COMMUNITY MEMORIAL HEALTH SYSTEM: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: COMMUNITY MEMORIAL HEALTH SYSTEM (EIN 95-1683892)
Tax period: 2017-01-01 to 2017-12-31
Filed: 2018-11-12
IRS object ID: 201813169349305496
Schema version: 2017v2.3
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 L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-11-12T20:38:40-06:00	ReturnTs
Tax Period End	2017-12-31	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 DRIVE SUITE 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	2017-01-01	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 GLYER	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	8056525012	PhoneNum
Signature	2018-11-12	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

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	164.57.159.254	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	33577420183165000016	FederalOriginalSubmissionId
Federal Original Submission Id	2018-11-12	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	856506003E7717BB4C5FA0BAF50AAA2B61E0405F	AtSubmissionCreationDeviceId
At Submission Filing Device Id	7BF2FB13954BDF038D64D0E8F5A7FFD3D5147910	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	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	$444,139,033	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	20	VotingMembersGoverningBodyCnt
Voting Members Independent	19	VotingMembersIndependentCnt
Total Employee	2657	TotalEmployeeCnt
Total Volunteers	244	TotalVolunteersCnt
Total Gross UBI	$14,019	TotalGrossUBIAmt
PY Contributions Grants	$3,760,020	PYContributionsGrantsAmt
CY Contributions Grants	$3,460,349	CYContributionsGrantsAmt
PY Program Service Revenue	$382,269,317	PYProgramServiceRevenueAmt
CY Program Service Revenue	$393,872,009	CYProgramServiceRevenueAmt
PY Investment Income	$9,013,415	PYInvestmentIncomeAmt
CY Investment Income	$3,931,718	CYInvestmentIncomeAmt
PY Other Revenue	$1,509,894	PYOtherRevenueAmt
CY Other Revenue	$1,906,194	CYOtherRevenueAmt
PY Total Revenue	$396,552,646	PYTotalRevenueAmt
CY Total Revenue	$403,170,270	CYTotalRevenueAmt
PY Grants And Similar Paid	$331,864	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$279,852	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$182,428,083	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$197,856,337	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$173,685,588	PYOtherExpensesAmt
CY Other Expenses	$187,136,670	CYOtherExpensesAmt
PY Total Expenses	$356,445,535	PYTotalExpensesAmt
CY Total Expenses	$385,272,859	CYTotalExpensesAmt
PY Revenues Less Expenses	$40,107,111	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$17,897,411	CYRevenuesLessExpensesAmt
Total Assets BOY	$857,554,433	TotalAssetsBOYAmt
Total Assets EOY	$891,045,522	TotalAssetsEOYAmt
Total Liabilities BOY	$426,152,557	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$429,322,391	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$431,401,876	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$461,723,131	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	$356,768,247	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$393,872,009	RevenueAmt
Desc	PATIENT SERVICES TO INCLUDE 74,692 PATIENT DAYS, 216,608 OUTPATIENT VISITS, AND 262,019 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	$954,972	ExpenseAmt
Grant	$279,852	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	$788,474	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 Other Prog Srvc Expense	$0	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$0	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$358,511,693	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
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
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 With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
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	491	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2657	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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	20	GoverningBodyVotingMembersCnt
Independent Voting Member	19	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	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 SUITE 200	AddressLine1Txt
City	VENTURA	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	93003	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (40 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
JEFFREY BRACKETT MD
BOARD MEMBER	1.0	0.0	Yes (X)	$13,750	$0	$0
MICHAEL BRADBURY
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
LAMAR BUSHNELL MD
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
DAVID FUKUTOMI
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
TIMOTHY GALLAGHER
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
JOHN HAMMER
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
JOHN HILL MD
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
LYDIA HOPPS
BOARD MEMBER	1.0	1.0	Yes (X)	$0	$0	$0
FRITZ HUNTSINGER
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
WILLIAM KEARNEY
VICE CHAIR	1.0	1.0	Yes (X)	$0	$0	$0	Yes (X)
EDIE MARSHALL
BOARD MEMBER	1.0	26.0	Yes (X)	$0	$0	$0
FTED MUEGENBURG JR
SECRETARY	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
JEFFREY PAUL
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
HELEN PETROFF MD
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
MARTIN POPS MD
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
RICHARD RUSH MD
CHAIR	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
JOHN RUSSELL
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
ROY SCHNEIDER MD
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
GREGORY SMITH
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
GARY WOLFE
TREASURER	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
DAVID GLYER
CFO	40.0	0.0		$634,546	$0	$101,233	Yes (X)
GARY K WILDE
PRESIDENT & CEO	32.0	8.0		$1,644,972	$0	$461,530	Yes (X)
KIMBERLY BRIDGES
ASSISTANT VP - CFH	40.0	0.0		$227,288	$0	$51,447		Yes (X)
CYNTHIA DEMOTTE
VP QUALITY	40.0	0.0		$277,607	$0	$57,109		Yes (X)
MICHAEL ELLINGSON
VP MARKETING & DEVELOPMENT	32.0	8.0		$890,750	$0	$63,825		Yes (X)
CYNTHIA FAHEY
CNO	40.0	0.0		$323,126	$0	$49,129		Yes (X)
STANLEY FROCHTZWAJG
CMO, INPATIENT	40.0	0.0		$571,559	$0	$100,600		Yes (X)
WILFRED GARAND
VP PLANNING & MANAGED CARE	40.0	0.0		$324,251	$0	$63,406		Yes (X)
DIANY KLEIN
VP HUMAN RESOURCES	40.0	0.0		$502,399	$0	$70,974		Yes (X)
HAADY LASHKARI
Chief Admin Ofcr Ojai/VP CMH	40.0	0.0		$341,193	$0	$92,191		Yes (X)
EMILIE RAYMAN
COMPLIANCE OFFICER	40.0	0.0		$383,847	$0	$60,213		Yes (X)
RICHARD REISMAN
VP AMBULATORY MEDICINE	36.0	0.0		$375,849	$0	$5,172		Yes (X)
RONALD SANDIFER
CIO	40.0	0.0		$467,796	$0	$0		Yes (X)
SAMUEL SMALL
CHIEF OF MEDICAL EDUCATION	40.0	0.0		$498,897	$0	$4,598		Yes (X)
ADAM THUNELL
VP OPERATIONS	40.0	0.0		$517,361	$0	$128,887		Yes (X)
EUGENE DAY
DIRECTOR OF PHARMACY	40.0	0.0		$236,423	$0	$16,381			Yes (X)
CARRIE GLENN
Admin Director Medical ED	40.0	0.0		$280,463	$0	$1,765			Yes (X)
CARLOS LIMON JR
PHARMACIST	40.0	0.0		$223,629	$0	$16,381			Yes (X)
KEITH MCWILLIAMS
Director-Information Systems	40.0	0.0		$235,084	$0	$13,246			Yes (X)
MARY SCHMITZ
DIRECTOR OF DEVELOPMENT	40.0	0.0		$229,523	$0	$11,286			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$9,200,313	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,369,373	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	439	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
DIVERSIFIED CLINICAL SERVICES
PO BOX 551187	JACKSONVILLE	FL	32255	STAFFING SERVICES	$1,260,641
PB BUILDING MAINTENANCE
PO BOX 4721	VENTURA	CA	93007	JANITORIAL SERVICES	$1,023,667
MEDICAL SOLUTIONS LLC
1010 N 102ND STREET SUITE 300	OMAHA	NE	68114	REGISTRY NURSING	$964,811
KAUFMAN HALL ASSOC LLC
5202 OLD ORCHARD RD SUITE N700	SKOKIE	IL	60077	CONSULTING SERVICES	$925,095
CALIFORNIA CARDIOVASCULAR THORACI
168 N BRENT STREET SUITE 508	VENTURA	CA	93003	MEDICAL SERVICES	$895,865

