THIS SECTION EITHER USE DIRECTLY ATTRIBUTABLE EXPENSES FROM THE GENERAL LEDGER OR RELY ON ESTIMATES FROM OUR COST ACCOUNTING SYSTEM. THE COST ACCOUNTING SYSTEM ADDRESSES ALL PATIENT SEGMENTS.
PART II, COMMUNITY BUILDING ACTIVITIES:	COMMUNITY BUILDING ACTIVITIES ARE OFFERED IN DIRECT RESPONSE TO COMMUNITY NEED. COMMUNITY HEALTH IS PROMOTED BY ENSURING ADEQUATE PHYSICIAN AVAILABILITY IN THE AREA, MAKING HEALTH INFORMATION AVAILABLE TO PARTICIPATING PHYSICIANS AND ENSURING PROPER EMERGENCY PREPAREDNESS ON THE PENINSULA.THE HOSPITAL GOES ABOVE AND BEYOND REQUIREMENTS AS IT RELATES TO DISASTER PLANNING. INCLUDED ON PART II LINE 3 ARE A BASE HOSPITAL COORDINATOR AND EMERGENCY PREPAREDNESS EXPENSES. THE HOSPITAL SERVES AS THE KEY RESOURCE IN AREA DISASTER SUPPORT.THE HOSPITAL PROVIDES NUMEROUS INCENTIVES TO REDUCE TRAFFIC ON THE PENINSULA, AS FOUND ON LINE 4 IN PART II. FULL EMPLOYEE SHUTTLE SERVICE TO SURROUNDING COMMUNITIES AS WELL AS CARPOOL INCENTIVES COMPRISE A KEY BENEFIT TO THE LOCAL COMMUNITY. PART II, LINE 8 INCLUDES THE HOSPITAL'S PHYSICIAN RECRUITMENT PROGRAM WHICH IS FURTHER DESCRIBED BELOW: SINCE 1999, COMMUNITY HOSPITAL HAS ENGAGED IN PERIODIC ASSESSMENT OF THE ADEQUACY OF PHYSICIAN RESOURCES NEEDED TO MEET COMMUNITY HEALTHCARE NEEDS. THE FIRST STUDY DEMONSTRATED THAT THERE WERE UNMET NEEDS IN CERTAIN PHYSICIAN SPECIALTIES, AND THAT THE PROBLEM WOULD LIKELY WORSEN OVER THE NEXT SEVERAL YEARS. BECAUSE THE SHORTAGES DID, IN FACT, WORSEN IN THE INTERVENING YEARS, THE BOARD OF TRUSTEES ESTABLISHED A FORMAL PHYSICIAN RECRUITMENT PROGRAM IN 2001 TO PROVIDE SIGNIFICANT FINANCIAL SUPPORT AND A MORE AGGRESSIVE ORGANIZATIONAL COMMITMENT TO MEETING THESE COMMUNITY NEEDS AND IMPROVING ACCESS TO CARE FOR LOCAL RESIDENTS.THE PHYSICIAN RECRUITMENT PROGRAM INCLUDES ONGOING ASSESSMENT OF THE CHANGING NEEDS AND DEMOGRAPHICS OF THE HOSPITAL'S SERVICE AREA, CHANGING MARKET CONDITIONS, AND ACTIVE MEDICAL STAFF DEMOGRAPHICS AND PRACTICE PATTERNS. THE PROGRAM IS REGULARLY UPDATED TO REFLECT THIS ASSESSMENT DATA (AS WELL AS CHANGES IN APPLICABLE LAWS GOVERNING SUCH PROGRAMS), AND RECRUITMENT PRIORITIES ARE ESTABLISHED ANNUALLY BY HOSPITAL ADMINISTRATION AND MEDICAL STAFF LEADERSHIP. THE PROGRAM IS DESIGNED TO PROVIDE THE ASSISTANCE NECESSARY TO BRING PHYSICIANS IN SPECIALTIES WITH DEMONSTRATED LOCAL SHORTAGES TO THE HOSPITAL'S PRIMARY SERVICE AREA.THROUGH DECEMBER 2010, THE HOSPITAL HAD SUCCESSFULLY RECRUITED OVER 81 PHYSICIANS TO THE MONTEREY PENINSULA UNDER THE PROGRAM. ALL ARE REQUIRED TO PARTICIPATE IN THE MEDICARE, MEDI-CAL, AND CHAMPUS/TRICARE PROGRAMS, BECAUSE THE SHORTAGE OF PHYSICIANS ON THE MONTEREY PENINSULA WILLING TO DO SO IS PARTICULARLY ACUTE.CURRENT RECRUITMENT PRIORITIES INCLUDE: ADULT PRIMARY CARE (FAMILY AND INTERNAL MEDICINE), PEDIATRICS, ENDOCRINOLOGY, NEUROLOGY, PULMONARY MEDICINE/CRITICAL CARE, GENERAL AND VASCULAR SURGERY AS WELL AS OBSTETRICS. BECAUSE THE SHORTAGE OF PRIMARY CARE PHYSICIANS IS THE MOST ACUTE PHYSICIAN MANPOWER ISSUE AND UNMET HEALTHCARE NEED FACING THE HOSPITAL'S COMMUNITY, IN 2008 THE BOARD OF TRUSTEES TOOK OFFICIAL ACTION TO CREATE PENINSULA PRIMARY CARE, A NEW NONPROFIT SUBSIDIARY OF COMMUNITY HOSPITALFOUNDATION. PENINSULA PRIMARY CARE WAS SUBSEQUENTLY RENAMED MONTAGE MEDICAL GROUP. MONTAGE MEDICAL GROUP (MMG) OPENED ITS INITIAL SITE AT THE CROSSROADS IN CARMEL IN SEPTEMBER 2009. THIS SITE WAS SELECTED TO HELP ADDRESS A SIGNIFICANT