2023-10-27T17:12:22-05:00 2022-12-31 910189318 MOSS ADAMS LLP 21700 OXNARD ST STE 300 WOODLAND HILLS CA 91367 990 2022-01-01 951683892 COMMUNITY MEMORIAL HEALTH SYSTEM COMM 8056525050 147 NORTH BRENT STREET VENTURA CA 93003 JIM CORWIN CFO 8056525050 2023-10-24 1 JIM CORWIN 999009999 0 LAUREN A HAVERLOCK P00545829 8185771900 0 AAL1 IAL1 2022 2023-04-26 12:10:37Z GARY K WILDE 147 NORTH BRENT STREET VENTURA CA 93003 580526873 0 X WWW.MYCMH.ORG X 1933 CA TO HEAL, COMFORT AND PROMOTE HEALTH FOR THE COMMUNITIES WE SERVE. 19 16 3508 235 145629 0 2907738 2660615 516652052 545721676 4253748 227173 2800700 3465771 526614238 552075235 513643 453716 0 0 270092775 294848512 0 0 0 275206469 292662057 545812887 587964285 -19198649 -35889050 944703940 874169602 516133098 496921304 428570842 377248298 X SEE SCHEDULE O 0 0 537481398 0 545721676 PATIENT SERVICES TO INCLUDE 84,306 PATIENT DAYS, 167,232 OUTPATIENT VISITS, AND 342,156 VISITS TO THE CENTERS FOR FAMILY HEALTH AND MIDTOWN MEDICAL GROUP (THE HEALTHCARE SYSTEM'S OUTPATIENT CARE CLINICS). INCLUDED IN PATIENT SERVICE EXPENSE ARE THE SYSTEM'S EFFORTS TO PREVENT THE SPREAD OF COVID-19 AND TREAT COVID-19 PATIENTS. THROUGHOUT 2022, THE HEALTHCARE SYSTEM PROVIDED COVID-19 VACCINES AND BOOSTERS TO EMPLOYEES, MEDICAL STAFF, AREA PHYSICIAN OFFICES, AND ELIGIBLE MEMBERS OF THE GENERAL PUBLIC THROUGH THE MIDTOWN MEDICAL GROUP CLINIC.SEE SCHEDULE O FOR FURTHER DETAIL ON THE SYSTEM'S COVID-19 RESPONSE EFFORTS. 832443 453716 0 STANDARD COMMUNITY OUTREACH PROGRAMS INCLUDE: CANCER RESOURCE CENTER AND SUPPORT GROUPS; HEART-AWARE PROGRAM THAT PROVIDES FREE RISK EVALUATION, PREVENTATIVE INFORMATION AND RESOURCES. IN ADDITION TO OUR REGULAR OUTREACH PROGRAMS, THE HEALTHCARE SYSTEM PROVIDED THE COMMUNITY WITH INFORMATION ON COVID-19 TESTING, TREATMENT, SUPPORT, RESOURCES AND VACCINATIONS. THE HEALTHCARE SYSTEM'S SOCIAL MEDIA PLATFORMS CONTINUED TO POSITION CMHS AS THE COMMUNITY'S TRUSTED RESOURCE FOR PUBLIC HEALTH UPDATES AND VENTURA COUNTY MANDATES. SEE SCHEDULE O. 538313841 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 455 0 1 3508 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 19 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 0 CA X X KATHRYN YAMADA 8056525012 147 NORTH BRENT STREET VENTURA CA 93003 DEBORAH CARLSON MD BOARD MEMBER 1.00 39.00 X 222500 0 0 RICHARD RUSH MD CHAIR 1.00 0.00 X X 0 0 0 WILLIAM KEARNEY VICE CHAIR 1.00 0.00 X X 0 0 0 F TED MUEGENBURG JR SECRETARY 1.00 0.00 X X 0 0 0 GARY WOLFE TREASURER 1.00 0.00 X X 0 0 0 JEFFREY BRACKETT MD BOARD MEMBER 1.00 0.00 X 16500 0 0 CHRIS JOHNSON MD BOARD MEMBER 1.00 1.00 X 16500 0 0 MICHAEL BRADBURY BOARD MEMBER 1.00 0.00 X 0 0 0 CATHERINE FERGUSON MD BOARD MEMBER 1.00 0.00 X 0 0 0 DAVID FUKUTOMI BOARD MEMBER 1.00 0.00 X 0 0 0 TIMOTHY GALLAGHER BOARD MEMBER (THRU 2/22/22) 1.00 0.00 X 0 0 0 JOHN HAMMER BOARD MEMBER 1.00 0.00 X 0 0 0 LYDIA HOPPS BOARD MEMBER 1.00 0.00 X 0 0 0 JEFFREY LOEBL BOARD MEMBER 1.00 0.00 X 0 0 0 MIRANDA MARGETTS BOARD MEMBER (THRU 3/19/22) 1.00 0.00 X 0 0 0 JUDITH HALE NORRIS BOARD MEMBER 1.00 0.00 X 0 0 0 JEFFREY PAUL BOARD MEMBER 1.00 0.00 X 0 0 0 LIZ PAVLOV BOARD MEMBER 1.00 0.00 X 0 0 0 LINDA PETTIT BOARD MEMBER 1.00 1.00 X 0 0 0 MARTIN POPS MD BOARD MEMBER 1.00 0.00 X 0 0 0 CELINA ZACARIAS BOARD MEMBER 1.00 0.00 X 0 0 0 GARY K WILDE PRESIDENT & CEO 36.00 4.00 X 1172366 0 25756 JAMES CORWIN CFO 40.00 0.00 X 503424 0 113962 ADAM THUNELL COO 40.00 0.00 X 538125 0 119706 SAMUEL SMALL CHIEF OF MEDICAL EDUCATION 40.00 0.00 X 492469 0 26256 ANTHONY RUSSELL CAO AMBULATORY MEDICINE 40.00 0.00 X 483921 0 97422 KEITH MCWILLIAMS CIO 40.00 0.00 X 381018 0 80517 DIANE DREXLER CNO 40.00 0.00 X 366382 0 79650 KARI ANNE OSBORN VP HUMAN RESOURCES 40.00 0.00 X 358648 0 75052 JAMIE MAITES VP MARKETING & DEVELOPMENT 34.00 6.00 X 328744 0 34923 WILFRED GARAND VP PLANNING & MANAGED CARE 40.00 0.00 X 312481 0 54003 CYNTHIA DEMOTTE VP QUALITY 40.00 0.00 X 299660 0 15513 HAADY LASHKARI CHIEF ADMIN OFFICER OJAI/VP CMH 40.00 0.00 X 298871 0 72021 RICHARD REISMAN VP AMBULATORY MEDICINE 36.00 0.00 X 216689 0 7657 STANLEY FROCHTZWAJG CMO, INPATIENT 40.00 0.00 X 215658 0 6244 SCOTT GOODFRIEND PHYSICIAN ADVISOR 40.00 0.00 X 346171 0 23882 PILAR PARKER RN III 40.00 0.00 X 280564 0 17971 KATHRYN YAMADA DIRECTOR OF FINANCE 40.00 0.00 X 279812 0 25021 MARIA SALINAS RN III 40.00 0.00 X 270646 0 28170 CARRIE MARSH DIRECTOR AMB QUALITY & PRACTICE SYSTEMS 40.00 0.00 X 263781 0 27524 EMILIE RAYMAN FORMER COMPLIANCE OFFICER 0.00 0.00 X 120000 0 0 7784930 0 931250 805 1 1 0 GUIDEHOUSE MANAGED SERVICES INC 150 NORTH RIVERSIDE PLAZA SUITE 21 CHICAGO IL 606061528 REVENUE CYCLE MANAGEMENT 21194375 FLEXCARE MEDICAL STAFFING PO BOX 671794 DALLAS TX 752671794 REGISTRY NURSING 4119689 AYA HEALTHCARE INC 5930 CORNERSTONE CT W SUITE 300 SAN DIEGO CA 92121 REGISTRY NURSING 3410093 VENTURA ANESTHESIA MEDICAL GROUP 1081 MONTAUK LANE B VENTURA CA 93001 ANESTHESIA STAFFING 2266782 FASTAFF TRAVEL NURSING PO BOX 911452 DENVER CO 802911452 REGISTRY NURSING 1763746 110 411217 532928 1716470 2660615 PATIENT SERVICE REVENU 621500 495755937 495755937 HOSPITAL MEDI-CAL PAYM 621500 43768893 43768893 CAFETERIA REVENUE 722514 1965116 1965116 HEALTHCARE PROVIDER RE 532000 1795128 1795128 BREAST/PROSTATE CENTER 900099 1537847 1537847 898755 898755 545721676 2874834 205 2874629 156615 392481 -235866 -235866 -235866 25411496 28059157 -2647661 -2647661 -2647661 REBATES/REFUNDS 900099 1960187 1960187 PHARMACY REVENUE 456110 778057 71332 706725 MEDSTAFF REVENUE 621610 295601 295601 667792 74092 593700 3701637 552075235 545721676 145629 3547315 X 453716 453716 7032637 1579914 5452723 198676032 192546809 6129223 8115299 7758397 356902 63935446 60974187 2961259 17089098 16263245 825853 2301862 2050185 251677 853700 853700 443117 443117 71084135 61722405 9361730 120346 120346 106004701 105624218 380483 18702725 18095568 607157 1044781 195083 849698 10628705 10488663 140042 259601 259601 588677 395020 193657 11226410 11226410 30788177 30234503 553674 5248395 439070 4809325 HOSPITAL QUALITY ASSURA 16309760 16309760 PURCHASED SERVICES 8632796 8632796 RECRUITING 2439668 1167825 1271843 STATE USE AND SALES TAX 1173474 1167188 6286 4811027 1835342 2975685 587964285 538313841 49650444 0 37424147 16707404 70175396 74031456 69750443 74121447 10102309 9697076 12499381 14561037 748543873 233239355 534577013 515304518 100988715 66473700 10738929 15277793 8571300 8171300 89876307 79823871 944703940 874169602 92144120 97934494 33352407 0 383573795 386675343 7062776 12311467 516133098 496921304 X 427370039 375522170 1200803 1726128 428570842 377248298 944703940 874169602 X -35889050 -15103924 -329570 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 144979 144979 0 PART II-B, LINE 1: THE ORGANIZATION IS A MEMBER OF THE HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA AND THE CALIFORNIA ASSOCIATION OF HOSPITALS AND HEALTH SERVICES. IN 2022, $248,626 WAS INCLUDED IN EXPENSES FOR ANNUAL MEMBERSHIP DUES, A PORTION OF WHICH IS DIRECTED BY THESE ORGANIZATIONS TO CONDUCT LOBBYING ACTIVITIES. 