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	75	CntrctRcvdGreaterThan100KCnt
Fundraising	$0	FundraisingAmt
Related Organizations	$275,542	RelatedOrganizationsAmt
Government Grants	$177,288	GovernmentGrantsAmt
All Other Contributions	$3,007,519	AllOtherContributionsAmt
Noncash Contributions	$47,521	NoncashContributionsAmt
Total Contributions	$3,460,349	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	$359,953,665	$359,953,665	$0	$0
MEDI-CAL SUPPLEMENTAL PAYMENTS	621500	$28,317,134	$28,317,134	$0	$0
CAFETERIA REVENUE	722210	$1,844,893	$1,844,893	$0	$0
HEALTHCARE SVC RENTAL INC	532000	$1,551,836	$1,551,836	$0	$0
BREAST/PROSTATE CENTER	900099	$1,336,078	$1,336,078	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$868,403	TotalRevenueColumnAmt
Related Or Exempt Func Income	$868,403	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$393,872,009	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,719,120	TotalRevenueColumnAmt
Exclusion	$3,719,120	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	$36,033	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$115,942	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$79,909	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$79,909	TotalRevenueColumnAmt
Exclusion	-$79,909	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$41,065,419	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$40,852,821	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$212,598	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$212,598	TotalRevenueColumnAmt
Exclusion	$212,598	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

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

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
REBATES/REFUNDS	900099	$1,286,138	$1,286,138
PHARMACY REVENUE	900099	$281,679	$267,660	$14,019
MEDICAL STAFF REVENUE	900099	$251,267	$251,267

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$167,019	TotalRevenueColumnAmt
Exclusion	$167,019	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,986,103	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$403,170,270	TotalRevenueColumnAmt
Related Or Exempt Func Income	$393,872,009	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$14,019	UnrelatedBusinessRevenueAmt
Exclusion	$5,823,893	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$279,852	TotalAmt
Program Services	$279,852	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	$5,681,963	TotalAmt
Program Services	$1,076,343	ProgramServicesAmt
Management And General	$4,605,620	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	$130,928,571	TotalAmt
Program Services	$126,093,195	ProgramServicesAmt
Management And General	$4,835,376	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,933,221	TotalAmt
Program Services	$6,933,221	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$42,750,353	TotalAmt
Program Services	$41,138,054	ProgramServicesAmt
Management And General	$1,612,299	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$11,562,229	TotalAmt
Program Services	$10,837,749	ProgramServicesAmt
Management And General	$724,480	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$2,806,216	TotalAmt
Program Services	$1,457,880	ProgramServicesAmt
Management And General	$1,348,336	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,349,187	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$1,349,187	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$321,775	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$321,775	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
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	$28,143,028	TotalAmt
Program Services	$25,776,735	ProgramServicesAmt
Management And General	$2,366,293	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$516,626	TotalAmt
Program Services	$504,778	ProgramServicesAmt
Management And General	$11,848	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$75,712,616	TotalAmt
Program Services	$74,790,339	ProgramServicesAmt
Management And General	$922,277	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$12,778,774	TotalAmt
Program Services	$12,325,846	ProgramServicesAmt
Management And General	$452,928	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$535,506	TotalAmt
Program Services	$150,995	ProgramServicesAmt
Management And General	$384,511	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$5,437,211	TotalAmt
Program Services	$5,445,837	ProgramServicesAmt
Management And General	-$8,626	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$254,776	TotalAmt
Program Services	$254,776	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	$591,411	TotalAmt
Program Services	$279,008	ProgramServicesAmt
Management And General	$312,403	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$7,477	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$7,477	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	$12,066,605	TotalAmt
Program Services	$11,951,839	ProgramServicesAmt
Management And General	$114,766	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,919,398	TotalAmt
Program Services	$303,899	ProgramServicesAmt
Management And General	$1,615,499	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
HOSP QUALITY ASSURANCE FEE	$22,763,811	$22,763,811	$0	$0
PURCHASED SERVICES	$17,617,507	$12,895,403	$4,722,104	$0
RECRUITING	$1,573,020	$1,311,151	$261,869	$0
STATE USE & SALES TAX	$780,202	$770,739	$9,463	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,961,524	TotalAmt
Program Services	$1,170,243	ProgramServicesAmt
Management And General	$791,281	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$385,272,859	TotalAmt
Program Services	$358,511,693	ProgramServicesAmt
Management And General	$26,761,166	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	$27,489,543	BOYAmt
EOY	$25,240,214	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	$59,315,471	BOYAmt
EOY	$54,786,966	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	$24,251,659	BOYAmt
EOY	$43,715,265	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$9,910,042	BOYAmt
EOY	$10,325,912	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$7,515,055	BOYAmt
EOY	$8,694,255	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$706,276,740	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$173,182,064	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$479,767,448	BOYAmt
EOY	$533,094,676	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$129,078,333	BOYAmt
EOY	$124,131,092	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$14,507,490	BOYAmt
EOY	$11,633,195	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$7,736,862	BOYAmt
EOY	$8,002,566	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	$97,982,530	BOYAmt
EOY	$71,421,381	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$857,554,433	BOYAmt
EOY	$891,045,522	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$79,325,809	BOYAmt
EOY	$89,055,771	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	$330,932,268	BOYAmt
EOY	$325,673,851	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	$5,470,740	BOYAmt
EOY	$5,610,000	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	$10,423,740	BOYAmt
EOY	$8,982,769	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$426,152,557	BOYAmt
EOY	$429,322,391	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$425,943,630	BOYAmt
EOY	$456,689,739	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,458,246	BOYAmt
EOY	$5,033,392	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$431,401,876	BOYAmt
EOY	$461,723,131	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$857,554,433	BOYAmt
EOY	$891,045,522	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$17,897,411	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$10,541,056	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$1,882,788	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