UNMET NEED AMONG THE MEDICARE POPULATION IN THAT COMMUNITY. A SECOND OPENED IN 2011 IN MARINA. NOT ONLY IS THIS COMMUNITY UNDERSERVED IN PRIMARY CARE, BUT MARINA RESIDENTS ALSO VISIT AN EMERGENCY ROOM AT A MUCH HIGHER RATE THAN RESIDENTS OF OTHER LOCAL COMMUNITIES. AS A RESULT, THE SITE WILL INCLUDE AN URGENT CARE CENTER AS WELL AS X-RAY AND LABORATORYSERVICES. MONTAGE MEDICAL GROUP NOW OPERATES OUT OF SIX PHYSICAL LOCATIONS.THE GOAL IS TO RECRUIT ADDITIONAL PHYSICIANS TO PRACTICE IN OUR COMMUNITY, AS WELL AS PROVIDE A STABLE PRACTICE ENVIRONMENT FOR SOME EXISTING PHYSICIANS TO PREVENT THEIR LEAVING THE COMMUNITY. WE ANTICIPATE THAT EACH MMG SITE WILL REQUIRE AN ANNUAL SUBSIDY FROM COMMUNITY HOSPITAL OF APPROXIMATELY $1 MILLION WHEN FULLY OPERATIONAL. THOSE EXPENDITURES ARE NOT INCLUDED IN THIS COMMUNITY BENEFIT SECTION AS EXPENDITURES ORIGINATE FROM THE PARENT COMPANY, MONTAGE HEALTH.A MAJORITY OF THE HOSPITAL'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE PRIMARY SERVICE AREA AND ARE INDEPENDENT. THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. THE ORGANIZATION INVESTS ALL SURPLUS FUNDS THAT ARE NOT PRESERVED FOR THE FUTURE INTO PHYSICAL PLANT UPGRADES, SERVICE AND FACILITY EXPANSION AND ENHANCED MEDICAL TECHNOLOGIES; ALL OF WHICH ARE INTENDED TO FURTHER BENEFIT THE COMMUNITY.NOT INCLUDED ANYWHERE ARE THE NEARLY 25,000 UNPAID HOURS CONTRIBUTED TO COMMUNITY BENEFIT ACTIVITIES. KEY CONTRIBUTORS INCLUDE AUXILIARY VOLUNTEERS, BOARD MEMBERS, PHYSICIANS AND HOSPITAL STAFF. PART II, LINE 9 INCLUDES THE ORGANIZATION'S DEVELOPMENT & SUPPORT OF CENTRAL COAST HEALTH CARE CONNECT, A HEALTH INFORMATION EXCHANGE DESIGNED TO NETWORK LOCAL PHYSICIANS WITH THE HOSPITAL, SHARING INFORMATION & IMPROVING CARE COORDINATION.
PART III, LINE 2:	A RATIO OF COST TO CHARGES WAS USED ON LINE (2). ALL OTHER LINES IN THIS SECTION EITHER USE DIRECTLY ATTRIBUTABLE EXPENSES FROM THE GENERAL LEDGER OR RELY ON ESTIMATES FROM OUR COST ACCOUNTING SYSTEM. THE COST ACCOUNTING SYSTEM ADDRESSES ALL PATIENT SEGMENTS.BAD DEBT IS NET OF BOTH PAYMENTS AND DISCOUNTS. THE AMOUNT ATTRIBUTABLE TO INDIVIDUALS WHO MAY QUALIFY FOR CHARITY CARE IS BASED ON AN INTERNAL ESTIMATE.
PART III, LINE 3:	PATIENTS THAT WOULD NORMALLY QUALIFY FOR A CHARITY CARE COULD END UP WITH THEIR ACCOUNTS WRITTEN OFF AS BAD DEBT BECAUSE THEY WON'T COMPLETE THE CHARITY APPLICATION.ESTIMATED THAT 40% OF BAD DEBT WOULD QUALIFY FOR CHARITY CARE BUT REFUSE APPLICATION, ARE HOMELESS, OR OTHERWISE UNWILLING TO APPLY.
PART III, LINE 4:	CHOMP PROVIDES FOR ESTIMATED LOSSES ON ACCOUNTS RECEIVABLE BASED ON PRIOR BAD DEBT EXPERIENCE AND GENERALLY DOES NOT CHARGE INTEREST ON PAST DUE BALANCES. PAST DUE STATUS IS BASED UPON THE DATE OF SERVICES PROVIDED. UNCOLLECTIBLE RECEIVABLES ARE CHARGED OFF WHEN DEEMED UNCOLLECTIBLE.RECOVERIES FROM PREVIOUSLY CHARGED-OFF ACCOUNTS ARE RECORDED WHEN RECEIVED.CHOMP'S ALLOWANCE FOR DOUBTFUL ACCOUNTS WAS 98% AND 86% OF SELF-PAY PATIENT ACCOUNTS RECEIVABLE AT DECEMBER 31, 2018 AND 2017, RESPECTIVELY. THE ORGANIZATION'S BAD-DEBT WRITE OFFS INCREASED FROM $9,255,000 TO $11,079,000 IN 2018, AND SELF-PAY ACCOUNTS RECEIVABLE DECREASED $949,000 YEAR TO YEAR. CHOMP HAD NOT CHANGED ITS CHARITY CARE OR BAD-DEBT COLLECTION POLICIES DURING FISCAL YEARS 2018 OR 2017. WHILE CHOMP DOES MAINTAIN AN ALLOWANCE FOR DOUBTFUL ACCOUNTS FROM THIRD-PARTY PAYERS, IT IS IMMATERIAL TO THE TOTAL ASSOCIATED WITH SELF-PAY PATIENTS.