45949315 45949315 494936908 122076289 372860619 199112851 111163066 87949785 8544799 8544799 515304518 OPERATING LEASE RIGHT-OF-USE ASSETS 28150525 MORTGAGE ESCROW FUNDS 35699730 ASSETS LIMITED TO USE 9648659 DEPOSITS WITH INSURANCE CO 3625539 DUE FROM THIRD PARTIES 1022634 OTHER ASSETS 1676784 79823871 SELF-INSURANCE LIABILITIES 12311467 12311467 X PART X, LINE 2: FIN 48 (ASC 740) FOOTNOTE THE FOLLOWING FOOTNOTE IS FROM THE CONSOLIDATED FINANCIAL STATEMENTS OF COMMUNITY MEMORIAL HEALTH SYSTEM: THE SYSTEM ACCOUNTS FOR INCOME TAXES UNDER THE PROVISIONS OF ASC 740, INCOME TAXES, WHICH PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE CONSOLIDATED FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. UNDER ASC 740, THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS MAY BE RECOGNIZED ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED, BASED SOLELY ON ITS TECHNICAL MERITS, WITH THE TAXING AUTHORITY HAVING FULL KNOWLEDGE OF ALL RELEVANT INFORMATION. THE SYSTEM RECORDS A LIABILITY FOR UNRECOGNIZED TAX BENEFITS FROM UNCERTAIN TAX POSITIONS AS DISCRETE TAX ADJUSTMENTS IN THE FIRST INTERIM PERIOD THAT THE MORE-LIKELY-THAN-NOT THRESHOLD IS NOT MET. THE SYSTEM RECOGNIZES DEFERRED TAX ASSETS AND LIABILITIES FOR TEMPORARY DIFFERENCES BETWEEN THE FINANCIAL REPORTING BASIS AND THE TAX BASIS OF ITS ASSETS AND LIABILITIES ALONG WITH NET OPERATING LOSS AND TAX CREDIT CARRYOVERS FOR TAX POSITIONS THAT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION CRITERIA. THE SYSTEM COMPLETED AN ANALYSIS OF ITS TAX POSITION, IN ACCORDANCE WITH ASC 740, AND DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN. NO SIGNIFICANT TAX LIABILITY FOR UNRECOGNIZED TAX BENEFITS, INTEREST, OR PENALTIES WAS ACCRUED AS OF DECEMBER 31, 2022 AND 2021. THE SYSTEM IS SUBJECT TO ROUTINE AUDITS BY THE TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE SYSTEM BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2018. 1 1 X 1 X 1 X 700.000000000000 1 1 0 1 1 587533 0 587533 0.00100 126055476 101534993 24520483 0.04170 126643009 101534993 25108016 0.04270 1220993 0 1220993 0.00210 17379590 3557557 13822033 0.02350 69136368 43617270 25519098 0.04340 78767 2825 75942 0.00010 453716 0 453716 0.00080 88269434 47177652 41091782 0.06990 214912443 148712645 66199798 0.11260 6345 6345 0.00000 1624739 1624739 0.00280 1631084 1631084 0.00280 0 106720119 126837786 -20117667 X 1 1 1 GROSSMAN IMAGING CENTER OF CMH LLC IMAGING CENTER 0.51000 0.49000 2 VENTURA CARDIOVASCULAR CO-MANAGEMENT COMPANY LLC MANAGEMENT SERVICES 0.50000 0.50000 3 BUENAVISTA MEDICAL PROPERTIES LTD REAL ESTATE 0.79000 0.21000 2 1 COMMUNITY MEMORIAL HOSPITAL 147 NORTH BRENT STREET VENTURA CA 93003 WWW.MYCMH.ORG 050000026 X X X X A 2 OJAI VALLEY COMMUNITY HOSPITAL 1306 MARICOPA HWY OJAI CA 93023 WWW.MYCMH.ORG 050000045 X X X X X A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 22 1 1 1 1 X SEE PART V, PAGE 8 X 1 22 1 SEE PART V, PAGE 8 0 1 X 200.000000000000 700.000000000000 X X X 1 1 X X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X 1 X 0 X X X X 1 X 0 0 PART V, SECTION B, LINE 3E: THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND ARE IDENTIFIED THROUGH THE CHNA. PART V, SECTION B, LINE 5: COMMUNITY MEMORIAL HEALTH SYSTEM (CMHS) CONDUCTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) THROUGH A COORDINATED EFFORT WITH ITS PARTNERS AT THE VENTURA COUNTY DEPARTMENT OF PUBLIC HEALTH, ADVENTIST HEALTH SIMI VALLEY, CAMARILLO HEALTH CARE DISTRICT, CLINICAS DEL CAMINO REAL, GOLD COAST HEALTH PLAN, ST. JOHN'S REGIONAL MEDICAL CENTER, AND THE VENTURA COUNTY HEALTH CARE AGENCY COMMUNITY HEALTH CENTER. THESE PARTNERS MAKE UP THE VENTURA COUNTY COMMUNITY HEALTH IMPROVEMENT COLLABORATIVE (VCCHIC), WHICH WAS ORGANIZED IN 2018, TO REVIEW OVERALL POPULATION HEALTH AND DEVELOP PRIORITIES THAT INFORM PLANNING FOR BUILDING HEALTHIER COMMUNITIES. TOGETHER, THESE AGENCIES SUPPORT HEALTH ADVOCACY, EDUCATION, PREVENTION, AND PARTNERSHIPS THAT EXTEND THE CARE CONTINUUM FOR MEDICALLY UNDERSERVED AND VULNERABLE POPULATIONS. THESE PARTNERSHIPS ARE NECESSARY TO ACCOMPLISH THE SHARED VISION OF WORKING COLLABORATIVELY TO DEVELOP STRATEGIES BASED ON THE IDENTIFIED HEALTH PRIORITIES FROM THE CHNA.THE 2022 COMMUNITY HEALTH ASSESSMENT SURVEY WAS DESIGNED AND DISSEMINATED BY VCCHIC. DEMOGRAPHICS OF THE SURVEY RESPONDENTS INCLUDED ALL AGE GROUPS, GENDER IDENTITY, HOUSEHOLD INCOME, RACE OR ETHNICITY, MARITAL STATUS, EDUCATION, INSURANCE AND INDUSTRY. ONE OF THE KEY OBJECTIVES OF THE ASSESSMENT WAS TO ENGAGE THE COMMUNITY, INCLUDING SOCIALLY MARGINALIZED POPULATIONS, PHYSICIANS, AND OTHER SERVICE PROVIDERS TO SHARE THEIR PERCEPTIONS ON THE HEALTH NEEDS OF THE VENTURA COUNTY RESIDENTS. THROUGHOUT FEBRUARY 2022, INFORMATION INTERVIEWS AND FOCUS GROUP DISCUSSIONS WERE HELD TO HELP DEVELOP A DEEPER UNDERSTANDING OF THE DATA COLLECTED AND GATHER KEY THEMES ABOUT THE ISSUES IMPACTING THE COMMUNITY. PART V, SECTION B, LINE 6A: CHNA CONDUCTED WITH OTHER HOSPITAL FACILITIESADVENTIST HEALTH SIMI VALLEYST. JOHN'S REGIONAL MEDICAL CENTER, DIGNITY HEALTH PART V, SECTION B, LINE 6B: CHNA CONDUCTED WITH OTHER ORGANIZATIONSCAMARILLO HEALTH CARE DISTRICTCLINICAS DEL CAMINO REAL, INC.GOLD COAST HEALTH PLANVENTURA COUNTY HEALTH CARE AGENCY COMMUNITY HEALTH CENTERVENTURA COUNTY PUBLIC HEALTH PART V, SECTION B, LINE 7A: HTTPS://WWW.MYCMH.ORG/COMMUNITY-HEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ PART V, SECTION B, LINE 10A: HTTPS://WWW.MYCMH.ORG/COMMUNITY-HEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ PART V, SECTION B, LINE 11: THE COMMUNITY MEMORIAL HEALTH SYSTEM BOARD OF TRUSTEES ESTABLISHED A COMMUNITY BENEFIT COMMITTEE TO OVERSEE THE DEVELOPMENT, IMPLEMENTATION, AND EVALUATION OF ONGOING COMMUNITY BENEFIT ACTIVITIES AND THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE CMHS BOARD OF TRUSTEES APPROVES THE IMPLEMENTATION