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	$66,701	OtherActivitiesAmt
Total Lobbying Expenditures	$66,701	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 ASSOCIATIONS. IN 2017, $223,894 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	$26,949,901	OtherCostOrOtherBasisAmt
Book Value	$26,949,901	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$132,828,620	OtherCostOrOtherBasisAmt
Depreciation	$90,686,857	DepreciationAmt
Book Value	$42,141,763	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$112,824,134	OtherCostOrOtherBasisAmt
Depreciation	$82,495,207	DepreciationAmt
Book Value	$30,328,927	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$433,674,085	OtherCostOrOtherBasisAmt
Book Value	$433,674,085	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$533,094,676	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
CONSTRUCTION FUNDS	$48,118,471
ASSETS LIMITED TO USE	$10,142,046
DEPOSITS WITH INSURANCE CO.	$6,130,023
DUE FROM THIRD PARTIES	$3,703,155
OTHER ASSETS	$3,327,686

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$71,421,381	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
SELF-INSURANCE LIABILITIES	$6,859,695
OTHER LIABILITIES	$2,123,074

Field	Value	IRS element (for citing)
Total Liability	$8,982,769	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FIN 48(ASC740) Footnote	FormAndLineReferenceDesc
Explanation	THE FOLLOWING FOOTNOTE IS FROM THE CONSOLIDATED FINANCIAL STATEMENTS OF COMMUNITY MEMORIAL HEALTH SYSTEM: The System accounts for income taxes under the provisions of ASC 740, Income Taxes, which prescribes a recognition threshold and measurement attribute for the consolidated financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. Under ASC 740, the tax benefit from uncertain tax positions may be recognized only if it is more likely than not that the tax position will be sustained, based solely on its technical merits, with the taxing authority having full knowledge of all relevant information. The System records a liability for unrecognized tax benefits from uncertain tax positions as discrete tax adjustments in the first interim period that the more-likely-than-not threshold is not met. The System recognizes deferred tax assets and liabilities for temporary differences between the financial reporting basis and the tax basis of its assets and liabilities along with net operating loss and tax credit carryovers for tax positions that meet the more-likely-than-not recognition criteria. The System completed an analysis of its tax position, in accordance with ASC 740, and determined that there are no uncertain tax positions taken or expected to be taken. No significant tax liability for unrecognized tax benefits, interest, or penalties was accrued as of December 31, 2017 or 2016. 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 2014.	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	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,427,908	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,427,908	NetCommunityBenefitExpnsAmt
Total Expense	0.00370	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$76,552,146	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$72,524,689	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,027,457	NetCommunityBenefitExpnsAmt
Total Expense	0.01050	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$77,980,054	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$72,524,689	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,455,365	NetCommunityBenefitExpnsAmt
Total Expense	0.01420	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,375,534	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,131	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,361,403	NetCommunityBenefitExpnsAmt
Total Expense	0.00350	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,280,343	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,366,517	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,913,826	NetCommunityBenefitExpnsAmt
Total Expense	0.01790	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,059,922	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,370,544	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,689,378	NetCommunityBenefitExpnsAmt
Total Expense	0.00700	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$279,852	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$279,852	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$27,995,651	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,751,192	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,244,459	NetCommunityBenefitExpnsAmt
Total Expense	0.02910	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$105,975,705	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$89,275,881	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,699,824	NetCommunityBenefitExpnsAmt
Total Expense	0.04330	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,300,787	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,300,787	NetCommunityBenefitExpnsAmt
Total Expense	0.00340	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,300,787	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,300,787	NetCommunityBenefitExpnsAmt
Total Expense	0.00340	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$6,667,074	BadDebtExpenseAmt
Reimbursed By Medicare	$72,628,141	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$92,845,944	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$20,217,803	MedicareSurplusOrShortfallAmt
Costing Methodology Used		CostingMethodologyUsedGrp
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
REAL ESTATE	0.6925	0.3075
SEE PART VI
MANAGEMENT SERVICES	0.5	0.5