PART III, LINE 8:	THE MEDICARE SHORTFALL AT THE HOSPITAL IS A SUBSTANTIAL FIGURE. OUR COMMUNITY HAS A SIGNIFICANT MEDICARE POPULATION AND WE EXIST TO SERVE THAT COMMUNITY. IN OUR OPINION, 100% OF THE MEDICARE SHORTFALL MEETS COMMUNITY BENEFIT CRITERIA BASED ON THE DEFINITION OF "COMMUNITY HEALTH IMPROVEMENT SERVICES" AS DEFINED IN THE 990 INSTRUCTIONS. THAT IS, "ACTIVITIES OR PROGRAMS CARRIED OUT OR SUPPORTED FOR THE EXPRESS PURPOSE OF IMPROVING COMMUNITY HEALTH THAT ARE SUBSIDIZED BY THE HEALTH CARE ORGANIZATION." COSTS ASSIGNED TO MEDICARE PATIENTS ARE BASED ON THE REPORTED AMOUNTS FOUND IN THE 2015 HOSPITAL COST REPORT. THOSE COSTS ARE ALLOCATED TO MEDICARE PATIENTS BASED ON THE RATIOS DEVELOPED WITHIN THAT COST REPORT.
PART III, LINE 9B:	COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA PURSUES A COLLECTION POLICY IN KEEPING WITH BEST PRACTICES IN THE INDUSTRY, CALIFORNIA HOSPITAL ASSOCIATION (CHA) RECOMMENDATIONS, THE HOSPITAL FAIR PRICING POLICIES ACT, AND ALL FEDERAL, STATE AND LOCAL LAWS GOVERNING THE COLLECTION OF A PATIENT DEBT. THE HOSPITAL WILL CLEARLY AND CONSPICUOUSLY POST AND MAINTAIN SIGNS NOTIFYING PATIENTS OF THE HOSPITAL'S SPONSORED CARE AND DISCOUNT PAYMENT PROGRAMS, AND THE AVAILABILITY OF FUNDS FROM OTHER PROGRAMS TO ASSIST WITH PAYMENT OF BILLS. THE SIGNS ARE PLACED IN EVERY REGISTRATION SITE, THE PATIENT BUSINESS OFFICE, THE EMERGENCY DEPARTMENT, THE BILLING OFFICE, THE ADMISSIONS OFFICE, AND OTHER OUTPATIENT SETTINGS. PATIENT BUSINESS SERVICES SHALL ADHERE TO THE FOLLOWING GUIDELINES IN THE COLLECTION OF ANY PATIENT DEBT TO THE HOSPITAL STEMMING FROM MEDICAL SERVICES RENDERED AT ANY SITE OR IN ANY DEPARTMENT. EVERY PATIENT WILL BE ACCORDED RESPECT AND TREATED WITH DIGNITY AT ALL TIMES. THESE COLLECTION GUIDELINES ARE ESTABLISHED UNDER THE AUTHORITY OF THE PATIENT BUSINESS SERVICES DEPARTMENT, AND DEBTS WILL NOT BE ADVANCED FOR COLLECTION WITHOUT REVIEW BASED ON THE AUTHORIZATION PROCESS BY DOLLAR THRESHOLD. THE DECISION TO ADVANCE A DEBT FOR COLLECTION WILL BE MADE ON A CASE-BY-CASE BASIS, FOLLOWING THE POLICY AND PROCESSES SET FORTH BELOW. THE COLLECTION PROCESS MAY BE AUTOMATED IF CERTAIN CRITERIA ARE MET. THE DECISION TO ADVANCE A DEBT FOR COLLECTION WILL BE BASED ON SUCH FACTORS AS LACK OF PAYMENT, FAILURE TO APPLY FOR AVAILABLE PROGRAMS, FAILURE TO RESPOND TO HOSPITAL REQUESTS, OR FAILURE TO CONTACT THE HOSPITAL IN RESPONSE TO A BILL. AT THE DISCRETION OF THE PATIENT BUSINESS SERVICES AND FOLLOWING THE AUTHORIZATION PROCESS BY DOLLAR THRESHOLD BELOW, A DEBT MAY BE ADVANCED FOR COLLECTION IF PAYMENT IN FULL IS NOT RECEIVED WITHIN 30 DAYS OF THE INITIAL BILL, SUBJECT TO THE LIMITATIONS STATED BELOW. REGARDLESS OF THE AGE OF A BILL, THE HOSPITAL WILL ALWAYS BE OPEN TO COMPROMISE REGARDING A DEBT. COLLECTION IS INITIALLY CONDUCTED BY THE HOSPITAL BUT MAY BE ADVANCED FOR COLLECTION BY AN EXTERNAL COLLECTION AGENCY OR LEGAL ACTION AS SET FORTH BELOW. THIS COLLECTION POLICY GOVERNS ALL COMMUNICATIONS BETWEEN THE HOSPITAL AND A PATIENT CONCERNING COLLECTION OF AMOUNTS OWED TO THE HOSPITAL.POLICY APPLIES TO ALL PATIENT TYPES AND ALL VISIT TYPES. COLLECTION PROCEDURES WILL VARY DEPENDING ON THE TYPE OF VISIT, WITH SPONSORED CARE/DISCOUNT ELIGIBLE PATIENTS OUTLINED BELOW: 1. PATIENT HAS APPLIED OR QUALIFIED FOR THE HOSPITAL'S SPONSORED CARE OR DISCOUNT PAYMENT PROGRAM. PATIENTS WHO MEET INCOME AND/OR ASSET REQUIREMENTS MAY