STRATEGY RECOMMENDED BY THE COMMITTEE. VCCHIC'S FOUNDING MEMBERS CONVENED SEVERAL MEETINGS TO DISCUSS AND ADDRESS THE SURVEY RESULTS. A FINAL WORKING GROUP SESSION WAS HELD TO AGGREGATE SURVEY RESULTS AND TO PRIORITIZE HEALTH TOPICS FOR SUBSEQUENT IMPLEMENTATION PLANNING BY VCCHIC PARTNERS. SIGNIFICANT HEALTH NEEDS WERE GROUPED INTO THREE PRIORITIZED HEALTH TOPICS:1. ADDRESSING MENTAL HEALTH AND SUBSTANCE ABUSE ACROSS THE LIFESPAN2. PREVENTION OF CHRONIC CONDITIONS BY PROMOTING HEALTHY LIFESTYLES3. ADVANCING EQUITABLE ACCESS TO HEALTHCARETHE SUB-TOPICS INCLUDED IN EACH OF THE THREE PRIORITIZED HEALTH NEEDS ARE AS FOLLOWS:1. ACCESS TO HEALTHCARE2. IMPROVE THE HEALTH AND WELLNESS OF ADOLESCENTS3. ALCOHOL AND DRUG USE4. CANCER5. ADVERSE CHILDHOOD EXPERIENCES6. DIABETES7. IMPROVE HEALTH EDUCATION8. HEART DISEASE AND STROKE9. AFFORDABLE HOUSING10. ADDRESSING MENTAL HEALTH AND SUBSTANCE ABUSE ACROSS THE LIFESPAN11. NUTRITION AND HEALTHY EATING12. IMPROVE THE HEALTH AND WELLNESS OF OLDER ADULTS13. PHYSICAL ACTIVITY14. WEIGHT STATUS15. PREVENTION OF CHRONIC CONDITIONS BY PROMOTING HEALTH LIFESTYLESMANY OF THE SELECTED HEALTH NEEDS ARE CONSISTENT WITH THE PRIORITY AREAS THAT EMERGED FROM THE PREVIOUS CHNA PROCESS. VCCHIC PLANS TO BUILD UPON EFFORTS THAT EMERGED FROM ITS PREVIOUS CHNA PROCESS, COLLABORATING WITH OTHER FACILITIES AND COMMUNITY PARTNERS, TO ADDRESS THE THREE PRIORITY HEALTH TOPICS. COMMUNITY MEMORIAL HEALTH SYSTEM HAS SEPARATELY IMPLEMENTED ALL THREE PRIORITIES IDENTIFIED IN THE CHNA.COMMUNITY MEMORIAL HEALTH SYSTEM ADDRESSED THE THREE PRIORITY AREAS AS FOLLOWS: ADDRESSING MENTAL HEALTH AND SUBSTANCE ABUSE ACROSS THE LIFESPAN- LAUNCHING TELEMEDICINE FOR BEHAVIORAL HEALTH- ENHANCING ACCESS TO BEHAVIORAL HEALTH PROVIDERS BY COLLABORATING WITH CLINICAS DEL CAMINO REAL AND WORKING WITH VISTA DEL MAR FOR DEVELOPING INTEGRATED SERVICES AT CMHS' OUTPATIENT CLINICS- IMPLEMENTED ELECTRONIC PRESCRIBING AT THE OUTPATIENT CLINICS FOR CONTROLLED SUBSTANCES TO SET A GENERAL STANDARD OF PRESCRIBING OPIOID PAIN MEDICATION TO REDUCE OPIOID OVERDOSE-RELATED DEATHS- THREE PHYSICIANS OBTAINED CERTIFICATION FOR PRESCRIBING SUBOXONE FOR OPIOID DEPENDENCE TREATMENT.- THE SYSTEM CONTRACTED THE SERVICES OF A PHYSICIAN THAT SPECIALIZES IN ADDICTION MEDICINE TO PROVIDE LEADERSHIP AND IMPROVE THE QUALITY OF THE SYSTEM'S ADDICTION MEDICINE PROGRAM.- PROVIDING RECUPERATIVE CARE TO THE HOMELESS WITH SHORT-TERM CARE AND CASE MANAGEMENT- IMPLEMENTED A GRADUATE MEDICAL EDUCATION PROGRAM IN PSYCHIATRY IN 2021.- LICENSED CLINICAL SOCIAL WORKERS PROVIDE DIRECT PSYCHOTHERAPUTIC AND CASE MANAGEMENT SERVICES FOR THOSE IDENTIFIED WITH DEPRESSION, ANXIETY, OR SUBSTANCE USE OR WITH MENTAL HEALTH DIAGNOSES AND NEED TREATMENT.PREVENTION OF CHRONIC CONDITIONS BY PROMOTING HEALTHY LIFESTYLES - CMHS AMBULATORY MEDICINE RELAUNCHED INTENSIVE CASE MANAGEMENT TO IMPROVE COORDINATION OF CARE. THE CHRONIC CARE MANAGEMENT PROGRAM HAS OVER 1,000 PATIENTS IN SERVICE.- CMHS HEALTHAWARE HAS PROMOTED CARDIAC AND VASCULAR HEALTH BY PROVIDING COMMUNITY MEMBERS WITH ONGOING HEALTH EDUCATION, SUPPORT, FREE SCREENINGS, AND HEALTH ASSESSMENTS.- PROVIDING FREE CHRONIC DISEASE DETECTION AND SCREENING SERVICES- PROVIDING IN-KIND SUPPORT AND STAFF ENGAGEMENT TO THE EXPLORATION AND DEVELOPMENT EFFORTS OF SENIOR INDEPENDENT LIVING SUPPORT IN OJAI VALLEY AND WEST VENTURA- CONNECTING WITH WEST VENTURA SCHOOLS TO CONTRIBUTE TO MOTIVATING STUDENTS TO GRADUATE FROM HIGH SCHOOL INCLUDING ACTIVITIES SUCH AS CAREER DAY, CPR AND FIRST AID EDUCATION, AND DISASTER PLANNING- OFFERING FREE COMMUNITY HEALTH EDUCATION SEMINARS ON A VARIETY OF TOPICS- HOSTING SUPPORT GROUPS THAT ARE WIDELY AVAILABLE TO THE PUBLIC INCLUDING A CAREGIVER SUPPORT GROUP, ADDICTION MEDICINE SUPPORT GROUP, AND MOREADVANCING EQUITABLE ACCESS TO HEALTHCARE- COLLABORATING WITH CLINICAS DEL CAMINO REAL TO ENHANCE PATIENT ACCESS TO SPECIALTY CARE. - ONGOING PARTICIPATION WITH GOLD COAST HEALTH PLAN (GCHP) ON THE INITIATIVE TO IMPROVE CHILDREN AND ADOLESCENTS ACCESS TO PRIMARY CARE PRACTITIONERS AND INCREASE HEDIS SCORES FOR GCHP.- CONTINUED TO IMPROVE PHYSICIAN RESIDENT TRAINING AT THE CMHS GRADUATE MEDICAL EDUCATION PROGRAM THROUGH FACULTY RECRUITMENT AND LOCAL PARTNERSHIPS.- ENHANCING THE PHYSICIAN RESIDENT FREE CLINIC PROGRAM IN UNDERSERVED COMMUNITIES.- CONTINUED GROWTH OF THE MIDTOWN MEDICAL GROUP CLINICS IN OJAI AND VENTURA. CLINIC EXPANSION PLANS INCLUDE PSYCHIATRY, FAMILY PRACTICE, AND SPECIALTY PHYSICIANS.- PARTICIPATING IN THE UNITED WAY'S BUILDING HEALTH SMILES CAMPAIGN TO ADDRESS THE NEED FOR ACCESS TO DENTAL CARE- RECRUITING SPECIALTY AND FAMILY PHYSICIANS- SUPPORT THE VENTURA COUNTY MEDICAL RESOURCE FOUNDATION WHOSE MISSION IS TO IMPROVE ACCESS TO HEALTHCARE FOR THE VULNERABLE AND UNDERSERVED. 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: HTTPS://WWW.MYCMH.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/ PART V, SECTION B, LINE 16B: HTTPS://WWW.MYCMH.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/ PART V, SECTION B, LINE 16C: HTTPS://WWW.MYCMH.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/ PART V, SECTION B, LINE 16H: CMHS CREATED A BILINGUAL FINANCIAL ASSISTANCE FLYER THAT IS DISTRIBUTED TO THE COMMUNITY AT HEALTH FAIRS, FREE CLINICS, COMMUNITY EVENTS AND SUPPORT GROUPS. THIS FLYER PROVIDES DETAILS ON THE CMHS FINANCIAL ASSISTANCE PROGRAM AS WELL AS DIRECTIONS ON HOW TO SOLICIT SUPPORT WITH ENROLLMENT. 25 1 - SAVIERS CENTER FOR FAMILY HEALTH 2921 S SAVIERS ROAD OXNARD CA 93033 OP CLINIC 2 - GROSSMAN IMAGING CENTER OF CMH LLC 2001 N SOLAR DR STE 135 OXNARD CA 93030 FOR PROFIT 3 - CAMARILLO CENTER FOR FAMILY HEALTH 422 B ARNEILL ROAD CAMARILLO CA 93010 OP CLINIC 4 - ASHWOOD CENTER FOR FAMILY HEALTH 116 ASHWOOD VENTURA CA 93003 OP CLINIC 5 - VINEYARD CENTER FOR FAMILY HEALTH 2361 VINEYARD AVE OXNARD CA 93036 OP CLINIC 6 - MSO SAN BUENAVENTURA UROLOGY CENTER 2705 LOMA VISTA RD STE 206 VENTURA CA 93003 OP CLINIC 7 - SANTA PAULA CENTER FOR FAMILY HEALTH 242 E HARVARD BLVD SANTA PAULA CA 93060 OP CLINIC 8 - MIDTOWN MEDICAL GROUP CLINIC 2721 E MAIN STREET VENTURA CA 93003 OP CLINIC 9 - AIRPORT MARINA CENTER FOR FAMILY HEALTH 3641 W FIFTH STREET OXNARD CA 93035 OP CLINIC 10 - MSO PACIFIC INPATIENT PHYSICIANS 147 N BRENT STREET VENTURA CA 93003 OP CLINIC 11 - MAIN STREET CENTER FOR FAMILY HEALTH 138 W MAIN STREET VENTURA CA 93001 OP CLINIC 12 - SANTA ROSA CENTER FOR FAMILY HEALTH 5800 SANTA ROSA ROAD CAMARILLO CA 93010 