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	16	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	16	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
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 (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B, LINE 5	IN CONDUCTING ITS MOST RECENT CHNA, THE SYSTEM COORDINATED ITS ASSESSMENT WITH THOSE OF THE VENTURA COUNTY DEPARTMENT OF PUBLIC HEALTH AND KAISER HEALTH PLAN, FOUNDATION HOSPITALS AND THE PERMANENTE MEDICAL GROUP. IN ADDITION, THE SYSTEM HELD FOCUS GROUPS WITH VARIOUS COMMUNITY ORGANIZATIONS TO INCLUDE HELP OF OJAI, LOS ROBLES HOME CARE, CLINICAS DEL CAMINO REAL, VENTURA COUNTY AREA AGENCY ON AGING, CALIFORNIA SENIOR LIVING, CAMARILLO HEALTHCARE DISTRICT, AND SEAVIEW IPA. THE FOCUS GROUPS WERE HELD AT BOTH THE COMMUNITY MEMORIAL HOSPITAL AND OJAI VALLEY COMMUNITY HOSPITAL IN OCTOBER 2016 AND INCLUDED MEMBERS OF OTHER NON-PROFIT AND HEALTHCARE ORGANIZATIONS. PART V, SECTION B, LINE 6A & 6B IN CONDUCTING ITS 2016 COMMUNITY HEALTH NEEDS ASSESSMENT, THE SYSTEM COLLABORATED WITH AND UTILIZED THE WORK AND RESOURCES OF THE VENTURA COUNTY DEPARTMENT OF PUBLIC HEALTH AND KAISER HEALTH PLAN, FOUNDATION HOSPITALS AND THE PERMANENTE MEDICAL GROUP.
PART V, SECTION B, LINE 7	CHNA WEBSITE http://www.cmhshealth.org/about/community-health-needs-assessment/ PART V, SECTION B, LINE 10 IMPLEMENTATION STRATEGY http://www.cmhshealth.org/about/community-health-needs-assessment/
PART V, SECTION B, LINE 11	THE BOARD OF TRUSTEES FOR COMMUNITY MEMORIAL HEALTH SYSTEM ESTABLISHED A COMMUNITY BENEFIT COMMITTEE FOR ONGOING COMMUNITY BENEFIT ACTIVITIES AND THE COMMUNITY HEALTH NEEDS ASSESSMENT. THIS COMMITTEE REVIEWED INFORMATION ON THE COMMUNITY NEEDS FOR THE OJAI VALLEY COMMUNITY HOSPITAL AND COMMUNITY MEMORIAL HOSPITAL SERVICE AREAS. BASED ON PUBLICLY REPORTED HEALTH DATA AND COMMUNITY INPUT, THE COMMITTEE RECOMMENDED THE RANK ORDERING OF SPECIFIC ISSUES FOR EACH COMMUNITY AND MADE ITS RECOMMENDATIONS TO THE CMHS BOARD OF TRUSTEES. THE CMHS BOARD OF TRUSTEES APPROVED THE CHNA AND IMPLEMENTATION STRATEGIES FOR THE SYSTEM'S HOSPITALS. SUBSTANCE ABUSE, MENTAL HEALTH, THE TREATMENT OF CHRONIC AND ACUTE HEALTH CONDITIONS (DIABETES, HEART DISEASE, AND CANCER), SENIOR CARE AND CHILD ABUSE WERE GIVEN PRIORITY FOCUS. THE SYSTEM HAS ADDRESSED THESE AREAS BY RECRUITING SPECIALTY AND FAMILY PHYSICIANS, IMPLEMENTING TELEMEDICINE SERVICES, OFFERING FREE CHRONIC DISEASE DETECTION AND SCREENING SERVICES, AND THROUGH EDUCATIONAL PROGRAMS AND SUPPORT GROUPS. IN ADDITION, PHYSICIAN RESIDENTS IN THE SYSTEM'S GRADUATE MEDICAL EDUCATION PROGRAM ARE PROVIDING FREE HEALTHCARE AND HEALTH EDUCATION IN MEDICALLY UNDERSERVED AREAS OF VENTURA COUNTY. BEGINNING IN 2017, THE SYSTEM BEGAN SUPPORTING VARIOUS SENIOR CARE AND ASSISTED LIVING FACILITIES TO ADDRESS THE NEEDS OF THE COUNTY OF VENTURA'S AGING POPULATION. THE SYSTEM PARTICIPATES IN A HOME HEALTH ALLIANCE TO PROMOTE SENIOR USE OF ADULT DAY HEALTH SERVICES. THE SYSTEM ALSO BEGAN SUPPORTING SEVERAL LOCAL NON-PROFIT ORGANIZATIONS THAT ADDRESS CHILD ABUSE AND CHILDREN IN NEED. IN COLLABORATION WITH THE VENTURA COUNTY DEPARTMENT OF PUBLIC HEALTH, THE SYSTEM FOLLOWED THE LETS GET HEALTHY CALIFORNIA FRAMEWORK FOR PROMOTING COMMUNITY HEALTH: HEALTH ACROSS THE LIFESPAN- - HEALTHY BEGINNINGS - LAYING THE FOUNDATION FOR A HEALTHY LIFE - LIVING WELL - PREVENTING AND MANAGING CHRONIC DISEASE - END OF LIFE - MAINTAINING DIGNITY AND INDEPENDENCE PATHWAYS TO HEALTH- - REDESIGNING THE HEALTH SYSTEM - EFFICIENT, SAFE, AND PATIENT-CENTERED CARE - CREATING HEALTHY COMMUNITIES - ENABLING HEALTHY LIVING - LOWERING THE COST OF CARE - MAKING COVERAGE AFFORDABLE AND ALIGNING FINANCING TO HEALTH OUTCOMES - HTTPS://LETSGETHEALTHY.CA.GOV/GOALS/ ORAL HEALTH IS AN INITIATIVE THAT WAS IDENTIFIED IN THE MOST RECENT CHNA. OJAI VALLEY COMMUNITY HOSPITAL AND COMMUNITY MEMORIAL HOSPITAL DO NOT PROVIDE DENTAL CARE SERVICES. THE SYSTEM WILL CONTINUE TO WORK CLOSELY WITH CLINICAS DEL CAMINO REAL TO PROVIDE ACCESS TO SPECIALTY PHYSICIAN CARE TO ADDRESS UNMET DENTAL CARE NEEDS. CMHS WILL CONTINUE ITS ONGOING PARTICIPATION IN THE HOME HEALTH ALLIANCE AND ASSOCIATION WITH HOME HEALTH PROVIDERS TO BRING AWARENESS AND ACCEPTANCE TO SENIORS IN USING ADULT DAY CARE SERVICES. PROGRESS WILL CONTINUE TO BE MADE TO ADDRESS UNMET BEHAVIORAL HEALTH NEEDS IN THE OJAI COMMUNITY WHICH SHOULD IMPROVE CONDITIONS FOR SAFE HOMES AND FAMILIES. COMMUNITY WHICH SHOULD IMPROVE CONDITIONS FOR SAFE HOMES AND FAMILIES.
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 THE 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	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	DURING 2017 THE SYSTEM WAS IN THE PROCESS OF DEVELOPING A BROCHURE TO BE PASSED OUT AT HEALTH FAIRS, FEE CLINICS AND COMMUNITY EVENTS THAT WILL NOTIFY MEMBERS OF THE COMMUNITY WHO ARE MOST LIKELY TO REQUIRE FINANCIAL ASSISTANCE ABOUT THE AVAILABILITY OF THE FAP. THE BROCHURE WAS COMPLETED IN AUGUST 2018.

Field	Value	IRS element (for citing)
Facility	23	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (23 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
SANTA PAULA CENTER FOR FAMILY HEALTH
242 E HARVARD BLVD	SANTA PAULA	CA	93060	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	93035	OP CLINIC
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 N BRENT STREET	VENTURA	CA	93003	OP CLINIC
MIDTOWN MEDICAL GROUP CLINIC
2721 E MAIN STREET	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 SAN BUENAVENTURA UROGYNECOLOGY
2705 LOMA VISTA ROAD SUITE 206	VENTURA	CA	93003	OP CLINIC
MSO PATELSPEITEL FAMILY PRACTICE
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
OJAI CENTER FOR FAMILY HEALTH
655 N VENTURA AVENUE	OAK VIEW	CA	93022	OP CLINIC
OJAI MULTISPECIALTY CENTER
117 PIRIE ROAD	OJAI	CA	93023	OP CLINIC
PREMIERE ENDOCRINOLOGY CENTER
3655 W 5TH STREET	OXNARD	CA	93035	OP CLINIC
PREMIERE HEALTH SANTA PAULA
258 262 E HARVARD BLVD	SANTA PAULA	CA	93060	OP CLINIC
MSO VENTURA ORTHOPEDIC SPINE
168 N BRENT STREET SUITE 505	VENTURA	CA	93003	OP CLINIC
MSO DR RAO CARDIOLOGY PRACTICE
100 N BRENT STREET	VENTURA	CA	93003	OP CLINIC