QUALIFY FOR THE HOSPITAL'S SPONSORED CARE OR DISCOUNT PAYMENT PROGRAM. ALL EFFORTS SHOULD BE MADE TO DETERMINE ELIGIBILITY FOR THESE PROGRAMS PRE-SERVICE IF POSSIBLE, OR AS SOON AS PRACTICABLE AFTER SERVICES ARE PROVIDED. THE HOSPITAL'S SOCIAL SERVICES DEPARTMENT OR THE PATIENT BUSINESS SERVICES DEPARTMENT WILL REVIEW APPLICATIONS FOR SPONSORED CARE OR DISCOUNT PAYMENT PROGRAM ELIGIBILITY IN ACCORDANCE WITH HOSPITAL POLICY. WHILE THE PATIENT'S APPLICATION IS PENDING, THE HOSPITAL MAY SEND BILLING STATEMENTS, BUT WILL NOT COMMENCE ANY COLLECTION ACTIVITY. 2. COLLECTING FOR A VISIT FROM A PATIENT WHO IS ELIGIBLE FOR THE HOSPITAL'S SPONSORED CARE OR DISCOUNT PAYMENT PROGRAM.UPON REACHING A DETERMINATION THAT THE PATIENT IS ELIGIBLE FOR THE SPONSORED CARE OR DISCOUNT PAYMENT PROGRAM, THE HOSPITAL WILL DETERMINE THE AMOUNT OWED BY THE PATIENT IN ACCORDANCE WITH THE HOSPITAL'S SPONSORED CARE & DISCOUNT PAYMENT PROGRAM POLICY. IF THE PATIENT IS NOT ABLE TO PAY THE AMOUNT DUE IN A LUMP SUM, THE PATIENT WILL BE OFFERED THE OPPORTUNITY TO NEGOTIATE AND AGREE TO A PAYMENT PLAN. THE PATIENT WILL BE ADVISED THAT THE PAYMENTS WILL BE INTEREST FREE PROVIDED THEY ARE TIMELY MADE, BUT IF THE PATIENT FAILS TO MAKE ALL SCHEDULED PAYMENTS DURING ANY 90-DAY PERIOD, THE HOSPITAL MAY TERMINATE THE EXTENDED PAYMENT PLAN AND THE ENTIRE OUTSTANDING BALANCE WILL BE DUE, TOGETHER WITH INTEREST ON THE REMAINING BALANCE AT THE MAXIMUM LEGAL RATE. IF THE PATIENT CHOOSES TO ENTER INTO A PAYMENT PLAN, THE SPONSORED CARE & DISCOUNT PAYMENT PROGRAM PAYMENT PLAN SHOULD BE COMPLETED AND THE PATIENT SHOULD SIGN THAT PLAN. IF THE PATIENT HAS SIGNED A SPONSORED CARE & DISCOUNT PAYMENT PROGRAM PAYMENT PLAN, AND THE PATIENT FAILS TO TIMELY MAKE ALL SCHEDULED PAYMENTS DURING ANY 90-DAY PERIOD, THE HOSPITAL MAY TERMINATE THE PAYMENT PLAN. BEFORE TERMINATING THE PAYMENT PLAN, THE HOSPITAL WILL CONTACT THE PATIENT BY TELEPHONE AND IN WRITING AND INFORM THE PATIENT THAT THE PAYMENT PLAN MAY BE TERMINATED DUE TO DEFAULT IN SCHEDULED PAYMENTS. IF THE PATIENT REQUESTS, THE HOSPITAL WILL RENEGOTIATE THE PAYMENT PLAN. THE HOSPITAL WILL NOT REPORT ADVERSE INFORMATION TO A CONSUMER CREDIT REPORTING AGENCY OR BEGIN A CIVIL ACTION AGAINST THE PATIENT FOR NONPAYMENT BEFORE THE PAYMENT PLAN IS TERMINATED. THE HOSPITAL WILL NOT USE THE MONETARY ASSET INFORMATION IT OBTAINED IN DETERMINING ELIGIBILITY FOR THE SPONSORED CARE PROGRAM FOR COLLECTION ACTIVITIES. INFORMATION CONCERNING INCOME AND MONETARY ASSETS THAT ARE OBTAINED AS PART OF THE ELIGIBILITY DETERMINATION ARE MAINTAINED SEPARATELY FROM THE PATIENT'S COLLECTION FILE. FOR A PERIOD OF 150 DAYS AFTER THE INITIAL BILLING TO THE PATIENT, THE HOSPITAL WILL NOT REPORT ADVERSE INFORMATION TO A CONSUMER CREDIT REPORTING AGENCY CONCERNING, OR COMMENCE A CIVIL ACTION AGAINST, A PATIENT WHO LACKS COVERAGE OR PROVIDES INFORMATION THAT HE OR SHE MAY BE ELIGIBLE FOR THE SPONSORED CARE OR DISCOUNT PAYMENT PROGRAM. IF A PATIENT IS ATTEMPTING TO QUALIFY FOR THE DISCOUNT PAYMENT OR SPONSORED CARE PROGRAM AND IS ATTEMPTING IN GOOD FAITH TO SETTLE AN OUTSTANDING BILL BY NEGOTIATING A PAYMENT PLAN OR MAKING REASONABLE, REGULAR PAYMENTS ON HIS/HER BILL, THE HOSPITAL WILL NOT SEND THE PATIENT'S VISIT TO A COLLECTION AGENCY UNLESS THE AGENCY AGREES TO COMPLY WITH THE HOSPITAL'S COLLECTION POLICY AND THE HOSPITAL FAIR PRICING POLICIES ACT. THE HOSPITAL WILL NOT USE WAGE