OP CLINIC 13 - MSO SAN BUENAVENTURA UROGYNECOLOGY 2705 LOMA VISTA RD STE 206 VENTURA CA 93003 OP CLINIC 14 - MIDTOWN MEDICAL GROUP CLINIC - SPECIALTY 168 N BRENT STREET STE 302 VENTURA CA 93003 OP CLINIC 15 - FILLMORE CENTER FOR FAMILY HEALTH 852 VENTURA STREET FILLMORE CA 93015 OP CLINIC 16 - PREMIERE HEALTH SANTA PAULA 258 262 E HARVARD BLVD SANTA PAULA CA 93060 OP CLINIC 17 - PORT HUENEME CENTER FOR FAMILY HEALTH 321 E PORT HUENEME RD PORT HUENEME CA 93041 OP CLINIC 18 - MSO VENTURA COAST FAMILY CARE 124 N BRENT STREET VENTURA CA 93003 OP CLINIC 19 - MIDTOWN MEDICAL GROUP CLINIC - OJAI 655 N VENTURA AVE OAK VIEW CA 93022 OP CLINIC 20 - OAK VIEW CENTER FOR FAMILY HEALTH 655 N VENTURA AVE OAK VIEW CA 93022 OP CLINIC 21 - MIDTOWN MEDICAL GROUP CLINIC - OJAI PIRIE 117 PIRIE ROAD OJAI CA 93023 OP CLINIC 22 - MSO PREMIERE DERMATOLOGY & MOHS SURGERY 168 N BRENT STREET STE 403 VENTURA CA 93003 OP CLINIC 23 - CENTRAL COAST CENTER FOR GYNECOLOGIC ONCOL 2900 LOMA VISTA RD STE 205 VENTURA CA 93003 OP CLINIC 24 - MSO VENTURA PLASTIC SURGERY 1280 S VICTORIA STE 201 VENTURA CA 93003 OP CLINIC 25 - STROKE CLINIC 147 N BRENT STREET VENTURA CA 93003 OP CLINIC PART I, LINE 3C: IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, THE ORGANIZATION ALSO USED AN ALGORITHM TO DETERMINE THE 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 7G: NO AMOUNT ATTRIBUTABLE TO A PHYSICIAN CLINIC WAS INCLUDED AS SUBSIDIZED HEALTH SERVICES ON PART I, LINE 7G. PART I, LN 7 COL(F): THE ORGANIZATION INCLUDED $297,709 OF NON-PATIENT BAD DEBT EXPENSE IN PART IX. THE AMOUNT HAS BEEN SUBTRACTED FROM THE CALCULATION OF COLUMN F.COVID-19IN MARCH 2020, THE WORLD HEALTH ORGANIZATION DECLARED THE NOVEL CORONAVIRUS DISEASE (COVID-19) A PANDEMIC. THE CENTERS FOR DISEASE CONTROL AND PREVENTION CONFIRMED ITS SPREAD TO THE UNITED STATES AND IT WAS DECLARED A NATIONAL PUBLIC HEALTH EMERGENCY. CALIFORNIA FOLLOWED BY DECLARING A STATE OF EMERGENCY ACROSS ALL COUNTIES AND HAD SOME LEVEL OF STAY-AT-HOME ORDERS THROUGHOUT 2020 TO PREVENT THE SPREAD OF COVID-19. THE NEED FOR THE SYSTEM TO RESPOND TO COVID-19 HAS BEEN AND CONTINUES TO BE A COSTLY AND DIFFICULT ENDEAVOR. BELOW DESCRIBES THE SYSTEM'S RESPONSE TO COVID-19 AND THE ACTIVITIES TAKEN TO TREAT COVID-19 PATIENTS AND PROTECT THE LIFE, HEALTH, AND SAFETY OF THE COMMUNITY AND HEALTHCARE PROVIDERS. - TO PROTECT PATIENTS, EMPLOYEES, AND MEMBERS OF THE COMMUNITY, CMHS MANDATED A STRICT PPE (PERSONAL PROTECTIVE EQUIPMENT) POLICY IN WHICH IT REQUIRED EVERYONE ENTERING ALL LOCATIONS (BOTH CLINICAL AND NON-CLINICAL) TO WEAR A MASK. FREE MASKS WERE AVAILABLE AT THE ENTRANCES OF ALL LOCATIONS. - EMPLOYEES IN PATIENT CARE AREAS WERE REQUIRED TO WEAR EYE PROTECTION. - SCREENING TENTS WERE SET UP AT THE ENTRANCES TO BOTH HOSPITALS AND THE URGENT CARE CLINICS TO SCREEN EMPLOYEES AND VISITORS FOR COVID-19 SYMPTOMS. - AT THE CMH FACILITY, 209 PATIENT ROOMS WERE CONVERTED TO NEGATIVE-PRESSURE ROOMS WHERE THE ORIGINAL GLASS WINDOWS WERE REMOVED AND REPLACED WITH TEMPORARY WINDOW COVERS TO ACCOMMODATE AIR SCRUBBERS WITH HEPA FILTRATION. IN HEALTHCARE SETTINGS, NEGATIVE PRESSURE ROOMS ARE USED TO ISOLATE PATIENTS WITH AIRBORNE INFECTIONS. ROOMS ARE NEGATIVELY PRESSURIZED IN RELATION TO THE HOSPITAL CORRIDOR IN ORDER TO PREVENT INFECTIOUS PARTICLES FROM ESCAPING THE ROOM. AT THE OJAI FACILITY, 3 PATIENT ROOMS WERE CONVERTED, AND AT CENTERS FOR FAMILY HEALTH SAVIERS, SANTA PAULA AND CAMARILLO 2 EXAM ROOMS WERE CONVERTED.- NURSING UNITS IN THE DECOMMISSIONED MOUNTAIN TOWER AT THE CMH CAMPUS RECEIVED TEMPORARY LICENSING IN ORDER TO EXPAND PATIENT ROOM CAPACITY DURING SURGE CONDITIONS. THE UNITS WERE SUPPLIED WITH PATIENT CARE ITEMS SUCH AS BEDS, MEDICATION DISPENSERS, NURSING UNIT COMPUTERS, PATIENT MONITORING EQUIPMENT AND NEGATIVE PRESSURE ROOM UNITS. - INVESTMENT WAS MADE IN ULTRAVIOLET DISINFECTION ROBOTS THAT HAVE THE ABILITY TO DISINFECT AREAS THROUGHOUT THE HOSPITAL AND SPECIFICALLY IN AREAS WHERE COVID-19 PATIENTS ARE TREATED. UVC ROBOTS ARE CRITICAL FOR INFECTION CONTROL AND PROVIDE AN EXTRA LAYER OF SAFETY THAT CAN DISINFECT LARGE AREAS EFFICIENTLY AND EFFECTIVELY.- HAND SANITIZER AND OTHER CLEANING PRODUCTS WERE PURCHASED TO SANITIZE ALL FACILITIES. - THE SYSTEM INCURRED EXTRAORDINARY COSTS FOR PPE SUCH AS MASKS, GLOVES, EYEWEAR, AND GOWNS. - DISPOSABLE OXISENSOR TRANDUCERS WERE PURCHASED TO MONITOR OXYGEN LEVELS IN PATIENTS WITH WEAK PULSES. THE SINGLE-USE MONITORS MINIMIZE THE POTENTIAL FOR CROSS-CONTAMINATION.- THE SYSTEM PURCHASED PNEUMATIC OXYGEN UNITS FOR USE WITH COUNTY-SUPPLIED VENTILATORS TO ACCESS OXYGEN SUPPLY.- THE SYSTEM CONTRACTED THE SERVICES OF AN INFECTIOUS DISEASE PHYSICIAN TO AID IN THE DEVELOPMENT OF POLICIES AND PROTOCOLS FOR PPE USE, PATIENT TREATMENT AND ISOLATION, EXPOSURE INVESTIGATION, LAB TESTING, COVID-19 EDUCATION, AND EMPLOYEE TRAVEL AND EXPOSURE GUIDELINES.- IN ACCORDANCE WITH THE CALIFORNIA DEPARTMENT OF PUBLIC HEALTH, EMPLOYEES AT THE OJAI CONTINUING CARE CENTER WERE REQUIRED TO BE TESTED FOR COVID-19 WEEKLY TO PROTECT PATIENTS. - ALL EMPLOYEES WERE REQUIRED TO BE TESTED FOR COVID-19 WHEN SYMPTOMATIC, EXPOSED TO SOMEONE WITH A POSITIVE COVID-19 DIAGNOSIS, OR RETURNING FROM TRAVEL OUTSIDE OF THE STATE. - INVESTMENT WAS MADE IN LAB ANALYZER EQUIPMENT IN ORDER TO IMPROVE THE TURNAROUND TIME FOR RECEIVING COVID-19 TEST RESULTS.- CMHS HIRED ADDITIONAL PERSONNEL TO CONDUCT ENTRANCE SCREENINGS, CARE FOR THE SURGE OF COVID-19 PATIENTS, SANITIZE FACILITIES, SECURE ENTRYWAYS, STAY CURRENT ON CDC AND CDPH INFECTION DISEASE PANDEMIC GUIDANCE, AND DIRECT PATIENT FLOW. - ONCE AVAILABLE, CMHS MADE THE COVID-19 VACCINES AVAILABLE TO ALL EMPLOYEES, THEIR DEPENDENTS, AND PATIENTS. CMHS ALSO COLLABORATED WITH THE COUNTY OF VENTURA TO VACCINATE SCHOOL DISTRICT EMPLOYEES AND ELIGIBLE MEMBERS OF THE GENERAL PUBLIC AT NORDHOFF HIGH SCHOOL IN OJAI. CMHS REQUESTED $25.6 MILLION IN REIMBURSEMENT FOR THE ABOVE COVID-19 RELATED EXPENSES INCURRED BETWEEN 2020 AND 2022 FROM THE FEDERAL EMERGENCY MANAGEMENT AGENCY (FEMA). CMHS RECEIVED $1.2 MILLION FROM FEMA AS OF DECEMBER 31, 2022, AND EXPECTS TO RECEIVE THE REMAINING REIMBURSEMENT IN FUTURE PERIODS. PART I, LINE 7B: UNREIMBURSED MEDICAIDTHE 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) CONTAIN TWO COMPONENTS: THE QUALITY ASSURANCE FEE ACT, WHICH GOVERNS THE "HOSPITAL FEE OR "QUALITY ASSURANCE FEE" (QA FEE) PAID BY PARTICIPATING HOSPITALS, AND THE MEDI-CAL HOSPITAL PROVIDER STABILIZATION