Supplemental Information Detail SupplementalInformationDetail (16 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 2016 AND 2017: A 36-MONTH HOSPITAL FEE PROGRAM COVERING THE PERIOD FROM JANUARY 1, 2014 THROUGH DECEMBER 31, 2016, AND A 30-MONTH HOSPITAL FEE PROGRAM COVERING THE PERIOD FROM JANUARY 1, 2017 THROUGH JUNE 30, 2019. PRIOR TO 2017, THE TIMING OF REVENUE AND EXPENSE RECOGNITION OF THE PROGRAM WAS BASED ON THE TIMING OF CMS APPROVAL WHICH DID NOT CONSISTENTLY MATCH THE TIMING OF THE VARIOUS HOSPITAL FEE PROGRAMS DUE TO DELAYS IN APPROVALS. WITH THE PASSAGE OF TIME AND THE ADMINISTRATION OF THE PROGRAMS, IT HAS BEEN DETERMINED THAT THERE IS PERSUASIVE EVIDENCE OF AN ARRANGEMENT IN EXISTENCE DESPITE WHETHER CMS HAS FINALIZED THE ACTUAL AMOUNTS PAID. ACCORDINGLY, DURING 2017, THE SYSTEM DETERMINED THAT THE SUPPLEMENTAL PAYMENTS MET ALL CRITERIA RELATED TO REVENUE RECOGNITION AND THE QA FEES ARE BOTH PROBABLE AND ESTIMABLE. ACCORDINGLY, ALL RELATED SUPPLEMENTAL PAYMENTS FOR PERIODS THROUGH DECEMBER 31, 2017 HAVE BEEN RECOGNIZED AS NET PATIENT SERVICE REVENUE AND RELATED QUALITY ASSURANCE FEES. THE SYSTEM MADE PAYMENTS TO THE DHCS FOR THE QA FEE IN THE AMOUNT OF $22,507,259 AND $15,657,798 IN 2017 AND 2016, RESPECTIVELY. THE SYSTEM MADE CALIFORNIA HEALTH FOUNDATION AND TRUST PLEDGE PAYMENTS IN THE AMOUNT OF $256,552 AND $317,864 IN 2017 AND 2016, RESPECTIVELY, AND THE PLEDGE PAYMENTS WERE RECORDED WITHIN QA FEE IN OPERATING EXPENSES WITHIN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS. THE SYSTEM RECEIVED SUPPLEMENTAL PAYMENTS OF $28,317,134 AND $35,585,271 OVER THE COURSE OF THE PROGRAM IN 2017 AND 2016, 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 $4,891 OF BAD DEBT EXPENSE IN PART IX. THE AMOUNT HAS BEEN SUBTRACTED FROM THE CALCULATION OF COLUMN F.
PART II	COMMUNITY BUILDING ACTIVITIES THE SYSTEM REGULARLY RECRUITS FAMILY AND SPECIALTY PHYSICIANS TO FILL THE NEEDS AT ITS OUTPATIENT CLINICS AND HOSPITALS. THE SYSTEM ALSO ASSISTS AFFILIATED MEDICAL GROUPS WITH THE RECRUITMENT OF PHYSICIANS WHERE COMMUNITY NEED IS DEMONSTRATED. THE SYSTEM DETERMINES MARKET NEED BY PERFORMING A MARKET STUDY OF THE NUMBER OF PHYSICIANS NEEDED PER PRACTICE AREA BASED ON POPULATION SIZE. THE SYSTEM IS A FOUNDING MEMBER PARTICIPANT IN THE CHNA COLLABORATIVE WORKGROUP OF HEALTH CARE PROVIDER ORGANIZATIONS LOCATED IN VENTURA COUNTY. THE CHNA COLLABORATIVE MEETS QUARTERLY TO SHARE INFORMATION ON HEALTH IMPROVEMENT INITIATIVES AND PLAN FOR A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT PROJECT IN 2019. THE 2019 JOINT CHNA WILL INCLUDE COORDINATION BETWEEN PARTICIPATING ORGANIZATIONS IN PROGRAMMING TO ADDRESS COMMUNITY HEALTH NEEDS. COMMUNITY HEALTH IMPROVEMENT ADVOCACY THE ACCOUNTABLE CARE ALLIANCE OF VENTURA (ACAV) IS AN ACCOUNTABLE CARE ORGANIZATION (ACO) FORMED BY CMHS IN COLLABORATION WITH COMMUNITY PHYSICIANS. ACAV HAS A CONTRACT WITH MEDICARE TO IMPROVE THE HEALTH, PATIENT EXPERIENCE AND REDUCE COST OF CARE FOR 9,017 MEDICARE FEE-FOR SERVICE BENEFICIARIES. IN 2017, CMHS INVESTED $162,355 IN THE ACAV CONSISTING OF PHYSICIAN AND STAFF LABOR AND ADMINISTRATIVE COSTS.
PART III, LINE 2	BAD DEBT IS REPORTED IN THE SAME MANNER AS THE AUDITED FINANCIAL STATEMENTS. PLEASE SEE THE NARRATIVE FOR PART III, LINE 4, FOR FURTHER DETAIL.
PART III, LINE 4	THE SYSTEM USED WORKSHEET 2, RATIO OF PATIENT CARE COST TO CHARGES, TO DETERMINE THE COST OF ITS BAD DEBT EXPENSE. BAD DEBT FOOTNOTE FROM AUDITED FINANCIAL STATEMENTS: THE SYSTEM MANAGES PATIENT ACCOUNT RECEIVABLES BY REGULARLY REVIEWING ITS ACCOUNTS AND CONTRACTS AND BY PROVIDING APPROPRIATE ALLOWANCES FOR CONTRACTUAL DISCOUNTS AND UNCOLLECTIBLE AMOUNTS. THESE ALLOWANCES ARE BASED ON MANAGEMENTS ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS FOR EACH MAJOR PAYOR SOURCE, CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE SYSTEMS UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, THE SYSTEM RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD SERVICES ARE PROVIDED RELATED TO SELF-PAY PATIENTS, INCLUDING BOTH UNINSURED PATIENTS AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR A PORTION OF THEIR BALANCE. SIGNIFICANT CHANGES IN PAYER MIX, BUSINESS OFFICE OPERATIONS, GENERAL ECONOMIC CONDITIONS, AND HEALTH CARE COVERAGE PROVIDED BY FEDERAL OR STATE GOVERNMENTS OR PRIVATE INSURERS MAY HAVE A SIGNIFICANT IMPACT ON THE SYSTEMS ESTIMATES AND SIGNIFICANTLY AFFECT THE SYSTEMS LIQUIDITY, RESULTS OF OPERATIONS, AND CASH FLOWS. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE SYSTEMS POLICIES. THE SYSTEM DISCOUNTS UNINSURED SELF-PAY PATIENT CHARGES BY 40% AND CLASSIFIES ACCOUNTS PENDING MEDI-CAL APPROVAL AS SELF-PAY ACCOUNTS IN ITS ACCOUNTS RECEIVABLE AGING REPORT AND APPLIES THE STANDARD UNINSURED DISCOUNT. THE NET ACCOUNT BALANCE IS FURTHER SUBJECT TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS RESERVE POLICY. SHOULD THE ACCOUNT QUALIFY FOR MEDI-CAL COVERAGE, THE PREVIOUSLY RECORDED UNINSURED DISCOUNT IS REVERSED AND RECLASSIFIED TO MEDI-CAL ACCOUNTS RECEIVABLE WITH THE APPROPRIATE CONTRACTUAL DISCOUNT RATE APPLIED. SHOULD THE ACCOUNT NOT QUALIFY FOR MEDI-CAL COVERAGE BUT QUALIFIES AS CHARITY CARE UNDER THE SYSTEMS CHARITY CARE POLICY, THE PREVIOUSLY RECORDED UNINSURED DISCOUNT IS REVERSED AND THE ENTIRE ACCOUNT BALANCE IS RECORDED AS A CHARITY CARE DEDUCTION. THE SYSTEMS COMBINED ALLOWANCE FOR DOUBTFUL ACCOUNTS, UNINSURED DISCOUNTS, AND CHARITY CARE COVERED APPROXIMATELY 92% OF THE SYSTEMS COMBINED UNINSURED AND SELF-PAY ACCOUNTS RECEIVABLE AS OF DECEMBER 31, 2017 AND DECEMBER 31, 2016. THE SYSTEMS ALLOWANCE FOR BAD DEBT WAS $32,741,191 AND $38,767,172 AS OF DECEMBER 31, 2017 AND 2016, RESPECTIVELY. THE SYSTEMS PROVISION FOR PATIENT BAD DEBTS DECREASED TO $6,667,074 FROM $12,823,555 THE YEARS ENDED DECEMBER 31, 2017 AND DECEMBER 31, 2016, RESPECTIVELY.
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 24.2% OF THE SYSTEMS NET REVENUE FOR 2017. 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 SYSTEMS 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 IV, LINE 1 MANAGEMENT COMPANIES AND JOINT VENTURES GROSSMAN IMAGING CENTER OF CMF, LLC BUENAVISTA MEDICAL PROPERTIES, LTD VENTURA CARDIOVASCULAR CO-MANAGEMENT COMPANY, LLC
PART VI, LINE 2	NEEDS ASSESSMENT THE SYSTEM UPDATED ITS COMMUNITY NEEDS ASSESSMENT IN 2016. THE SYSTEM COORDINATED ITS HEALTH NEEDS ASSESSMENT WITH THOSE OF THE VENTURA COUNTY DEPARTMENT OF PUBLIC HEALTH, AND KAISER HEALTH PLAN, FOUNDATION HOSPITALS AND THE PERMANENTE MEDICAL GROUP. THE AREA-WIDE STUDY AND HEALTHCARE SURVEY CONSISTED OF AN ANALYSIS OF THE SOCIO-ECONOMIC PROFILE OF VENTURA COUNTY, THE HEALTH CARE STATUS AND NEEDS OF VENTURA COUNTY, THE STATUS OF HEALTHCARE DELIVERY AND 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 IS 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 OF WESTERN VENTURA COUNTY WHICH INCLUDES THE CITIES AND UNINCORPORATED AREAS SURROUNDING VENTURA, OJAI, SANTA PAULA, FILLMORE, OXNARD, PORT HUENEME AND CAMARILLO. THE POPULATION OF VENTURA COUNTY IS APPROXIMATELY 860,000 AND MADE OF UP 66.4% WHITE AND 33.6% OTHER RESIDENTS. THE COUNTY OF VENTURA PROVIDES COMMUNITY DATA THROUGH ITS WEBSITE HEALTH MATTERS IN VC AND CAN BE ACCESSED AT HTTP://WWW.HEALTHMATTERSINVC.ORG/INDEX.PHP FOR FURTHER INFORMATION. DEMOGRAPHIC VARIABLES SUCH AS AGE, RACE AND ETHNICITY ARE MEANINGFUL WHEN PLANNING FOR BOTH INPATIENT AND OUTPATIENT CARE IN ORDER TO ENSURE THAT PATIENT CARE SERVICES ARE SENSITIVE TO THE PROGRAM PLANNING NEEDS OF THE SERVICE AREA POPULATION. IT HAS LONG BEEN ESTABLISHED THAT THERE ARE SIGNIFICANT VARIANCES IN PHYSICAL AND BEHAVIORAL HEALTH PROBLEMS BETWEEN GROUPS BASED ON ETHNICITY, INCOME AND RESIDENCE.
PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH CMHS IS GOVERNED BY A 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 DEPARTMENT AT BOTH COMMUNITY MEMORIAL HOSPITAL AND THE OJAI COMMUNITY HOSPITAL TREATS ALL PATIENTS REGARDLESS OF THEIR 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 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. THE SYSTEM OFFERS FREE EDUCATIONAL SEMINARS TO THE PUBLIC COVERING A WIDE VARIETY OF HEALTH RELATED TOPICS SUCH AS DIABETES, CANCER, AND VASCULAR HEALTH. THE SYSTEM ALSO OFFERS A LARGE VARIETY OF CLASSES AND SUPPORT GROUPS THROUGH ITS CANCER RESOURCE CENTER, MATERNAL CHILD HEALTH, AND HEART AND VASCULAR HEALTH DEPARTMENTS.
PART VI, LINE 6	N/A
PART VI, LINE 7	State filing of community benefit report California
501(r) COMPLIANCE	THE HOSPITAL IDENTIFIED AND CORRECTED CERTAIN GAPS IN ITS 501(R) COMPLIANCE. FOR MORE INFORMATION, SEE DISCLOSURES IN PART V, SECTION C, CORRESPONDING TO PART V, SECTION B, LINE 16H.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CALIFORNIA HEALTH FOUNDATION & TRUST	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1215 K ST	AddressLine1Txt
City	SACRAMENTO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95814	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	941498697	RecipientEIN
IRC Section	501(c)(3)	IRCSectionDesc
Cash Grant	$256,552	CashGrantAmt
Non Cash Assistance	$0	NonCashAssistanceAmt
Purpose Of Grant	CA HOSP FEE PROGRAM	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt

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) 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	Yes (true)	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 (20 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
KIMBERLY BRIDGES
ASSISTANT VP - CFH	$169,019	$0	$52,788	$0	$5,481	$0	$48,373	$0	$3,074	$0	$278,735	$0	$0	$0
EUGENE DAY
DIRECTOR OF PHARMACY	$236,423	$0	$0	$0	$0	$0	$0	$0	$16,381	$0	$252,804	$0	$0	$0
CYNTHIA DEMOTTE
VP QUALITY	$208,722	$0	$60,288	$0	$8,597	$0	$55,135	$0	$1,974	$0	$334,716	$0	$0	$0
MICHAEL ELLINGSON
VP MARKETING & DEVELOPMENT	$226,259	$0	$52,788	$0	$611,703	$0	$63,351	$0	$474	$0	$954,575	$0	$601,338	$0
CYNTHIA FAHEY
CNO	$252,510	$0	$60,288	$0	$10,328	$0	$48,655	$0	$474	$0	$372,255	$0	$0	$0
STANLEY FROCHTZWAJG
CMO, INPATIENT	$371,631	$0	$60,288	$0	$139,640	$0	$98,028	$0	$2,572	$0	$672,159	$0	$109,551	$0
WILFRED GARAND
VP PLANNING & MANAGED CARE	$256,390	$0	$60,288	$0	$7,573	$0	$63,406	$0	$0	$0	$387,657	$0	$0	$0
CARRIE GLENN
Admin Director Medical ED	$109,071	$0	$0	$0	$171,392	$0	$0	$0	$1,765	$0	$282,228	$0	$0	$0
DAVID GLYER
CFO	$366,574	$0	$120,288	$0	$147,684	$0	$96,061	$0	$5,172	$0	$735,779	$0	$133,590	$0
DIANY KLEIN
VP HUMAN RESOURCES	$271,350	$0	$82,788	$0	$148,261	$0	$70,974	$0	$0	$0	$573,373	$0	$126,636	$0
HAADY LASHKARI
Chief Admin Ofcr Ojai/VP CMH	$244,550	$0	$75,288	$0	$21,355	$0	$80,674	$0	$11,517	$0	$433,384	$0	$0	$0
CARLOS LIMON JR
PHARMACIST	$223,629	$0	$0	$0	$0	$0	$0	$0	$16,381	$0	$240,010	$0	$0	$0
KEITH MCWILLIAMS
Director-Information Systems	$235,084	$0	$0	$0	$0	$0	$0	$0	$13,246	$0	$248,330	$0	$0	$0
EMILIE RAYMAN
COMPLIANCE OFFICER	$227,740	$0	$45,288	$0	$110,819	$0	$57,641	$0	$2,572	$0	$444,060	$0	$81,878	$0
RICHARD REISMAN
VP AMBULATORY MEDICINE	$308,078	$0	$60,230	$0	$7,541	$0	$0	$0	$5,172	$0	$381,021	$0	$0	$0
RONALD SANDIFER
CIO	$467,796	$0	$0	$0	$0	$0	$0	$0	$0	$0	$467,796	$0	$0	$0
MARY SCHMITZ
DIRECTOR OF DEVELOPMENT	$229,523	$0	$0	$0	$0	$0	$0	$0	$11,286	$0	$240,809	$0	$0	$0
SAMUEL SMALL
CHIEF OF MEDICAL EDUCATION	$422,363	$0	$60,288	$0	$16,246	$0	$0	$0	$4,598	$0	$503,495	$0	$0	$0
ADAM THUNELL
VP OPERATIONS	$385,331	$0	$120,288	$0	$11,742	$0	$122,370	$0	$6,517	$0	$646,248	$0	$0	$0
GARY K WILDE
PRESIDENT & CEO	$672,803	$0	$225,288	$0	$746,881	$0	$457,613	$0	$3,917	$0	$2,106,502	$0	$682,616	$0