GARNISHMENTS OR LIENS ON PRIMARY RESIDENCES AS A MEANS OF COLLECTING UNPAID HOSPITAL BILLS FROM PATIENTS WHO ARE ELIGIBLE FOR THE DISCOUNT PAYMENT OR SPONSORED CARE PROGRAM. IF A PATIENT APPEALS THE HOSPITAL'S DECISION CONCERNING ELIGIBILITY OR LEVEL OF BENEFITS OF THE PATIENT FOR EITHER THE SPONSORED CARE OR DISCOUNT PAYMENT PROGRAM, OR APPEALS A COVERAGE OF DETERMINATION OF A THIRD PARTY, THE HOSPITAL WILL NOT REPORT ADVERSE INFORMATION TO A CONSUMER CREDIT REPORTING AGENCY CONCERNING, OR COMMENCE A CIVIL ACTION AGAINST, THE PATIENT PROVIDED THE PATIENT HAS FILED AN APPEAL IN COMPLIANCE WITH THE HOSPITAL'S SPONSORED CARE & DISCOUNT PAYMENT PROGRAM POLICY, OR MAKES A REASONABLE EFFORT TO COMMUNICATE WITH THE HOSPITAL ABOUT THE PROGRESS OF ANY COVERAGE APPEAL PENDING WITH A THIRD PARTY. THE HOSPITAL WILL NOT BEGIN THE 150-DAY PERIOD REFERENCED ABOVE UNTIL AFTER THE RESOLUTION OF THE PATIENT'S APPEAL IS COMPLETED TO AFFORD THE PATIENT THE FULL 150 DAYS TO MAKE PAYMENT.BEFORE BEGINNING ANY COLLECTION ACTIVITY AGAINST ANY PATIENT, INCLUDING THOSE WHO ARE NOT ELIGIBLE FOR THE SPONSORED CARE OR DISCOUNT PAYMENT PROGRAMS, THE HOSPITAL WILL PROVIDE THE PATIENT WITH A CLEAR AND CONSPICUOUS NOTICE OF THE PATIENT'S RIGHTS UNDER THE FAIR PRICING POLICIES ACT, THE ROSENTHAL FAIR DEBT COLLECTION PRACTICES ACT, AND THE FEDERAL FAIR DEBT COLLECTION PRACTICES ACT. THE NOTICE WILL STATE: "STATE AND FEDERAL LAW REQUIRE DEBT COLLECTORS TO TREAT YOU FAIRLY AND PROHIBIT DEBT COLLECTORS FROM MAKING FALSE STATEMENTS OR THREATS OF VIOLENCE, USING OBSCENE OR PROFANE LANGUAGE, AND MAKING IMPROPER COMMUNICATIONS WITH THIRD PARTIES, INCLUDING YOUR EMPLOYER. EXCEPT UNDER UNUSUAL CIRCUMSTANCES, DEBT COLLECTORS MAY NOT CONTACT YOU BEFORE 8:00 A.M. OR AFTER 9:00 P.M. IN GENERAL, A DEBT COLLECTOR MAY NOT GIVE INFORMATION ABOUT YOUR DEBT TO ANOTHER PERSON, OTHER THAN YOUR ATTORNEY OR SPOUSE. A DEBT COLLECTOR MAY CONTACT ANOTHER PERSON TO CONFIRM YOUR LOCATION OR ENFORCE A JUDGMENT. FOR MORE INFORMATION ABOUT DEBT COLLECTION ACTIVITIES, YOU MAY CONTACT THE FEDERAL TRADE COMMISSION BY TELEPHONE AT 877-FTC-HELP (382-4357) OR ONLINE AT WWW.FTC.GOV. NONPROFIT CREDIT COUNSELING SERVICES MAY BE AVAILABLE IN THE AREA.IF YOU ARE UNINSURED OR HAVE HIGH MEDICAL COSTS, PLEASE CONTACT COMMUNITY HOSPITAL'S PATIENT BUSINESS SERVICES DEPARTMENT AT (831) 625-4922 OR (888) 625-4922 FOR INFORMATION ON DISCOUNTS AND PROGRAMS FOR WHICH YOU MAY BE ELIGIBLE, INCLUDING THE MEDI-CAL PROGRAM. IF YOU HAVE COVERAGE, PLEASE TELL US SO THAT WE MAY BILL YOUR PLAN." THIS NOTICE WILL ALSO BE GIVEN IN ANY DOCUMENT INDICATING THAT THE COMMENCEMENT OF COLLECTION ACTIVITIES MAY OCCUR. ANY AMOUNT COLLECTED FROM A PATIENT IN EXCESS OF THE AMOUNT DUE UNDER THE HOSPITAL'S SPONSORED CARE OR DISCOUNT PAYMENT POLICY WILL BE REFUNDED TO THE PATIENT, TOGETHER WITH INTEREST THERON.
PART VI, LINE 2:	IN 2016, COMMUNITY HOSPITAL COMPLETED AN UPDATED AND COMPREHENSIVE ASSESSMENT OF OUR COMMUNITY'S UNMET HEALTHCARE NEEDS. PROFESSIONAL RESEARCH CONSULTANTS (PRC) WAS RETAINED TO CONDUCT A STATISTICALLY VALID TELEPHONE SURVEY OF 1,000 RANDOMLY SELECTED LOCAL ADULTS AS WELL AS FACILITATE GROUP DISCUSSIONS WITH PUBLIC HEALTH PROFESSIONALS FROM THE COMMUNITY. ALL OF THE DATA WAS THEN COMPILED AND BENCHMARKED AGAINST THE GOALS OF THE NATIONAL HEALTHY PEOPLE 2020 INITIATIVE SPONSORED BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES.