ACT, WHICH GOVERNS SUPPLEMENTAL MEDI-CAL PAYMENTS (SUPPLEMENTAL PAYMENTS) MADE TO PROVIDERS FROM THE FUND. HOSPITAL PARTICIPATION IS MANDATORY, WITH LIMITED EXCEPTIONS. IN JUNE 2012, THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) AMENDED LEGISLATION TO ALLOW FOR THE FEE-FOR-SERVICE PORTION OF THE PROGRAM TO BE ADMINISTERED SEPARATELY FROM THE MANAGED CARE COMPONENT.THE SYSTEM MADE PAYMENTS TO THE DHCS FOR THE QA FEE IN THE AMOUNT OF $16,637,696 IN 2022. THE SYSTEM MADE CALIFORNIA HEALTH FOUNDATION AND TRUST PAYMENTS IN THE AMOUNT OF $327,936 IN 2022, AND THE PLEDGE PAYMENTS WERE RECORDED WITHIN THE QA FEE IN OPERATING EXPENSES WITHIN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS. THE SYSTEM RECEIVED SUPPLEMENTAL PAYMENTS OF $43,768,893 OVER THE COURSE OF THE PROGRAM IN 2022. THE SYSTEM RECORDED THE SUPPLEMENTAL PAYMENTS AS OPERATING REVENUE WITHIN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS. PART I, LINE 7E: COMMUNITY HEALTH IMPROVEMENT SERVICES INCLUDE:- PROJECT SAFE HARBOR, WHICH SUPPORTS VICTIMS OF DOMESTIC ABUSE- CANCER CENTER SERVICES, WHICH INCLUDE INFORMATIONAL MATERIALS, PATIENT AND FAMILY CONSULTATIVE SERVICES, AND CANCER SUPPORT GROUPS- HEALTH AWARE SERVICES, INCLUDING FREE HEALTH ASSESSMENTS, ANNUAL HEALTH SCREENINGS, AND FREE EDUCATIONAL CLASSES- HEALTH SEMINARS AND CONFERENCES, WHICH ARE PROVIDED FREE TO THE COMMUNITY. EXPENSES INCLUDE PROGRAM MATERIALS, PRODUCTION COSTS, AND MAILERS.- NEW PARENT RESOURCE CENTER SERVICES, WHICH INCLUDE CHILDBIRTH CLASSES, BREASTFEEDING CLASSES AND CONSULTATIONS, PRENATAL YOGA, AND SUPPORT GROUPSCOMMUNITY BENEFIT OPERATIONS INCLUDE:- COMMUNITY RELATIONS ADMINISTRATIVE COSTS, WHICH INCLUDE LABOR EXPENSES FOR THE SYSTEM'S HEALTH SEMINARS AND CONFERENCES (SOCIAL MEDIA POSTING, RADIO ADVERTISEMENTS, PRESS RELEASES, PRESENTATION SLIDE PREPARATION AND DISSEMINATION, EVENT RECORDING AND POSTING TO YOUTUBE, AND FOLLOW-UP CAMPAIGNS)- TRANSPORTATION EXPENSES FOR DISCHARGED PATIENTS, WHICH INCLUDES TAXI AND RIDE-SHARE COSTS- HOMELESS DISCHARGE PROGRAM, WHICH PROVIDES PHARMACEUTICALS, CLOTHING, AND TRANSPORTATION SERVICES- COMMUNITY BENEFIT REPORT PREPARATION, WHICH INCLUDES IDENTIFYING COMMUNITY BENEFIT NEEDS, COLLECTING COMMUNITY BENEFIT EXPENSES, AND PREPARING THE COMMUNITY BENEFIT REPORT PART I, LINE 7H: RESEARCH ACTIVITIES INCLUDE:- INDUSTRY-SPONSORED REGISTRY FOR ATRIAL FIBRILLATION ABLATIONS- INVESTIGATOR-INITIATED CROSS-SECTIONAL NURSING STUDY UTILIZING SURVEY OF SUBJECTS- INVESTIGATOR-INITIATED CLINICAL TRIAL OF PROCEDURAL CHANGE DURING TAVR- INVESTIGATOR-INITIATED RETROSPECTIVE STUDY USING CHART REVIEW FOR DATA COLLECTION- GRAFTMASTER CORONARY STENT GRAFT SYSTEM- CLOFAZIMINE MULTI PATIENT PROGRAM TREATMENT FOR NON-TUBERCULAR MYCOPLASM- VITAMIN D/ROTATOR CUFF REPAIR PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY BUILDING ACTIVITIESCMHS REGULARLY EVALUATES THE HEALTH NEEDS OF THE COMMUNITIES SURROUNDING ITS OUTPATIENT AND HOSPITAL LOCATIONS AND STRATEGICALLY RECRUITS FAMILY AND SPECIALTY PHYSICIANS TO MEET THE IDENTIFIED NEEDS. CMHS ALSO SUPPORTS ITS AFFILIATED MEDICAL GROUPS WITH PHYSICIAN RECRUITMENT WHERE A COMMUNITY NEED IS DEMONSTRATED. THE MARKET NEED IS EVALUATED BY A TARGETED STUDY OF THE NUMBER OF PHYSICIANS NEEDED PER PRACTICE AREA BASED ON POPULATION SIZE. AS A MEMBER AND ENGAGED PARTICIPANT IN THE VENTURA COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT COLLABORATIVE, CMHS HAS TAKEN AN ACTIVE LEADERSHIP ROLE IN THE SHARING OF VALUABLE INFORMATION ON HEALTH IMPROVEMENT INITIATIVES AND THE PLANNING OF THE JOINT COMMUNITY HEALTH NEEDS ASSESSMENT PROJECT IN 2022. THE 2022 JOINT CHNA WAS A SYNERGISTIC PROCESS INVOLVING ALL MEMBERS OF THE CHNA COLLABORATIVE WORKGROUP. A COORDINATED, CROSS-ORGANIZATIONAL STRATEGY WAS UTILIZED TO EVALUATE AND ADDRESS THE HEALTH NEEDS OF COMMUNITIES ACROSS VENTURA COUNTY.CMHS AMBULATORY STARTED THE CAREGIVER COALITION WHICH IS COMPRISED OF MULTIPLE AGENCIES, HOSPITALS, AND NON-PROFITS THAT WORK WITH CAREGIVERS THROUGHOUT THE COUNTY. CAREGIVER SUPPORT IS A CRITICAL NEED SO PATIENTS REMAIN STABLE AND HEALTHY WITH ADEQUATE SUPPORT. CMHS LEADS THE COALITION WHICH ADDRESSES HEALTH DISPARITIES, AND EQUITABLE ACCESS, AND PROVIDES SUPPORT TO CAREGIVERS AND PATIENTS. CMHS IS A LEAD PARTNER IN THE HOSPITAL-TO-HOME ALLIANCE OF VENTURA COUNTY. THE ALLIANCE INCLUDES CMHS, DIGNITY HEALTH, HOME HEALTH AGENCIES, SKILLED NURSING FACILITIES, GOLD GOAST MEDI-CAL, AND ADULT DAY PROGRAMS. THE ALLIANCE WORKS TO IMPROVE HOSPITAL-TO-HOME TRANSITIONS AND WORKS TO ENHANCE EQUITABLE CARE ACROSS THE LIFESPAN FOR PATIENTS. THE ALLIANCE PUTS ON A YEARLY CONFERENCE AT NO CHARGE AND MEETINGS ARE HELD MONTHLY TO ADDRESS PATIENT NEEDS AND HEALTH WITH MULTIPLE COMMUNITY PARTNERS. 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 23.4% OF THE SYSTEMS NET REVENUE FOR 2022. HOSPITALS DO NOT DETERMINE THE LEVEL OF PAYMENT FROM THE MEDICARE PROGRAM, AND THE MEDICARE PROGRAM DOES NOT COVER THE COSTS OF TREATING THE SYSTEM'S MEDICARE PATIENTS, ALTHOUGH THE QUALITY OF CARE AND ACCESS TO CARE IS THE SAME FOR ALL PATIENTS, REGARDLESS OF PAYER SOURCE. UNREIMBURSED COST UNDER THE MEDICARE PROGRAM IS A TRUE LOSS TO THE SYSTEM AND THE LOSS IS REFLECTED IN THE SYSTEM'S FINANCIAL STATEMENTS. AS SUCH, MEDICARE LOSSES SHOULD BE CONSIDERED A COMMUNITY BENEFIT PROVIDED BY THE SYSTEM. PART III, LINE 9B: THE PATIENT'S ABILITY TO PAY IS EVALUATED UPON ADMISSION. A PATIENT FINANCIAL SERVICES STAFF ASSISTS PATIENTS WITH APPLYING FOR LOCAL, STATE AND FEDERAL PROGRAMS WHEN THERE IS NO OTHER SOURCE OF PAYMENT. IN THE EVENT THAT NO THIRD-PARTY PAYMENT SOURCE IS AVAILABLE, PATIENTS ARE PROVIDED WITH INFORMATION ON THE SYSTEM'S FINANCIAL ASSISTANCE PROGRAM. FINANCIAL ASSISTANCE AND CHARITY CARE ARE BASED ON A SLIDING SCALE FEE SCHEDULE UTILIZING THE CURRENT UNITED STATES FEDERAL POVERTY GUIDELINES. INFORMATION FROM THE APPLICANT'S FINANCIAL APPLICATION AND SUPPORTING DOCUMENTATION IS USED TO DETERMINE THE AMOUNT OF THE QUALIFIED FINANCIAL ASSISTANCE TO BE GRANTED.THE SYSTEM HAS A WRITTEN COLLECTION POLICY TO PROVIDE FOR AN EQUITABLE PROCESS BY WHICH A PATIENT AND/OR RESPONSIBLE PARTY CAN MAKE A PAYMENT OR PAYMENT ARRANGEMENT PRIOR TO OR AT THE TIME OF SERVICE. THE SYSTEM WILL PROACTIVELY DETERMINE THE PATIENT'S ABILITY TO PAY. A DEPOSIT, BASED UPON SELF-PAY LIABILITY IS COLLECTED PRIOR TO ADMISSION OR AT THE TIME OF SERVICE. FOR PATIENTS WHO ARE UNABLE TO PAY THEIR ESTIMATED LIABILITY AT THE TIME OF SERVICE, THE SYSTEM WILL OFFER A FINANCING OPTION. PATIENTS WHO MEET CHARITY OR INDIGENT GUIDELINES WILL BE REFERRED TO A FINANCIAL ADVOCATE FOR FINANCIAL AID. PART VI, LINE 2: NEEDS ASSESSMENTIN 2022, CMHS WORKED CLOSELY WITH THE VENTURA COUNTY DEPARTMENT OF PUBLIC HEALTH, ADVENTIST HEALTH SIMI VALLEY, CAMARILLO HEALTH CARE DISTRICT, CLINICAS DEL CAMINO REAL, GOLD COAST HEALTH PLAN, ST. JOHN'S REGIONAL MEDICAL CENTER, AND THE VENTURA COUNTY HEALTHCARE AGENCY COMMUNITY HEALTH CENTER TO UPDATE ITS COMMUNITY NEEDS ASSESSMENT. THE AREA-WIDE SURVEY AND STUDY CONSISTED OF AN ANALYSIS OF THE SOCIO-ECONOMIC PROFILE OF VENTURA COUNTY, A COMPREHENSIVE EXAMINATION OF THE HEALTH CARE STATUS AND NEEDS OF COMMUNITIES ACROSS VENTURA COUNTY, THE STATE OF HEALTHCARE DELIVERY AND ITS ASSOCIATED SERVICES, COMMUNITY-REPORTED HEALTH NEEDS, AND COMMUNITY PRIORITIZATION AND IMPLEMENTATION STRATEGIES. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEFINANCIAL 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 INFORMATIONTHE 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 OUTPATIENT CLINICS TO ALL WESTERN VENTURA COUNTY, WHICH INCLUDES THE CITIES AND UNINCORPORATED AREAS SURROUNDING VENTURA, OJAI, SANTA PAULA, FILLMORE, OXNARD, PORT HUENEME AND CAMARILLO. THE POPULATION OF VENTURA COUNTY IS APPROXIMATELY 842,000 AND MADE UP OF 45% HISPANIC AND 55% NON-HISPANIC/LATINO. THE POPULATION IS MADE UP OF 51% FEMALES AND 49% MALE WITH 17% OF THE POPULATION OVER THE AGE OF 65. THE POVERTY RATE FOR THE COUNTY IS 9% AND 17% OF THE ADULT POPULATION IS UNINSURED. THE COUNTY OF VENTURA PROVIDES COMMUNITY DATA THROUGH ITS WEBSITE "HEALTH MATTERS IN VC AND CAN BE ACCESSED AT HTTP://WWW.HEALTHMATTERSINVC.ORG/ FOR FURTHER INFORMATION.IT HAS LONG BEEN ESTABLISHED THAT THERE ARE SIGNIFICANT VARIANCES IN PHYSICAL AND BEHAVIORAL HEALTH CONCERNS BETWEEN GROUPS BASED ON ETHNICITY, INCOME AND RESIDENCE. AS A RESULT, CMHS CAREFULLY CONSIDERS MEANINGFUL DEMOGRAPHIC VARIABLES SUCH AS AGE, RACE AND ETHNICITY WHEN PLANNING FOR BOTH INPATIENT AND OUTPATIENT CARE TO ENSURE THAT THE PATIENT CARE SERVICES IT PROVIDES ARE SENSITIVE AND RELEVANT TO THE PROGRAM PLANNING NEEDS OF THE COMMUNITIES IT SERVES. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTHCMHS IS GOVERNED BY A DIVERSE BOARD OF DIRECTORS WHOSE MEMBERS ARE REPRESENTATIVE OF THE COMMUNITY, HOSPITAL, AND MEDICAL STAFF LEADERSHIP. CONSISTENT WITH THE IRS "COMMUNITY BENEFIT STANDARD," A MAJORITY OF THE BOARD OF DIRECTORS ARE NEITHER EMPLOYEES, CONTRACTORS, NOR FAMILY MEMBERS OF THE ORGANIZATION. CMHS HAS AN OPEN MEDICAL STAFF, EXTENDING STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS FOR ALL AREAS AND DEPARTMENTS OF ITS FACILITY. THE EMERGENCY DEPARTMENTS AT BOTH COMMUNITY MEMORIAL HOSPITAL AND OJAI VALLEY COMMUNITY HOSPITAL TREAT ALL PATIENTS, REGARDLESS OF THEIR SOCIO-ECONOMIC STATUS OR ABILITY TO PAY. THE HEALTH SYSTEM PROVIDES EMERGENCY SERVICES TO ALL PATIENTS, WITH OR WITHOUT INSURANCE, AND CONTRACTS WITH PHYSICIANS TO PROVIDE SPECIALTY EMERGENCY COVERAGE. THIS EMERGENCY TEAM INCLUDES BOARD-CERTIFIED EMERGENCY PHYSICIANS, PHYSICIAN ASSISTANTS; BOARD-CERTIFIED NURSES, EMERGENCY MEDICAL TECHNICIANS, RESPIRATORY THERAPISTS, AND OTHER HIGHLY TRAINED EMERGENCY CARE PROFESSIONALS. ALL ARE DEDICATED TO PROVIDING TECHNOLOGICALLY ADVANCED AND LIFESAVING MEDICAL SERVICES.CMHS OFFERS FREE, EDUCATIONAL SEMINARS ON A MONTHLY BASIS TO COMMUNITIES ACROSS VENTURA COUNTY. THESE EVENTS COVER A WIDE VARIETY OF HEALTH-RELATED TOPICS SUCH AS DIABETES, CANCER, HEART DISEASE, AND VASCULAR HEALTH. CMHS ALSO OFFERS NUMEROUS CLASSES AND SUPPORT GROUPS THROUGH ITS CANCER RESOURCE CENTER, NEW PARENT RESOURCE CENTER, WELLNESS AND FITNESS CENTER, AND HEART AND VASCULAR HEALTH DEPARTMENT. THESE RESOURCES ARE DESIGNED TO PROVIDE A COMMUNITY OF SUPPORT TO THOSE NAVIGATING A SERIOUS ILLNESS, WORKING TO PREVENT OR ADDRESS A CHRONIC DISEASE, OR BUILDING A HEALTHY FUTURE FOR THEIR NEW FAMILY. PART VI, LINE 7, REPORTS FILED WITH STATES CA PART VI, LINE 1: MANAGEMENT COMPANIES AND JOINT VENTURESGROSSMAN IMAGING CENTER OF CMH, LLCBUENAVISTA MEDICAL PROPERTIES, LTDVENTURA CARDIOVASCULAR CO-MANAGEMENT COMPANY, LLC 0 CALIFORNIA HEALTH FOUNDATION & TRUST 1215 K STREET SUITE 800 SACRAMENTO CA 95814 941498697 501 (C) (3) 327936 0 CA HOSPITAL FEE PROGRAM NATIONAL HEALTH FOUNDATION 515 S FIGUEROA ST SUITE 1300 LOS ANGELES CA 90071 237314808 501 (C) (3) 84000 0 GENERAL SUPPORT AMERICAN HEART ASSOCIATION 816 S FIGUEROA ST SUITE 200 LOS ANGELES CA 90071 135613797 501 (C) (3) 10000 0 GENERAL SUPPORT VENTURA FAMILY YMCA 3760 TELEGRAPH ROAD VENTURA CA 93003 951643379 501 (C) (3) 10000 0 GENERAL SUPPORT 4 0 FORM 990, SCHEDULE I, PART I, LINE 2 DESCRIPTION OF PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS THE GRANTS MADE BY COMMUNITY MEMORIAL HEALTH SYSTEM (CMHS) ARE ONLY GIVEN TO 501(C)(3) AND GOVERNMENT ORGANIZATIONS. ONCE THE GRANT IS GIVEN, IT IS NOT MONITORED BY CMHS AND IS LEFT UP TO THE DISCRETION OF THE GRANTEE. X 1 0 X X X X 1 1 0 0 0 0 0 1 0 GARY K WILDE PRESIDENT & CEO 836055 0 96595 0 239716 0 11671 0 14085 0 1198122 0 0 0 ADAM THUNELL COO 487108 0 47516 0 3501 0 99264 0 20442 0 657831 0 0 0 JAMES CORWIN CFO 453871 0 43730 0 5823 0 93520 0 20442 0 617386 0 0 0 ANTHONY RUSSELL CAO AMBULATORY MEDICINE 446060 0 34792 0 3069 0 76857 0 20565 0 581343 0 0 0 SAMUEL SMALL CHIEF OF MEDICAL EDUCATION 376179 0 29761 0 86529 0 12172 0 14084 0 518725 0 0 0 KEITH MCWILLIAMS CIO 340126 0 26144 0 14748 0 60075 0 20442 0 461535 0 0 0 DIANE DREXLER CNO 323572 0 25363 0 17447 0 59208 0 20442 0 446032 0 0 0 KARI ANNE OSBORN VP HUMAN RESOURCES 303679 0 23408 0 31561 0 54610 0 20442 0 433700 0 0 0 HAADY LASHKARI CHIEF ADMIN OFFICER OJAI/VP CMH 274975 0 20999 0 2897 0 51579 0 20442 0 370892 0 0 0 SCOTT GOODFRIEND PHYSICIAN ADVISOR 326473 0 6500 0 13198 0 9797 0 14085 0 370053 0 0 0 WILFRED GARAND VP PLANNING & MANAGED CARE 284542 0 22236 0 5703 0 54003 0 0 0 366484 0 0 0 JAMIE MAITES VP MARKETING & DEVELOPMENT 290945 0 0 0 37799 0 34923 0 0 0 363667 0 0 0 CYNTHIA DEMOTTE VP QUALITY 239337 0 18323 0 42000 0 8352 0 7161 0 315173 0 0 0 KATHRYN YAMADA DIRECTOR OF FINANCE 256115 0 14142 0 9555 0 10936 0 14085 0 304833 0 0 0 MARIA SALINAS RN III 270646 0 0 0 0 0 7727 0 20443 0 298816 0 0 0 PILAR PARKER RN III 275864 0 4700 0 0 0 10811 0 7160 0 298535 0 0 0 CARRIE MARSH DIRECTOR AMB QUALITY & PRACTICE SYST 256619 0 5902 0 1260 0 8268 0 19256 0 291305 0 0 0 