Supplemental Information Detail SupplementalInformationDetail (4 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 4A	THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT DURING 2017: CARRIE GLENN - $171,392
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 ARE FUNDED BASED ON AN ANNUAL VALUATION OF THE LIABILITY. THE BOARD OF DIRECTORS HAS DESIGNATED ASSETS TO BE SEGREGATED TO FUND THE SERPS. HOWEVER, THE ASSETS ARE NOT HELD IN TRUST OR OTHERWISE LEGALLY RESTRICTED TO FUND THE PLANS. THE FOLLOWING INDIVIDUALS RECEIVED A SERP PAYOUT DURING THE YEAR (AS NOTED ON SCHEDULE J, PART II, COLUMN F, ALL OF THESE PAYOUTS, EXCLUDING ACCRUALS FOR THE 2017 YEAR, WERE PREVIOUSLY REPORTED ANNUALLY ON SCHEDULE J, PART II, COLUMN C, IN PRIOR YEARS 990S): Michael Ellingson - $601,338 Diany Klein - $126,636 Gary K. Wilde - $682,616 Stanley Frochtzwajg - $109,551 David Glyer - $133,590 Emilie Rayman - $81,878
Form 990, SCHEDULE J, Part I LINE 7	BONUSES ARE AWARDED TO EXECUTIVES BASED UPON 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	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	$48,118,471	InReserveFundAmt
Capitalized Interest	$161,632,717	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$0	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$140,114,360	CapitalExpendituresAmt
Other Spent Proceeds	$0	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Current Refunding	false	CurrentRefundingInd
Advance Refunding	false	AdvanceRefundingInd
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	PrivateBusUseByOthersPct
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
No Rebate Due	false	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)
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 L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	SUBSTANTIAL CONTRIBUTOR	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	SUBSTANTIAL CONTRIBUTOR	RelationshipDescriptionTxt
Transaction	$2,053,249	TransactionAmt
Transaction	CONTRACTOR	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