PART VI, LINE 3:	PATIENT BUSINESS SERVICES AND THE SOCIAL SERVICES DEPARTMENT SCREEN APPLICANTS FOR THE SPONSORED CARE AND DISCOUNT PROGRAMS. COMPLETED APPLICATIONS, INCLUDING REQUIRED DOCUMENTATION, ARE SUBMITTED TO PATIENT BUSINESS SERVICES OR SOCIAL SERVICES FOR INITIAL REVIEW AND FOLLOW UP. THE PATIENT/RESPONSIBLE PARTY, AND/OR SERVICE DEPARTMENT ARE NOTIFIED OF THE FINAL ELIGIBILITY DECISION IN WRITING. SHOULD THERE BE ANY DISPUTE AS TO THE DECISION MADE BY THE HOSPITAL ON THE ELIGIBILITY OR LEVEL OF ELIGIBILITY OF THE PATIENT FOR EITHER THE SPONSORED CARE OR DISCOUNT PAYMENT PROGRAM, AN APPEAL OF THE DECISION MAY BE MADE TO THE DIRECTOR OF PATIENT BUSINESS SERVICES. FOR PATIENTS IN THE OUTPATIENT IMMUNOLOGY SERVICES CLINIC, A NURSE CASE MANAGER MAY PROVIDE INITIAL FINANCIAL SCREENING. EACH PATIENT ROOM INCLUDES A BROCHURE "WELCOME TO COMMUNITY HOSPITAL." THIS BROCHURE INCLUDES INFORMATION REGARDING OUR FINANCIAL ASSISTANCE PROGRAM. IN ADDITION, COMMUNITY HOSPITAL PUBLICLY DISPLAYS INFORMATION ON THE GENERAL PROGRAM IN KEY SERVICE LOCATIONS AND PROVIDES INFORMATION TO EVERY PATIENT AT THE TIME OF REGISTRATION FOR SERVICES AND ENCLOSED WITH BILLING STATEMENTS. INFORMATION ON SPECIALTY PROGRAMS (E.G., FREE BASELINE MAMMOGRAPHY THROUGH THE SHERRY COCKLE FUND AND REHABILITATION SERVICES THROUGH THE THOMAS A. WORK, JR., FUND) ARE PROVIDED TO PATIENTS WHO REGISTER FOR THESE SPECIFIC SERVICES. THROUGH ITS PUBLIC WEB SITE, COMMUNITY HOSPITAL ALSO PUBLICIZES THE SPONSORED CARE AND DISCOUNT PROGRAMS AND ILLUSTRATES THE BENEFITS OF THE PROGRAM. A FORMAL PRESENTATION ABOUT HOSPITAL BILLING PRACTICES AND SPONSORED CARE REQUIREMENTS IS PROVIDED TO COMMUNITY GROUPS ON REQUEST BY OUR PATIENT BUSINESS SERVICES DEPARTMENT. IN ADDITION, THE HOSPITAL PUBLICIZES SPONSORED CARE FOR HIV/AIDS PATIENTS THROUGH REGULAR REPORTS TO COLLABORATING COMMUNITY ORGANIZATIONS ON THE PROGRAM USAGE AND THE POPULATION SERVED. FINANCIAL COUNSELORS WORK IN CONJUNCTION WITH A PRIVATE VENDOR (DIVERSIFIED HEALTH RESOURCES) TO GUIDE UNINSURED PATIENTS THROUGH THE PROCESS OF OBTAINING AVAILABLE GOVERNMENT BENEFITS, SUCH AS MEDI-CAL OR OTHER STATE PROGRAMS. THESE COUNSELORS ALSO ASSIST THOSE PATIENTS THROUGH THE QUALIFICATION PROCESS.
PART VI, LINE 4:	COMMUNITY HOSPITAL'S PRIMARY SERVICE AREA IS THE MONTEREY PENINSULA, HEALTH FACILITY PLANNING AREA (HFPA) #707. THE MONTEREY PENINSULA INCLUDES CARMEL, CARMEL VALLEY, DEL REY OAKS, MARINA, MONTEREY, PACIFIC GROVE, PEBBLE BEACH, SAND CITY, SEASIDE, BIG SUR, AND UNINCORPORATED AREAS OF MONTEREY COUNTY. APPROXIMATELY 130,000 RESIDENTS EXIST IN THE PRIMARY SERVICE AREA.FACTORS USED IN DEFINING THE COMMUNITY FOR COMMUNITY BENEFIT PLANNING PURPOSES INCLUDE: 1. COMMUNITY RELIANCE ON COMMUNITY HOSPITAL'S SERVICES. THE HOSPITAL'S MARKET SHARE OF PENINSULA RESIDENT DISCHARGES WAS APPROXIMATELY 78 PERCENT IN 2016. 2. HOSPITAL RELIANCE ON THE COMMUNITY. RESIDENTS OF THE PENINSULA ACCOUNTED FOR APPROXIMATELY 80 PERCENT OF THE HOSPITAL'S PATIENTS IN 2016. 3. COMMUNITY BENEFIT HISTORY AND COLLABORATIVE RELATIONSHIPS WITH COMMUNITY ORGANIZATIONS. 4. DESIRES AND PERSPECTIVES OF COMMUNITY GROUPS WITH WHICH THE HOSPITAL COLLABORATES.THE SOCIOECONOMIC CHARACTERISTICS OF THE MONTEREY PENINSULA SPAN A BROAD SPECTRUM. CARMEL AND PEBBLE BEACH ARE RELATIVELY AFFLUENT COMMUNITIES WITH SUBSTANTIAL RETIRED AND SENIOR POPULATIONS. BIG SUR AND OTHER UNINCORPORATED PARTS OF THE COUNTY ARE LARGELY RURAL IN CHARACTER. THE COMMUNITIES SURROUNDING THE FORMER FORT ORD ARMY BASE (SEASIDE, MARINA, AND SAND CITY) ARE LESS AFFLUENT AND CONTINUING TO GROW, WITH A YOUNGER POPULATION, MORE CHILDREN, AND SIGNIFICANT RACIAL AND ETHNIC DIVERSITY. IN SPITE OF THE SOCIOECONOMIC VARIATIONS, THE MONTEREY PENINSULA IS A DISTINCT SUB-REGION OF MONTEREY COUNTY WITH A WELL-DEFINED SENSE OF COMMUNITY. NO FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS ARE PRESENT.
PART VI, LINE 5:	THE ORGANIZATION PROMOTE THE HEALTH OF THE COMMUNITY IN MANY WAYS, AS OUTLINED IN THE COMMUNITY BENEFIT REPORT. CHOMP BOARD OF TRUSTEES IS COMPRISED OF VOLUNTEERS FROM THE COMMUNITY. THE MEDICAL STAFF IS OPEN.CHOMP'S SISTER ORGANIZATION, COMMUNITY HEALTH INNOVATIONS IS DEDICATED ENTIRELY TO POPULATION HEALTH. CARE MANAGERS THROUGHOUT THE COMMUNITY ASSIST IN PARTNERING PATIENTS WITH COMMUNITY RESOURCES.
PART VI, LINE 6:	COMMUNITY HEALTH INNOVATIONS IS DEDICATED ENTIRELY TO POPULATION HEALTH. CARE MANAGERS THROUGHOUT THE COMMUNITY ASSIST IN PARTNERING PATIENTS WITH COMMUNITY RESOURCES. MONTAGE MEDICAL GROUP IS COMPRISED OF PRIMARY AND SPECIALTY PROVIDERS TO IMPROVE ACCESS TO CARE IN THE COMMUNITY. ASPIRE HEALTH PLAN OFFERS AN AFFORDABLE ALTERNATIVE FOR INSURANCE COVERAGE FOR MEDICARE-ELIGIBLE COMMUNITY MEMBERS.