RICHARD REISMAN VP AMBULATORY MEDICINE 169108 0 13013 0 34568 0 7657 0 0 0 224346 0 0 0 DEBORAH CARLSON MD BOARD MEMBER 222500 0 0 0 0 0 0 0 0 0 222500 0 0 0 STANLEY FROCHTZWAJG CMO, INPATIENT 175934 0 13192 0 26532 0 6244 0 0 0 221902 0 0 0 EMILIE RAYMAN FORMER COMPLIANCE OFFICER 120000 0 0 0 0 0 0 0 0 0 120000 0 0 0 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. PART I, LINES 4A-B SCHEDULE J, LINE 4A: AN INDIVIDUAL LISTED ON FORM 990, PART VII RECEIVED A SEVERANCE PAYMENT IN 2022 SUBJECT TO A CONFIDENTIALITY AGREEMENT. DETAILS ARE AVAILABLE UPON REQUEST. SCHEDULE J, LINE 4B: THE ORGANIZATION MAINTAINS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN UNDER WHICH CERTAIN EXECUTIVES RECEIVE A SPECIFIED PERCENTAGE OF THEIR BASE SALARY IN SUPPLEMENTAL RETIREMENT BENEFITS. THE AMOUNTS VEST ON THE EARLIER OF THE PARTICIPANT'S 62ND BIRTHDAY OR JANUARY 1 OF THE FIFTH PLAN YEAR AFTER THE PLAN YEAR FOR WHICH THE ACCOUNT WAS CREATED. DURING THE 2022 CALENDAR YEAR, THE ORGANIZATION MADE THE FOLLOWING CONTRIBUTIONS TO THE PLAN ON BEHALF OF THE FOLLOWING INDIVIDUALS. CONTRIBUTIONS THAT ARE SUBJECT TO A FUTURE VESTING CONDITION OR EVENT ARE REPORTED AS "RETIREMENT AND DEFERRED COMPENSATION" ON SCHEDULE J, PART II, COLUMN (C). CONTRIBUTIONS THAT ARE IMMEDIATELY VESTED ARE REPORTED AS "BONUS & INCENTIVE COMPENSATION" ON SCHEDULE J, PART II, COLUMN (B)(II). JAMES CORWIN: $81,343 CYNTHIA DEMOTTE: $35,682 DIANE DREXLER: $48,607 STANLEY FROCHTZWAIG: $26,061 WILDRED GARAND: $42,721 HAADY LASHKARI: $40,956 JAMIE MAITES: $29,094 KEITH MCWILLIAMS: $50,762 KARI OSBORN: $45,368 RICHARD REISMAN: $25,261 ANTHONY RUSSELL: $66,886 SAMUEL SMALL: $56,679 ADAM THUNELL: $87,657 GARY WILDE: $187,228 PART I, LINE 7 BONUSES ARE AWARDED TO EXECUTIVES BASED ON THEIR CONTRIBUTION TO THE OVERALL GOALS OF THE SYSTEM, THEIR ACHIEVEMENT OF INDIVIDUAL GOALS AND WITH REGARD TO REASONABLE COMPENSATION PRACTICES FOR COMPARABLE POSITIONS IN LIKE ORGANIZATIONS. THE COMPENSATION COMMITTEE REVIEWS AND RECOMMENDS THE BONUSES AND MOVES FOR APPROVAL BY THE BOARD OF TRUSTEES. FORM 990, PART III, LINE 1 TO ESTABLISH, EQUIP AND MAINTAIN ONE OR MORE NONPROFIT HOSPITALS, MEDICAL CENTERS, INSTITUTIONS, CLINICS OR OTHER PLACES FOR THE RECEPTION AND CARE OF THE SICK, INJURED AND DISABLED, WITH PERMANENT FACILITIES THAT INCLUDE INPATIENT BED AND MEDICAL SERVICES; TO PROVIDE DIAGNOSIS AND TREATMENT FOR PATIENTS; AND TO PROVIDE ASSOCIATED SERVICES, OUTPATIENT CARE AND HOME CARE IN FURTHERANCE OF THIS CORPORATION'S CHARITABLE PURPOSES; TO PROMOTE AND CARRY ON EDUCATION ACTIVITIES RELATED TO THE CARE OF SICK, INJURED AND DISABLED, TO THE PROMOTION OF HEALTH; TO PROMOTE AND CARRY OUT SCIENTIFIC AND MEDICAL RESEARCH RELATED TO THE CARE OF THE SICK, INJURED AND DISABLED; AND TO PROMOTE OR CARRY OUT OTHER SUCH ACTIVITIES AS MAY BE DEEMED ADVISABLE FOR THE BETTERMENT OF THE GENERAL HEALTH OF THE COMMUNITIES SERVED. FORM 990, PART III, LINES 4A-4B COMMUNITY BENEFIT PLAN CMHS IS DEDICATED TO ENHANCING THE HEALTH OF THE COMMUNITIES IT SERVES. IT DEMONSTRATES THIS COMMITMENT THROUGH A CONTINUED FOCUS ON THE FOLLOWING FOUR AREAS: COMMUNITY EDUCATION OUTREACH 1. CONTINUING TO PROVIDE FINANCIAL SUPPORT/SPONSORSHIPS AND PARTICIPATE IN HEALTH FAIRS, PUBLIC EXPOS, EVENTS AND OTHER COMMUNITY OUTREACH OPPORTUNITIES TO PROMOTE HEALTH SERVICES, HEALTH EDUCATION, AND PREVENTION RESOURCES THROUGHOUT THE COMMUNITY. HEALTH RELATED EDUCATION AND PREVENTION RESOURCES WILL BE FOCUSED AROUND DIABETES, OBESITY, PRENATAL CARE, HEART HEALTH, AND HEALTHY LIVING AND NUTRITION. 2. PROVIDE COMMUNITY MEMBERS AND EMPLOYEES OF LOCAL BUSINESSES WITH THE HEARTAWARE HEART DISEASE DETECTION AND SCREENING PROGRAM. 3. CONTINUE TO PARTICIPATE IN THE STATE CPSP PROGRAM TO PROVIDE EDUCATIONAL RESOURCES TO LOW INCOME CHILDREN AND PREGNANT WOMEN. 4. PROVIDE COMMUNITY FORUMS IN VENTURA AND OJAI HIGHLIGHTING THE STATUS OF OUR HEALTH SYSTEM (THE HOSPITALS AND THE CENTERS FOR FAMILY HEALTH), THE AVAILABILITY OF NEW SERVICES TO BENEFIT RESIDENTS OF THE COMMUNITY, AND OTHER COMMUNITY BENEFITS AND OUTREACH PROGRAMS PROVIDED BY THE HEALTH SYSTEM. 5. DISTRIBUTE A HEALTH INFORMATION CARD TO INDIVIDUALS IN THE COMMUNITY TO FACILITATE THE TRACKING OF PERSONAL HEALTH INFORMATION, AND EMPHASIZE THE IMPORTANCE OF THIS VITAL INFORMATION WHEN ACCESSING THE HOSPITAL, AND IN PARTICULAR, THE EMERGENCY DEPARTMENT. 6. ADD NEW DISEASE DETECTION AND SCREENING SERVICES WITH AN EMPHASIS ON DIFFERENT CONDITIONS OF IMPORTANCE, INCLUDING BUT NOT LIMITED TO, MAJOR CHRONIC DISEASES. ACCESS TO CARE CMHS IS COMMITTED TO INCREASING ACCESS OF THE UNDERSERVED AND VULNERABLE POPULATIONS TO PRIMARY AND SECONDARY MEDICAL CARE IN VARIOUS GEOGRAPHIC LOCATIONS THROUGHOUT ITS SERVICE AREA. 1. CONTINUE TO OFFER A FREE PHYSICIAN REFERRAL SERVICE FOR MEMBERS OF THE COMMUNITY, PROVIDING AT LEAST 1,000 REFERRALS PER YEAR TO LOCAL PHYSICIANS AND OTHER HEALTH SERVICES. 2. CONTINUE EXPANSION OF EXISTING CENTERS FOR FAMILY HEALTH AND MIDTOWN MEDICAL GROUP CLINICS AS INDICATED BY AN INCREASE IN PATIENT VISITS. 3. CONTINUE TO PROVIDE ACCESS THROUGH THE CENTERS FOR FAMILY HEALTH AND MIDTOWN MEDICAL GROUP CLINICS TO SIGNIFICANT NUMBERS OF MEDI-CAL PATIENTS AND UNINSURED INDIVIDUALS THROUGHOUT WESTERN VENTURA COUNTY. 4. CONTINUE TO PROVIDE GENERAL MEDICAL, SURGICAL, AND SPECIALTY PROFESSIONAL COVERAGE OF ER PATIENTS THROUGH THE "ER FUND". PROVIDE STIPENDS TO PHYSICIANS, AS NECESSARY, TO INSURE COVERAGE, ESPECIALLY FOR MEDI-CAL AND UNINSURED PATIENTS, FOR ALL MEDI-CAL SPECIALTIES. 5. THROUGH THE CENTERS FOR FAMILY HEALTH CLINICS, CONTINUE TO PROVIDE AN EXTENSIVE CHILDHOOD IMMUNIZATION PROGRAM. 6. ENGAGE THE SENIOR AND AGING POPULATION IN DIALOGUE SURROUNDING HEALTH CARE OBJECTIVES AND ASSIST WITH CARE COORDINATION. 7. ENHANCE OUT-OF-AREA TRANSPORTATION SERVICES TO IMPROVE ACCESS TO CARE. 8. CONTINUE TO TRAIN RESIDENT PHYSICIANS THROUGH THE SYSTEM'S GRADUATE MEDICAL EDUCATION PROGRAM WITH AN EMPHASIS ON FAMILY AND INTERNAL MEDICINE. RESIDENTS PHYSICIANS IN THE GME PROGRAM PROVIDE FREE HEALTHCARE SERVICES AND HEALTH EDUCATION OUTREACH IN MEDICALLY UNDERSERVED AREAS OF VENTURA COUNTY. UNCOMPENSATED AND UNDERFUNDED CARE 1. CONTINUE TO PROVIDE ACCESS TO A SIGNIFICANT NUMBER OF MEDI-CAL BENEFICIARIES ACROSS A BROAD RANGE OF MEDICAL SERVICES (MEASURED AS A PERCENTAGE OF GROSS REVENUE AND TOTALING AT LEAST 18%). 