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	4	ContributionCnt
Noncash Contributions Rpt F990	$47,521	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 PROMOTE AND CARRY OUT SCIENTIFIC AND MEDICAL RESEARCH RELATED TO THE CARE OF THE SICK, INJURED AND DISABLED; AND TO PROMOTE OR CARRY OUT SUCH OTHER 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 IT IS THE GOAL OF CMHS TO PROMOTE THE HEALTH OF THE COMMUNITY BY FOCUSING ON THE FOLLOWING FOUR AREAS: COMMUNITY EDUCATION OUTREACH 1. CONTINUE TO SPONSOR AND PARTICIPATE IN COMMUNITY HEALTH FAIRS AND PUBLIC EXPOS AND OTHER MECHANISMS TO PROMOTE HEALTH SERVICES, HEALTH EDUCATION, AND PREVENTION THROUGHOUT THE COMMUNITY. HEALTH RELATED EDUCATION AND PREVENTION WILL BE FOCUSSED AROUND DIABETES, OBESITY, PRENATAL CARE, HEART HEALTH, AND HEALTHY LIVING AND NUTRITION. 2. PROVIDE INDIVIDUALS 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), NEW SERVICES AVAILABLE TO BENEFIT RESIDENTS OF THE COMMUNITY, AND COMMUNITY BENEFITS PROVIDED BY THE HEALTH SYSTEM. 5. DISTRIBUTE A HEALTH INFORMATION CARD TO INDIVIDUALS IN THE COMMUNITY TO ASSIST THEM IN KEEPING TRACK OF PERSONAL HEALTH INFORMATION THAT MAY BE VITAL WHEN ACCESSING THE HOSPITAL, AND, IN PARTICULAR, THE EMERGENCY DEPARTMENT. 6. ADD NEW DISEASE DETECTION AND SCREENING SERVICES FOCUSING ON DIFFERENT DISEASE CONDITIONS OF IMPORTANCE (MAJOR CHRONIC DISEASES). 7. CONTINUE TO PROVIDE AT LEAST 3,000 BLOOD PRESSURE CHECKS PER MONTH AT THE KIOSK IN THE PACIFIC VIEW MALL IN VENTURA. ACCESS TO CARE INCREASE ACCESS OF THE UNDERSERVED AND VULNERABLE POPULATION TO PRIMARY AND SECONDARY MEDICAL CARE IN VARIOUS GEOGRAPHIC LOCATIONS THROUGH THE CMHS SERVICE AREA. 1. CONTINUE TO OFFER A FREE PHYSICIAN REFERRAL SERVICE FOR MEMBERS OF THE PUBLIC 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 WARRANTED BY THE GROWTH OF PATIENT VISITS. 3. CONTINUE TO PROVIDE ACCESS THROUGH THE CENTERS FOR FAMILY HEALTH CLINICS TO SIGNIFICANT NUMBERS OF MEDI-CAL 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 MEDICAL AND UNINSURED PATIENTS, BY ALL MEDICAL SPECIALTIES. 5. THROUGH THE CENTERS FOR FAMILY HEALTH, CONTINUE TO PROVIDE AN EXTENSIVE CHILDHOOD IMMUNIZATION PROGRAM. 6. ENGAGE SENIOR 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 FOCUS ON FAMILY AND INTERNAL MEDICINE. RESIDENTS WITH THE GME PROGRAM ARE PROVIDING FREE HEALTHCARE AND HEALTH EDUCATION IN MEDICALLY UNDERSERVED AREAS OF VENTURA COUNTY. UNCOMPENSATED AND UNDER FUNDED 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 SUPPORT THE INTERIM PERMIT NURSING PROGRAM, WITH THE OBJECTIVE OF TRAINING AT LEAST TWENTY (20) RECENTLY GRADUATED NURSES TO BECOME COMPETENT CLINICAL NURSES. 2. CONTINUE TO ASSIST THE VENTURA COUNTY DISTRICT ATTORNEY'S OFFICE IN SUPPORTING VICTIMS OF DOMESTIC ABUSE THROUGH THE "PROJECT SAFE HARBOR" PROGRAM. 3. PROVIDE A ROTATION FOR TRAINING OB/GYN, ORTHOPEDIC SURGERY, INTERNAL MEDICINE, AND FAMILY MEDICINE PHYSICIAN RESIDENTS. 4. CONTINUE TO PROVIDE CHILDREN'S TOURS OF THE HOSPITALS. 5. CONTINUE TO PROVIDE DATA TO A NATIONAL TUMOR REGISTRY THAT SUPPORTS A KNOWLEDGE BASE THAT ENHANCES THE CARE OF CANCER PATIENTS IN OUR COMMUNITY. 6. CONTINUE TO PROVIDE A CANCER CENTER THAT INCLUDES SUPPORT GROUPS TO HELP PATIENTS AND THEIR FAMILIES DEAL WITH THEIR CONDITION AT NO COST.
Form 990, Part VI, Line 2	Family or business relationships JOHN RUSSELL AND MARTIN POPS HAD A BUSINESS RELATIONSHIP FOR PART OF 2017.
Form 990, Part VI, Line 11b	PROCESS USED TO REVIEW FORM 990 FORM 990 WAS PREPARED BY ERNST & YOUNG LLP 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 PROVIDE DISCLOSURE OF FINANCIAL INTERESTS AND TRANSACTIONS WHERE CONFLICT OF INTEREST IS A POSSIBILITY, AND SHALL ASSIST IN 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. THE SYSTEM'S CHIEF CORPORATE OFFICER HAS OVERSIGHT OF THIS PROCESS AND DETERMINES WHETHER A CONFLICT OF INTEREST IS PRESENT.
FORM 990, PART VI, QUESTIONS 15A AND 15B	PROCESS FOR DETERMINING COMPENSATION IN 2016 AND 2017, 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 APRIL 2017.
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 ARE AVAILABLE THROUGH THE ADMINISTRATIVE OFFICES AND ARE PROVIDED UPON REQUEST.
FORM 990, PART XI, LINE 9	OTHER CHANGES IN NET ASSSETS CHANGE IN PENSION LIABILITY $1,587,417 CHANGE IN PLEDGE RECEIVABLE BALANCE $( 20,017) ACAOV CONTRIBUTED CAPITAL $ 315,388 ----------- TOTAL $1,882,788

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 LL
147 N BRENT STREET	VENTURA	CA	93003	462843182	MGMT SVCS	CA	$2,400	$41,225	CMHS
COMMUNITY MEMORIAL PHYSICIANS SERVICES
147 N BRENT STREET	VENTURA	CA	93003	463142917	MGMT SVCS	CA	$0	$165,447	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
2001 N SOLAR DRIVE SUITE 135	OXNARD	CA	93030	311512002	IMAGING CENTER	CA	NA	Related	$25,579	$225,087	false	$0	false	0.51000
VENTURA CARDIOVASCULAR CO-MANAGEMENT CO
147 N BRENT STREET	VENTURA	CA	93003	273227049	MANAGEMENT SERVIC	CA	NA	Related	$151,720	$196,502	false	$0	Yes (true)	0.50000
BUENAVISTA MEDICAL PROPERTIES LTD
168 N BRENT STREET	VENTURA	CA	93003	770275364	RENTAL	CA	NA

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	$188,231	$423,466	1.00000	Yes (true)
CALIFORNIA HEART INSTITUTE
147 N BRENT STREET	VENTURA	CA	93003	770276145	BILLING SERVICES	CA	NA	C Corp	$264,712	$195,768	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	$121,663	ACCRUAL METHOD
GROSSMAN IMAGING CENTER
d	$3,529,213	ACCRUAL METHOD
GROSSMAN IMAGING CENTER
j	$157,224	ACCRUAL METHOD
COMMUNITY MEMORIAL HEALTHCARE FDN
c	$275,542	ACCRUAL METHOD
COMMUNITY MEMORIAL HEALTHCARE FDN
q	$200,544	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: 77-0275364 U.S. ADDRESS: 168 NORTH BRENT STREET, VENTURA, CA 93003	ExplanationTxt