PART VI, LINE 7, REPORTS FILED WITH STATES	CA

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (15 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
AMERICAN CANCER SOCIETY
945 SOUTH MAIN STREET 201	SALINAS	CA	93901	941170350	501(C)(3)	$15,000	2018 FUNDRAISING EVENTS - RELAY FOR LIFE AND CELEBRATION OF LIFE
AMERICAN HEART ASSOCIATION
1514 MOFFETT STREET SUITE J	SALINAS	CA	93905	135613797	501(C)(3)	$10,000	2018 HEART AND STROKE FUNDRAISING EVENT
AMERICAN RED CROSS
PO BOX AR	CARMELBYTHESEA	CA	93921	530196605	501(C)(3)	$7,500	2018 FUNDRAISING EVENT
BIG SUR MARATHON FOUNDATION
PO BOX 222620	CARMEL	CA	93922	770048388	501(C)(3)	$15,000	2018 BIG SUR 5K SUPPORT
BOYS & GIRLS CLUBS OF MONTEREY COUNTY
PO BOX 97	SEASIDE	CA	93955	941702753	501(C)(3)	$10,000	HEALTHY LIFESTYLES INITIATIVE
CALIFORNIA HIGHWAY ADOPTION COMPANY
1731 MASSACHUSETTS AVENUE	RIVERSIDE	CA	92507	860871091	501(C)(3)	$6,300	HIGHWAY 68 LITTER REMOVAL
CENTRAL COAST QUALITY OF LIFE PROGRAMS
519-B HARTNELL STREET	MONTEREY	CA	93940	320035866	501(C)(3)	$7,500	CASE MANAGEMENT PROGRAM, SUPPORT SERVICES & EDUCATION
COMMUNITY PARTNERSHIP FOR YOUTH
PO BOX 42	MONTEREY	CA	93942	770310237	501(C)(3)	$7,500	HEALTHY LIVING ACTIVITIES PROGRAM
COMMUNITY HEALTH INNOVATIONS
10 RAGSDALE DRIVE SUITE 102	MONTEREY	CA	93940	942789696	501(C)(3)	$100,000	COUNTY-WIDE DIABETES INITIATIVE
HEALTHCARE FOUNDATION OF NORTHERN AND CENTRAL CALIFORNIA
1215 K STREET SUITE 800	SACRAMENTO	CA	95814	861174825	501(C)(3)	$96,650	MOCO MEDICAL RESPITE PROGRAM
MONTEREY COUNTY HEALTH DEPARTMENT
1615 BUNKER HILL WAY SUITE 101	SALINAS	CA	93906	946000524		$75,000	SUPPORT PRIMARY CARE FOR THE UNDERSERVED AT SEASIDE AND MARINA CLINICS
MONTEREY SOBER LIVING FOR WOMEN
PO BOX 22152	CARMEL	CA	93922	825483655	501(C)(3)	$10,000	SOBER LIVING DRUG AND ALCOHOL RECOVERY FOR WOMEN
MPUSD
PO BOX 1031	MONTEREY	CA	93942	770320712		$90,000	PART-TIME SCHOOL NURSE
RANCHO CIELO
PO BOX 6948	SALINAS	CA	93912	770555859	501(C)(3)	$10,000	2018 VEGGIE BAGS FUNDRAISING EVENT
MONTAGE HEALTH FOUNDATION
PO BOX HH	MONTEREY	CA	93942	812889645	501(C)(3)	$6,604,727	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	13	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	GRANT AMOUNTS ARE REVIEWED AND APPROVED BY AN EXECUTIVE FOR MONTAGE HEALTH. ACTUAL EXPENDITURES ARE REVIEWED AND APPROVED BEFORE TRANSFERRING THE GRANT PROCEEDS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	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	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 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
STEVEN PACKER
PRESIDENT/CEO	$814,410	$0	$324,280	$0	$38,867	$0	$356,105	$0	$29,873	$0	$1,563,535	$0	$0	$0
LAURA ZEHM
VICE PRESIDENT/CFO	$532,420	$0	$147,000	$0	$22,115	$0	$116,650	$0	$25,543	$0	$843,728	$0	$0	$0
STEVEN CABRALES
VP MEDICAL AFFAIRS	$443,660	$0	$113,360	$0	$33,891	$0	$55,468	$0	$39,839	$0	$686,218	$0	$0	$0
CYNTHIA PECK
VICE PRESIDENT	$330,873	$0	$85,280	$0	$12,822	$0	$60,025	$0	$25,443	$0	$514,443	$0	$0	$0
TERRIL LOWE
VP NURSING	$289,511	$0	$104,960	$0	$275,932	$0	$67,038	$0	$31,386	$0	$768,827	$0	$0	$0
TIM NYLEN
VICE PRESIDENT	$337,613	$0	$90,300	$0	$45,440	$0	$44,829	$0	$12,771	$0	$530,953	$0	$0	$0
MATT MORGAN
VP FINANCE	$297,191	$0	$81,954	$0	$24,303	$0	$28,688	$0	$39,839	$0	$471,975	$0	$0	$0
DEBORAH SOBER
VICE PRESIDENT	$272,895	$0	$47,086	$0	$138	$0	$26,335	$0	$25,543	$0	$371,997	$0	$0	$0
JENNIFER BALLESTEROS
RN	$328,037	$0	$0	$0	$20,695	$0	$0	$0	$12,771	$0	$361,503	$0	$0	$0
CHARLENE WEBBER-SCHUSS
CHIEF INFORMATION OFFICER	$260,076	$0	$49,594	$0	$20,619	$0	$30,950	$0	$33,201	$0	$394,440	$0	$0	$0
JARED STIVER
ASSISTANT DIRECTOR, TYLER	$322,320	$0	$0	$0	$0	$0	$16,008	$0	$39,839	$0	$378,167	$0	$0	$0
GREGG OLSEN
DIRECTOR, PHARAMCY	$233,686	$0	$42,465	$0	$23,228	$0	$30,950	$0	$39,839	$0	$370,168	$0	$0	$0
MARY KRAMER
ASSISTANT DIRECTOR, NURSING	$155,394	$0	$0	$0	$144,372	$0	$30,950	$0	$25,543	$0	$356,259	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

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

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CA STATEWIDE COMMUNITIES DEVELOP AUTHORITY
A	680164610	1307957B7	2012-09-28	$34,935,000	REFUND BONDS ISSUED 7/10/03	0	0	0
CA STATEWIDE COMMUNITIES DEVELOP AUTHORITY
B	680164610		2016-06-01	$32,550,000	REFUND BONDS ISSUED 5/12/11	0	0	0