2. CONTINUE TO PROVIDE A SIGNIFICANT LEVEL OF SUBSIDIZED CARE THROUGH THE CENTERS FOR FAMILY HEALTH. SPONSORSHIP OF COMMUNITY RESOURCES 1. CONTINUE TO ASSIST THE VENTURA COUNTY DISTRICT ATTORNEY'S OFFICE IN SUPPORTING VICTIMS OF DOMESTIC ABUSE THROUGH THE "PROJECT SAFE HARBOR" PROGRAM. 2. PROVIDE A ROTATION FOR TRAINING OB/GYN, ORTHOPEDIC SURGERY, INTERNAL MEDICINE, FAMILY, AND PSYCHIATRY MEDICINE PHYSICIAN RESIDENTS. 3. CONTINUE TO PROVIDE TOURS OF THE HOSPITALS TO THE YOUTH IN THE COMMUNITY. 4. CONTINUE TO PROVIDE DATA TO A NATIONAL TUMOR REGISTRY THAT SUPPORTS A KNOWLEDGE BASE DEDICATED TO ENHANCING THE CARE OF CANCER PATIENTS IN OUR COMMUNITY. 5. CONTINUE TO PROVIDE A CANCER RESOURCE CENTER THAT OFFERS NO-COST SUPPORT GROUPS AND OTHER RESOURCES TO HELP PATIENTS AND THEIR FAMILIES NAVIGATE THEIR CANCER DIAGNOSIS, TREATMENT, AND RECOVERY. 6. PROVIDE SUPPORT TO MEDICALLY FRAGILE 65+ YEAR ADULTS AND THEIR CAREGIVERS AFTER AN ACUTE CARE HOSPITALIZATION TO REDUCE HOSPITAL RE-ADMISSIONS AND IMPROVE THE PROVISION OF VALUE-BASED SERVICES THROUGH THE CAREGIVER NAVIGATOR PROGRAM. THIS PROGRAM OFFERS A MONTHLY HEALTH AND WELLNESS SEMINAR, WHICH ARE FREE TO CAREGIVERS AND ADDRESS TOPICS WITH EXPERTS INCLUDING LEGAL SERVICES, IN-HOME CARE, CAREGIVER RESOURCES, LONG TERM CARE OMBUDSMAN, ALZHEIMER'S DISEASES, NEUROLOGICAL SERVICES AND MORE. FORM 990, PART VI, SECTION B, LINE 11B PROCESS TO REVIEW 990 FORM 990 WAS PREPARED BY MOSS ADAMS AND COMMUNITY MEMORIAL HEALTH SYSTEM (CMHS) FINANCE DEPARTMENT 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, SECTION B, LINE 12C DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICT OF INTEREST CONFLICT OF INTEREST STATEMENTS ARE COMPLETED BY AND COLLECTED FROM DIRECTORS, OFFICERS AND KEY EMPLOYEES ON AN ANNUAL BASIS. SUCH STATEMENTS ENSURE FULL DISCLOSURE OF FINANCIAL INTERESTS AND TRANSACTIONS WHERE CONFLICT OF INTEREST IS A POSSIBILITY, AND SHALL ENSURE THE AVOIDANCE OF POTENTIAL CONFLICT OF INTEREST IN CHOOSING NEW DIRECTORS, AND OTHER MATTERS INVOLVING OFFICERS, DIRECTORS, AND KEY EMPLOYEES. IT IS THE POLICY OF CMHS THAT REQUIRES DIRECTORS TO DISQUALIFY HIMSELF/HERSELF FROM MAKING A DECISION WHERE HE/SHE HAS A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE COMPENSATION REVIEW THE ORGANIZATION USED AN INDEPENDENT CONSULTANT TO SURVEY EXECUTIVE COMPENSATION. NATIONWIDE SURVEYS WERE USED TO COMPARE THE COMPENSATION OF THE HEALTH SYSTEM'S EXECUTIVE STAFF TO THE 50TH PERCENTILE OF THOSE SURVEYED AND BY ORGANIZATIONAL SIZE AND SCOPE. THE BOARD COMPENSATION COMMITTEE IS RESPONSIBLE FOR ENGAGING THE INDEPENDENT COMPENSATION CONSULTANT AND FOR DETERMINING THE COMPENSATION OF THE CEO. THE COMPENSATION FOR ALL OTHER EXECUTIVES IS DETERMINED BY THE CEO AND SUBJECT TO THE APPROVAL BY THE BOARD COMPENSATION COMMITTEE. THE RECOMMENDATION OF THE BOARD COMPENSATION COMMITTEE IS THEN APPROVED BY THE BOARD OF DIRECTORS. THIS PROCESS IS DOCUMENTED IN THE BOARD MINUTES. THE PROCESS WAS LAST COMPLETED IN AUGUST 2022. FORM 990, PART VI, SECTION C, LINE 19 PUBLIC DISCLOSURE OF CERTAIN DOCUMENTS THE AUDITED FINANCIAL STATEMENTS, FORM 990 TAX RETURNS, GOVERNING AND ORGANIZATIONAL DOCUMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE THROUGH THE ADMINISTRATIVE OFFICES AND ARE PROVIDED UPON REQUEST. FORM 990, PART VI, LINES 16A AND 16B JOINT VENTURES CMHS HAS MAINTAINED A LONG-STANDING PRACTICE OF REVIEWING ALL POTENTIAL JOINT VENTURE OR SIMILAR ARRANGEMENTS TO ENSURE THAT CONTRACT TERMS ARE CONSISTENT WITH THE PROTECTION OF ITS TAX-EXEMPT STATUS. FORM 990, PART IX, LINE 11G OTHER: PROGRAM SERVICE EXPENSES 12,452,569. MANAGEMENT AND GENERAL EXPENSES 717,127. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,169,696. PURCHASED SERVICES - INDEPENDENT CONTRACTORS: PROGRAM SERVICE EXPENSES 22,386,387. MANAGEMENT AND GENERAL EXPENSES 8,594,501. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,980,888. REGISTRY NURSING: PROGRAM SERVICE EXPENSES 14,921,726. MANAGEMENT AND GENERAL EXPENSES 5,102. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,926,828. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 11,961,723. MANAGEMENT AND GENERAL EXPENSES 45,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,006,723. FORM 990, PART XI, LINE 9: CHANGE IN PLEDGE RESERVE -329,570. FORM 990, PART VII, SECTION A DEBORAH CARLSON RECEIVED COMPENSATION FOR SERVICES RENDERED AS CHIEF OF STAFF AND INTERNAL MEDICINE GRADUATE MEDICAL EDUCATION PROGRAM DIRECTOR. ACCOUNTABLE CARE ALLIANCE OF VENTURA LLC 147 NORTH BRENT STREET VENTURA CA 93003 462843182 MANAGEMENT SERVICES CA 0 25 CMHS COMMUNITY MEMORIAL PHYSICIANS SERVICES 147 NORTH BRENT STREET VENTURA CA 93003 463142917 MANAGEMENT SERVICES CA 0 0 CMHS VENTURA ORTHOPEDIC CO-MANAGEMENT COMPANY 147 NORTH BRENT STREET VENTURA CA 93003 453483342 MANAGEMENT SERVICES CA 0 0 CMHS COMMUNITY MEMORIAL HEALTHCARE FOUNDATION 147 N BRENT STREET VENTURA CA 93003 953847251 FUNDRAISING CA 501(C)(3) LINE 7 CMHS 1 GROSSMAN IMAGING CENTER OF CMH LLC 2001 N SOLAR DRIVE SUITE 135 OXNARD CA 93030 371512002 IMAGING CENTER CA CMHS RELATED 237143 597770 0 0 0.51000 VENTURA CARDIOVASCULAR CO-MANAGEMENT COMPANY 147 NORTH BRENT STREET VENTURA CA 93003 273227049 MANAGEMENT SERVICES CA N/A RELATED 0 1 0.50000 BUENAVISTA MEDICAL PROPERTIES LTD 168 NORTH BRENT STREET VENTURA CA 93003 772753640 REAL ESTATE CA N/A N/A 0 0 BUENAVISTA MEDICAL PROPERTIES INC 168 NORTH BRENT STREET VENTURA CA 93003 770298516 REAL ESTATE CA CMHS C 331927 764985 1.00000 1 CALIFORNIA HEART INSTITUTE 147 NORTH BRENT STREET VENTURA CA 93003 770276145 BILLING SERVICES CA CMHS C 436492 225417 1.00000 1 1 0 1 1 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 GROSSMAN IMAGING CENTER OF CMH LLC A 61248 ACCRUAL METHOD COMMUNITY MEMORIAL HEALTHCARE FOUNDATION C 411217 ACCRUAL METHOD GROSSMAN IMAGING CENTER OF CMH LLC D 1346884 ACCRUAL METHOD GROSSMAN IMAGING CENTER OF CMH LLC J 183815 ACCRUAL METHOD GROSSMAN IMAGING CENTER OF CMH LLC Q 875027 ACCRUAL METHOD COMMUNITY MEMORIAL HEALTHCARE FOUNDATION Q 172068 ACCRUAL METHOD FORM 990, SCHEDULE R, PART III INFORMATION FOR RELATED ORGANIZATIONS TAXABLE AS PARTNERSHIPS ORGANIZATION NAME: GROSSMAN IMAGING CENTER OF CMH, LLC ORGANIZATION EIN: 37-1512002 U.S. ADDRESS: 2001 N. SOLAR DR., SUITE 135, OXNARD, CA 93030 ORGANIZATION NAME: VENTURA CARDIOVASCULAR CO-MANAGEMENT CO. LLC ORGANIZATION EIN: 27-3227049 U.S. ADDRESS: 147 NORTH BRENT STREET, VENTURA, CA 93003 ORGANIZATION NAME: BUENAVISTA MEDICAL PROPERTIES, LTD. ORGANIZATION EIN: 77-2753640 U.S. ADDRESS: 168 NORTH BRENT STREET, VENTURA, CA 93003