CA STATEWIDE COMMUNITIES DEVELOP AUTHORITY
C	689164619		2017-06-28	$40,420,000	FINANCING OF ELECTRONIC HEALTH RECORD SYSTEM	0	0	0
CA STATEWIDE COMMUNITIES DEVELOP AUTHORITY
D	680164610	1309117M6	2017-06-28	$55,680,000	REFUND BONDS ISSUES 5/12/2011	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capital ExpendituresCapitalExpendituresAmt
A	$34,935,000	$437,362	$34,497,638	2012	Yes (1)	Yes (1)	Yes (1)
B	$32,550,000	$453,050	$32,096,950		Yes (1)	Yes (1)	Yes (1)
C	$40,420,000	$417,806		2018	0	Yes (1)	Yes (1)	$40,002,194
D	$55,680,000	$576,591	$55,103,409		Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0	0	Yes (1)
B	0	0	0	0	0	0	0
C	0	0	0	0	0	0	0
D	0	0	0	0	0	0	0

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	Yes (1)	0	0	Yes (1)
B	Yes (1)				0
C	Yes (1)				0
D	Yes (1)				0

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE K, PART II, PROCEEDS:	FormAndLineReferenceDesc
Explanation	EXPLANATION OF DIFFERENCE BETWEEN LINE 3 AND ISSUE PRICE IN PART I: INVESTMENT EARNINGS	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B	ALL BOARD MEMBERS ARE PROVIDED A DRAFT COPY OF THE 990 FOR REVIEW PRIOR TO IT BEING FILED. QUESTIONS/COMMENTS ARE ADDRESSED AS APPLICABLE PRIOR TO SUBMITTING THE FINAL RETURN.
FORM 990, PART VI, SECTION B, LINE 12C	THE ORGANIZATION USES SELF DISCLOSURE TO REGULARLY AND CONSISTENTLY MONITOR AND ENFORCE COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY.
FORM 990, PART VI, SECTION B, LINE 15	THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES REVIEWS AND APPROVES THE OFFICERS' COMPENSATION. A CONSULTING FIRM IS ENGAGED TO PROVIDE COMPARABLE DATA.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. IT ALSO MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC ON ITS OWN WEBSITE.
FORM 990, PART XI, LINE 9:	UNREALIZED GAIN ON INTEREST RATE SWAPS 1,843,975. CHANGE IN MINIMUM PENSION 45,591,595. EQUITY TRANSFER TO MONTAGE HEALTH -253,683,408.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 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
MONTAGE WELLNESS CENTER LLC
23625 HOLMAN HIGHWAY	MONTEREY	CA	93940	273554386	HEALTH SERVICES	CA	$3,624,644	$530,916	COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA
MONTEREY SALINAS HEALTHCARE COLLABORATIVE LLC
10 RAGSDALE DRIVE SUITE 102	MONTEREY	CA	93940	473632762	HEALTH SERVICES	CA	$0	$0	COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MONTAGE HEALTH
PO BOX HH	MONTEREY	CA	93942	942789696	SUPPORT SERVICES	CA	501(C)(3)	LINE 10	N/A	0
MONTAGE MEDICAL GROUP
PO BOX HH	MONTEREY	CA	93942	264826604	HEALTHCARE SERVICES	CA	501(C)(3)	LINE 3		0	MONTAGE HEALTH
ASPIRE HEALTH PLAN
23625 HOLMAN HIGHWAY	MONTEREY	CA	93940	461567681	INSURANCE COMPANY	CA	501(C)(4)			0	MONTAGE HEALTH
MONTAGE HEALTH FOUNDATION
23625 HOLMAN HIGHWAY	MONTEREY	CA	93940	812889645	SUPPORT SERVICES	CA	501(C)(3)	LINE 7		0	MONTAGE HEALTH

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	SAN CARLOS & 7TH LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	23625 HOLMAN HIGHWAY	AddressLine1Txt
City	MONTEREY	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	93942	ZIPCd

Field	Value	IRS element (for citing)
EIN	274672809	EIN
Primary Activities	REAL ESTATE	PrimaryActivitiesTxt
Legal Domicile State	CA	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Share Of Total Income	$18,469	ShareOfTotalIncomeAmt
Share Of EOY Assets	$200,521	ShareOfEOYAssetsAmt
Disproportionate Allocations	0	DisproportionateAllocationsInd
General Or Managing Partner	Yes (1)	GeneralOrManagingPartnerInd
Ownership	0.50000	OwnershipPct

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	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
CYPRESS MEDICAL NETWORK INC
PO BOX HH	MONTEREY	CA	93942	770438780	MEDICAL SERVICES	CA	COMMUNITY HOSPITAL OF MONTEREY PENINSULA	C	1.00000	Yes (1)
CENTRAL COAST COMMUNITY MUTUAL INSURANCE COMPANY
40 MAIN STREET SUITE 200	BURLINGTON	VT	05401	454016797	INSURANCE	VT	COMMUNITY HOSPITAL OF MONTEREY PENINSULA	C	0.95000	Yes (1)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (1)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	ASPIRE HEALTH PLAN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	D	TransactionTypeTxt
Involved	$413,691	InvolvedAmt
Method Of Amount Determination	BOOK VALUE	MethodOfAmountDeterminationTxt